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Double Digits! Good or Evil!? >;)
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<blockquote data-quote="Heathenlass" data-source="post: 775071" data-attributes="member: 84861"><p>I can only speak from my own experience and perspective of course...</p><p></p><p>Some of my points have been stated already , but the only time I have ever needed to bolus large amounts was when in desperation, I followed the NHS advice to eat more carbs and bolus accordingly. Prior to this, I had limited my carbs as that is what I had been used to from diagnosis. I found that larger amounts of carbs and larger boluses lead me into to poor control, weight gain, insulin resistance and a much higher HbA1c .</p><p></p><p>Very early on , the advice of a HCP was to try and keep my total daily bolus to less than 15 units a day through dietry control, and that had pretty much worked for me . The only reason I changed that for the experiment was because of crashing hypos that started with the prescribing of Lantus, and was pretty much disastrous , for the reasons given above, and I STILL had awful hypos ( It turns out that Lantus did not suit me,)</p><p></p><p>What I have found in keeping the Carbs and bolus low is that small numbers as @ Smidge has said, leads to better control, both in carbs and bolus with less room for error. My weight has returned to normal and is pretty stable, and insulin resistance caused by high doses has again returned to normal .</p><p></p><p>For all of my diabetic life apart from that episode, I have low carbed without consciously thinking of it as such,during which my blood levels are good, without frequent hypos. I don't actually feel deprived, as my food choices are my own, and I do like cooking, so it's a case of substitutions that make my carb load and insulin dosages low. I still eat pizza, for example, but not pizza as commonly found, the crust is different and low in carbs .</p><p></p><p>In another thread some time ago, I remember someone else posting something that I recognised in myself, that I have a resistance that is almost instinctive to actually eating carbohydrate when going low. I realised that was because it was dinned in to me very early on that this is something I need to avoid to remain healthy. Emphasis on the "I" here <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" /> Obviously, I do use carbs to raise my BG, but I am the butt of family anecdotes about being force fed barley sugar to correct a hypo almost through gritted teeth, while my siblings were pinching the stuff out of the bag and scoffing it <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite11" alt=":rolleyes:" title="Roll Eyes :rolleyes:" loading="lazy" data-shortname=":rolleyes:" /></p><p></p><p>Signy</p></blockquote><p></p>
[QUOTE="Heathenlass, post: 775071, member: 84861"] I can only speak from my own experience and perspective of course... Some of my points have been stated already , but the only time I have ever needed to bolus large amounts was when in desperation, I followed the NHS advice to eat more carbs and bolus accordingly. Prior to this, I had limited my carbs as that is what I had been used to from diagnosis. I found that larger amounts of carbs and larger boluses lead me into to poor control, weight gain, insulin resistance and a much higher HbA1c . Very early on , the advice of a HCP was to try and keep my total daily bolus to less than 15 units a day through dietry control, and that had pretty much worked for me . The only reason I changed that for the experiment was because of crashing hypos that started with the prescribing of Lantus, and was pretty much disastrous , for the reasons given above, and I STILL had awful hypos ( It turns out that Lantus did not suit me,) What I have found in keeping the Carbs and bolus low is that small numbers as @ Smidge has said, leads to better control, both in carbs and bolus with less room for error. My weight has returned to normal and is pretty stable, and insulin resistance caused by high doses has again returned to normal . For all of my diabetic life apart from that episode, I have low carbed without consciously thinking of it as such,during which my blood levels are good, without frequent hypos. I don't actually feel deprived, as my food choices are my own, and I do like cooking, so it's a case of substitutions that make my carb load and insulin dosages low. I still eat pizza, for example, but not pizza as commonly found, the crust is different and low in carbs . In another thread some time ago, I remember someone else posting something that I recognised in myself, that I have a resistance that is almost instinctive to actually eating carbohydrate when going low. I realised that was because it was dinned in to me very early on that this is something I need to avoid to remain healthy. Emphasis on the "I" here :D Obviously, I do use carbs to raise my BG, but I am the butt of family anecdotes about being force fed barley sugar to correct a hypo almost through gritted teeth, while my siblings were pinching the stuff out of the bag and scoffing it :rolleyes: Signy [/QUOTE]
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