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Diabetes Discussion
Type 1 Diabetes
explaining what it's really like to live with Type 1
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<blockquote data-quote="MarkMunday" data-source="post: 2273401" data-attributes="member: 525839"><p>That is how it is supposed to work. More importantly, the doctor should help the patient <em>feel</em> in control. Only then can patients actually take control and do what needs to be done. The problem is that doctors have very limited understanding of the challenges patients have to deal with. They also have very limited understanding of using insulin in a way that matches insulin action with insulin requirements. Perhaps expecting doctors to have such insights is not realistic.</p><p></p><p>After doing this 42 years, I now just tell the doctor what I need, based on my understanding of the requirement. I use a variation on the typical MDI protocol - 13 units Lantus & 8 units Actrapid in the morning to cover basal and Novorapid for bolusing when necessary. When combined with a ketogenic way of eating, it works perfectly for me. But I had to work it out for myself with very little support from doctors. Patients often feel abandoned by doctors and it is a pity that they don't see their role more broadly.</p></blockquote><p></p>
[QUOTE="MarkMunday, post: 2273401, member: 525839"] That is how it is supposed to work. More importantly, the doctor should help the patient [I]feel[/I] in control. Only then can patients actually take control and do what needs to be done. The problem is that doctors have very limited understanding of the challenges patients have to deal with. They also have very limited understanding of using insulin in a way that matches insulin action with insulin requirements. Perhaps expecting doctors to have such insights is not realistic. After doing this 42 years, I now just tell the doctor what I need, based on my understanding of the requirement. I use a variation on the typical MDI protocol - 13 units Lantus & 8 units Actrapid in the morning to cover basal and Novorapid for bolusing when necessary. When combined with a ketogenic way of eating, it works perfectly for me. But I had to work it out for myself with very little support from doctors. Patients often feel abandoned by doctors and it is a pity that they don't see their role more broadly. [/QUOTE]
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