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Hi from Fareham

Shane72

Member
Messages
10
Location
Fareham
Type of diabetes
Type 1
Treatment type
Insulin
I'm new to this sort of, I was diagnosed diabetic after a renal transplant in 2013, started on insulin, then stopped for a year, then again early 2015 put back on. started work in April after 5 years, and stopped insulin as bloods were good. I tend to go higher when i'm run down though, hour after waking today i was 10.3. Dr has given me some fast acting insulin which I have not used before, this was after seeing my blood results ranging from 4.4 to 14.8 although I usually sit around 7-8.

Its great to find something like this forum for advice, have been reading a few posts and to be honest, it is all a bit confusing, some of the terminology means nothing to me at the moment, but I am sure I will pick it up

In joining this forum, I am hoping to learn how to control the bloods, when and why to take different insulin, and if and when i need to contact the team again.

Tanks everyone reading this :)
 
Hi and welcome. Do ask on any specific area of terminilogy. In general a low-carb diet is a good start point. Hopefully the fast-acting insulin will be all you need, but there are additional 'regimes' that can provide even better control if needed.
 
Thank you Daibell

One I keep seeing is Bolus

also, just googling, and now seeing it in your signature, I didn't know there was a type 1.5, until this site asked me what type I had when I signed up. I just presumed I was type 1 because of insulin use.
 
Hi there Shane72
welcome to the forum :)
sounds a tough entrance to the diabetic world having a renal transplant -- but glad you have found us.

just going to post some jargon now and meanings to assist you in having a read around the place

basal /bolus - this is a long acting and fast acting regime of treating diabetes with insulin
the basal is taken either 1 or 2 times a day and the bolus is taken with meals and sometimes to correct high bloods.

MDI - multiple daily injections -- another term for basal / bolus

HbA1c - this is a blood test done to look at your average blood sugar readings over the previous 2-3 months
it is an indicator to look at how blood sugar control is overall

hypo -- low blood sugar ( below 4.0 ) --needs treating with fast acting glucose

hyper - high blood sugar ( generally above 10 )

fasting BG - your first blood reading of the day before any food is eaten or insulin taken

DSN -- diabetic specialist nurse -- sometimes referred as DN

endo -- short for endocrinologist -- doctor that specialises in diabetes

LCHF -- low carb high fat -- this is a way of eating that seems to suit a lot of diabetics but comes up against opposition from the medical establishment that have not seen the light ( more are seeing the light though )

i am sure there are loads more but this is a start

I am also tagging @daisy1 for her great starter pack -- worth a read

and then ask any questions you may have

all the best
 
Excellent reading Himtoo(no idea how to tag)

I saw my Endo(picking this jargon up now) on Friday, he has given me the Humilin S as the short acting, and as said, recommend i take it before a meal, but only if i know i'm going to be eating a big meal.

My bloods are 8.9 now after this morning, I haven't taken anything as i haven't eaten anything, I start work at 12 so don,t really want to experience a Hypo, especially at work. Ive taken paracetamol as I have a headache, so will do bloods again before lunch.
 
I'm new to this sort of, I was diagnosed diabetic after a renal transplant in 2013, started on insulin, then stopped for a year, then again early 2015 put back on. started work in April after 5 years, and stopped insulin as bloods were good. I tend to go higher when i'm run down though, hour after waking today i was 10.3. Dr has given me some fast acting insulin which I have not used before, this was after seeing my blood results ranging from 4.4 to 14.8 although I usually sit around 7-8.

Its great to find something like this forum for advice, have been reading a few posts and to be honest, it is all a bit confusing, some of the terminology means nothing to me at the moment, but I am sure I will pick it up

In joining this forum, I am hoping to learn how to control the bloods, when and why to take different insulin, and if and when i need to contact the team again.

Tanks everyone reading this :)
Hello shane72, my your journey so far has been a trial hasn't it, may i welcome you to the best and most caring sharing forum on the web️may i reccomend a book that i'm sure will help you, dr richard bernstein, his book Diabetes explained 4 th edition is a gem, you can get it on amazon( and other bookshops) he is a t1 himself for 50 yrs, keep posting and ask as many q's as you like,you will get answers,all the best, clive
 
LOL-- cool on the jargon

hope you are aware also of needing to test definitely before you jump behind the wheel of your car.

DVLA regulations:cool:

has he told you how much to take before a meal

more jargon now --

I:C ratio - insulin to carbohydrate ratio -- normally the medical peeps start adults on a ratio of 1 unit bolus to 10 grams carbohydrate -- over time ( months not weeks ) you may find you need to adjust your ratios -- a chat with the DSN is advised before you begin to tweak on your own
 
Hello and welcome,you'll get all the answers you need from the wealth of info the people on here have.....deffo remember to test blood for driving ,and every 2 hours once started journey......can be a pain but once diabetic on insulin it's the law.....
Good luck.....
 
Yes, I sent my License and medical questionnaire to DVLA a few months ago(late I know)

They have given me a restricted 3y License, and taken off some of my entitlements :( not that I used them lol
 
Hello Shane and welcome.
Im not on Insulin,so I cant help much.
What you eat plays a big part in getting BG down.
 
@Shane72

Hello Shane and welcome to the forum :)

Here is the information we give to new members and I hope you will find it useful, in addition to the excellent advice given above. Ask all the questions you need to and someone will help.

BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 150,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
Thank you for all that information, I will try to soak it all in over the next few days, and will also look for that book, will download to kindle for lunchtime reading.
 
Thank you for all that information, I will try to soak it all in over the next few days, and will also look for that book, will download to kindle for lunchtime reading.
Well done shaneyou are doing well , keep it up and remember....were here to help just post and you will get answers
 
Hi Shane and welcome to the forum, you are not too far away from me, I live in Hampshire.

Best wishes RRB :)
 
Bought the book for reading, it was considerably cheaper for the kindle, will bring it to work this week and soak up some information, many thanks everyone
 
Thank you Daibell

One I keep seeing is Bolus

also, just googling, and now seeing it in your signature, I didn't know there was a type 1.5, until this site asked me what type I had when I signed up. I just presumed I was type 1 because of insulin use.
Hi again. AS you may have seen from the list of abbreviations, Bolus is the same as fats or rapid acting. Some people like myself are on Basal/Bolus where you have both the fast acting and one or twice a day shots of a '24hr' insulin. Type 1.5 is often loosely used for Late onset T1 or LADA. This is usually the result of antibodies attacking the pancreas although sometimes it can be a virus etc. It's all very confusing so when I chose a bracelet for the gym I chose one that just said 'insulin dependent' and didn't mention type.
 
@Shane72, some more abbreviations and jargon used in diabetes circles taken from the community pages of DCUK:


  • Amylin (Islet Amyloid Polypeptide) - Slows the rate at which digested carbohydrate appears as glucose in the blood and thus reduces total insulin demand
  • Basal - referred to as the slow acting insulin used to cover your bodies own glucose stores
  • Beta cells - Pancreatic cells responsible for the production of insulin, amylin and C-peptide
  • BG - blood glucose (this is the measurement of glucose circulating in the blood)
  • Biphasic insulin - An insulin mixture containing both fast acting and slow acting insulin, usually injected twice daily
  • Bolus - referred to as the fast acting insulin used to cover food, typically carbohydrates, some cover for protein as well.
  • BP - Blood Pressure
  • Brittle diabetes (labile diabetes) - Most often seen in type 1
  • BS - blood sugar (as above)
  • CHO - Carbohydrate (Carbon Hydrogen Oxygen)
  • C-peptide - A by-product of normal insulin production
  • CTS - Carpal Tunnel Syndrome
  • CVD - Cardiovascular Disease
  • Double diabetes - Comprises symptoms of both type 1 and type 2 diabetes
  • DSN - Diabetic Specialist Nurse
  • ED- Erectile Disorder
  • FS - Frozen Shoulder
  • Fulminant type 1 - An idiopathic subtype which has a very rapid onset and no honeymoon period
  • G.I - Glycemic index. A G.I value tells you how rapidly a particular carbohydrate is turned
  • G.L - Glycemic load. A G.L value takes into account not only G.I, but also the total quantity
  • GAD (Glutamic Acid Decarboxylase) - Antibodies test
  • GDM - Gestational Diabetes Mellitus
  • Glucagon - A hormone produced in the alpha cells of the pancreas
  • Glycogen - The storage form of glucose in animals and humans
  • Glycogenesis - Glucose storage, mainly in the liver and muscles
  • Glycogenolysis - The breaking down of glycogen stores in liver and muscle tissue
  • GNG (Gluconeogenesis) - The generation of glucose from non-carbohydrate carbon substrates
  • HBA1C - HbA1c is the scientific shorthand for Glycosylated Haemoglobin
  • HCP/HP - Health care professional
  • HDL - High Density Lipoprotein (the "good" cholesterol)
  • Honeymoon period - The period of time after a diagnosis of type 1 diabetes when there is better than expected blood glucose control
  • Hypo - hypoglycaemia (this means blood sugar level is too low)
  • Insulin - A hormone which causes most of the body's cells to take up glucose from the blood
  • Insulin analogues - Genetically altered versions of insulin
  • Insulin antibodies - An immune response to exogenous(injected) insulin
  • Insulin resistance - Normal amounts of insulin are inadequate to produce a normal insulin level.
  • Ketoacidosis - A severe accumulation of keto acids in the blood, resulting in acidosis
  • Ketones - Ketone bodies are acids left over as a byproduct of ketosis
  • Ketosis - A process in which your body converts fats into energy
  • Lantus - Long-acting insulin analogue used as a basal(background) insulin. Normally injected
  • LDL - Low Density Lipoprotein (the "bad" cholesterol)
  • Levemir - Long-acting insulin analogue used as a basal(background) insulin.
  • LHB (Local Health Board) Welsh equivalent of a PCT (Primary Care Trust)
  • Liver dump - The common term given to glucose production from the liver
  • Low-carb diet - A proportional reduction of dietary carbohydrate
  • MDI - Multiple Daily Injections - an insulin regimen adopted by the majority of type 1 diabetics
  • MODY - Maturity Onset Diabetes of the Young refers to a number of dominantly inherited, monogenic defects of insulin secretion. There are currently eight different varieties of MODY
  • Nephropathy - Damage to or disease of the kidneys
  • NICE - National Institute for Clinical Health and Excellence
  • NSF - National Strategic Framework
  • PCT - Primary Care Trust
  • Peripheral neuropathy - Damage to the nerves of the peripheral nervous system
  • PP - post prandial (this means a period of time after eating, usually recorded as 2 hours but often 1)
  • Pump - Insulin Pump, used as an alternative insulin delivery method to MDI. The pump is connected to you 24/7 and pumps tiny doses of insulin thorought the day, with the ability to give extra doses at meals times and with snacks.
  • Retinopathy - Non-inflammatory damage to the retina of the eye
  • SHA - Strategic Health Authority
  • Somogyi effect (rebound hyperglycemia) - A high blood sugar (hyperglycemia)
  • TG or Trigs Triglycerides - the main component part of VLDL and a significant cause of strokes and heart attacks
  • Type 1 (autoimmune) - The most common form of type 1 diabetes
  • Type 1 (idiopathic) - All forms of type 1 which occur without a known cause
  • Type 1 (surgical) - Diabetes caused by partial or complete removal of the pancreas
  • Type 1.5 - Latent Autoimmune Diabetes in Adults (LADA), also known as slow onset type 1
  • Type 2 - Diabetes mellitus type 2 is most often attributed to insulin resistance and relative
  • VLDL - Very Low Density Lipoprotein (the "very bad" cholesterol)
  • Young-onset type 2 - Anyone diagnosed with type 2 under the age of 45 is considered young
 
A lot to take in there noblehead, the only one I didn't see, is NODAT New Onset Diabetes After Transplant, which is the diagnosis they gave me
 
Hi and welcome to the forum. I am only a Type 2 so I cant give any advice on the insulin side of things but there are a lot of very helpful Type 1's here who should be able to offer you some helpful advice.
 
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