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Type 1.5/LADA Diabetes
Frightened of food!
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<blockquote data-quote="searley" data-source="post: 2402667" data-attributes="member: 31377"><p>Hi..</p><p></p><p>im LADA, so know what its like..</p><p></p><p>Being LADA/T1 you are may be entitled to a Freestyle Libre on prescription.. the will give you much better insight into what your BG is doing</p><p></p><p>The first thing you really need todo is get the basal insulin right.. im confident enough to adjust mine myself, and my care team are happy for me todo that.. if you are not confident or happy doing it yourself you can do it with your care team</p><p></p><p>you can check your basal level by doing an extended fast.. and basically during this time your BG should stay pretty much the same.. if it rises or falls you basal is too low/high</p><p></p><p>once this is done you can start to work on your bolus injections so eat a known amount of carbs and dose for it.. my starting dose was 1unit for 10g carbs so have something, calculate the dose.. and if after 2/3 hours you are not back to a similar level to pre meal then your level is slightly wrong.. again i adjust myself, but you may want to go through it with your care team</p><p></p><p>corrections are done a similar way.. when you are slightly high, take 1u and see how much you drop over 2 to 3 hours.. normal starting point 1u for 3 mmol</p><p></p><p></p><p>If you know you are going to exercise, you may want to take less insulin with the prior meal so you are slightly higher for the exercise.. normal starting point 10% reduction</p><p></p><p>always carry fast acting carbs like glucotabs, incase you go low.. and most t1 will go low..</p><p></p><p>and test test test.. keep an eye on your BG.. its a legal requirement to test for driving incase you don't know</p><p></p><p>But its all about getting the dose correct and knowing how to adjust, 10y down the line i still have to change my dose from time to time.. and always carry hypo treatment...</p><p></p><p>weight can be an issue with insulin as it forces the body to process all the food you consume.. so if you have too much you will gain weight.. so whilst they say you can eat what you like, you still need to be careful about quantity or weight gain will happen.. im very active so can still eat quite a lot, but when im off work i can gain several pounds in a week if im not careful.</p><p></p><p>push again for dafne, or even in the short term bertie online..</p><p></p><p>if you have any specific questions you like to ask please go ahead ive been doing it 10 years now.. just remember im not qualified.. just my experience.. so if uncertain.. read further or check with your care team.</p><p></p><p>And good luck, hopefully you can get back to a point of enjoying food & life with it <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="searley, post: 2402667, member: 31377"] Hi.. im LADA, so know what its like.. Being LADA/T1 you are may be entitled to a Freestyle Libre on prescription.. the will give you much better insight into what your BG is doing The first thing you really need todo is get the basal insulin right.. im confident enough to adjust mine myself, and my care team are happy for me todo that.. if you are not confident or happy doing it yourself you can do it with your care team you can check your basal level by doing an extended fast.. and basically during this time your BG should stay pretty much the same.. if it rises or falls you basal is too low/high once this is done you can start to work on your bolus injections so eat a known amount of carbs and dose for it.. my starting dose was 1unit for 10g carbs so have something, calculate the dose.. and if after 2/3 hours you are not back to a similar level to pre meal then your level is slightly wrong.. again i adjust myself, but you may want to go through it with your care team corrections are done a similar way.. when you are slightly high, take 1u and see how much you drop over 2 to 3 hours.. normal starting point 1u for 3 mmol If you know you are going to exercise, you may want to take less insulin with the prior meal so you are slightly higher for the exercise.. normal starting point 10% reduction always carry fast acting carbs like glucotabs, incase you go low.. and most t1 will go low.. and test test test.. keep an eye on your BG.. its a legal requirement to test for driving incase you don't know But its all about getting the dose correct and knowing how to adjust, 10y down the line i still have to change my dose from time to time.. and always carry hypo treatment... weight can be an issue with insulin as it forces the body to process all the food you consume.. so if you have too much you will gain weight.. so whilst they say you can eat what you like, you still need to be careful about quantity or weight gain will happen.. im very active so can still eat quite a lot, but when im off work i can gain several pounds in a week if im not careful. push again for dafne, or even in the short term bertie online.. if you have any specific questions you like to ask please go ahead ive been doing it 10 years now.. just remember im not qualified.. just my experience.. so if uncertain.. read further or check with your care team. And good luck, hopefully you can get back to a point of enjoying food & life with it :-) [/QUOTE]
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