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<blockquote data-quote="kitedoc" data-source="post: 1827639" data-attributes="member: 468714"><p><strong>I have had that hypo feeling </strong>before the figures reach the oft-quoted expected number.(say 3.6 mmol/l) For me that indicates both tha<strong>t I am hypo aware and that my numbers are falling fast</strong>. Whereas a <strong><em>very gradual decline in my bsl might reach 3.5 mmol/l before I can physically detect the 'low'.</em></strong></p><p>I am trying to understand what you mean by <strong>'when my basal peeks I have a hypo'.</strong> The basal for you is, i believe, the long-acting insulin Lantus which has very little actual peak (if you google Lantus insulin profile pictures this will show it graphically). If you compare this to<strong> profiles of Novorapid</strong> (which is the bolus, pre-meal shot) you will see a fairly distinct peak at about the 2 to 3 hours mark (the profiles are from the manufacturer and will be an average so that one the peak may be vary say from 11/2 hour to 3 hours and duration 6 or so hours between individuals).</p><p>As far as diagnosing LADA, and I speaking as a diabetic, not in any professional capacity, I would suggest you read the LADA forum to learn about others' experiences. And 'line up your ducks' before seeing the GP so that you know what the NHS 'rules' are and that you can be persuasive without the GP going on the defensive. I suspect GPs do not like the guidelines any better than the patients do.</p><p>The most important thing is you <strong>achieving stability of your bsls,</strong> as it is for me and everyone else with diabetes. Whether we are TID or LADA does not change our need for stability asap. </p><p>You appear to be excelling in getting stable despite the setback you have faced. That is the important thing.</p><p>Through 51 years on insulin I have had to learn new things (and unlearn some past things !!) and there is always something new around the corner. ( all the above is not professional advice or opinion). Please keep posting !!</p></blockquote><p></p>
[QUOTE="kitedoc, post: 1827639, member: 468714"] [B]I have had that hypo feeling [/B]before the figures reach the oft-quoted expected number.(say 3.6 mmol/l) For me that indicates both tha[B]t I am hypo aware and that my numbers are falling fast[/B]. Whereas a [B][I]very gradual decline in my bsl might reach 3.5 mmol/l before I can physically detect the 'low'.[/I][/B] I am trying to understand what you mean by [B]'when my basal peeks I have a hypo'.[/B] The basal for you is, i believe, the long-acting insulin Lantus which has very little actual peak (if you google Lantus insulin profile pictures this will show it graphically). If you compare this to[B] profiles of Novorapid[/B] (which is the bolus, pre-meal shot) you will see a fairly distinct peak at about the 2 to 3 hours mark (the profiles are from the manufacturer and will be an average so that one the peak may be vary say from 11/2 hour to 3 hours and duration 6 or so hours between individuals). As far as diagnosing LADA, and I speaking as a diabetic, not in any professional capacity, I would suggest you read the LADA forum to learn about others' experiences. And 'line up your ducks' before seeing the GP so that you know what the NHS 'rules' are and that you can be persuasive without the GP going on the defensive. I suspect GPs do not like the guidelines any better than the patients do. The most important thing is you [B]achieving stability of your bsls,[/B] as it is for me and everyone else with diabetes. Whether we are TID or LADA does not change our need for stability asap. You appear to be excelling in getting stable despite the setback you have faced. That is the important thing. Through 51 years on insulin I have had to learn new things (and unlearn some past things !!) and there is always something new around the corner. ( all the above is not professional advice or opinion). Please keep posting !! [/QUOTE]
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