1. This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies. Learn More.
  2. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  3. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2019 »
    Dismiss Notice
  4. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Hi!

Discussion in 'Greetings and Introductions' started by jamesmsawyer, Feb 12, 2019.

  1. jamesmsawyer

    jamesmsawyer Type 1 · Newbie

    Messages:
    3
    Likes Received:
    8
    Trophy Points:
    23
    Hi! I am a type 1 diabetic, having had it for 6 years ish and having spent years hiding away the diabetes, by not talking about it to anyone if at all possible, trying to keep it hidden, or just trying to forget I have it, I have started to become more and more open with my condition, hence I have joined diabetes forum! I have started to enjoy communicating with other type 1 diabetics, surprisingly (!) as rewind a year or two and it is the last thing I would have wanted, and I am also enjoying see other people going through what I have and what they have done to improve their health, as I have never met another type 1 diabetic (apart from at hospital!), so never had anyone or anything to relate too.

    Currently, my HbA1c is still a little higher than it should be, and I am thinking of reducing my carbohydrate intake to try to help that, if so, is that is a good idea? I am really after any suggestions that others have done to reduce their HbA1c, anything is helpful!
    And any other tips that people have found for helping reduce their blood sugar levels (slightly) due to change in diet or whatever would be really appreciated!

    Thanks x
     
    • Like Like x 4
    • Friendly Friendly x 2
  2. Jaylee

    Jaylee Type 1 · Moderator
    Staff Member

    Messages:
    8,820
    Likes Received:
    8,333
    Trophy Points:
    198
    Hi @jamesmsawyer ,

    Welcome to the forum.

    Reducing carb intake.. It uncomplicates things for me.
    But you're in no doubt going to get different views from others by asking "if it's a good idea." ;) (Which also depends on the exstent of the "reduction?")

    I would say it's a positive initiative if it works for you.. :)
    We are all individuals, understanding the difference & not making certain comparisons to other lifestyles with the same condition, thus finding one's own bespoke method forward is what counts.

    Take a look around the forum, join in ask questions. Be (& own) your own D! :cool:
     
    • Like Like x 1
    • Friendly Friendly x 1
    #2 Jaylee, Feb 12, 2019 at 6:42 AM
    Last edited: Feb 12, 2019
  3. jamesmsawyer

    jamesmsawyer Type 1 · Newbie

    Messages:
    3
    Likes Received:
    8
    Trophy Points:
    23
    Hi, thanks for the comments, it’s just I have heard a lower carb intake can help sometimes was just wondering if anyone had found positive results! It’s true we are all unique, thanks again!
     
    • Like Like x 1
    • Friendly Friendly x 1
  4. Diakat

    Diakat Type 1 · Moderator
    Staff Member

    Messages:
    3,376
    Likes Received:
    3,094
    Trophy Points:
    198
    Lower carb can help if that is how you want to eat. If you prefer to maintain carbs then learning as much as possible about your reactions to food/insulin and using tech at hel bring the numbers down.

    So, @Mel dCP uses low carb, @Scott-C eats whatever he wants, and lots of people fall somewhere in between...
     
    • Like Like x 3
    • Agree Agree x 1
    #4 Diakat, Feb 12, 2019 at 7:05 AM
    Last edited: Feb 12, 2019
  5. Jaylee

    Jaylee Type 1 · Moderator
    Staff Member

    Messages:
    8,820
    Likes Received:
    8,333
    Trophy Points:
    198
    Hi again,

    Lol, just about to dart off to work... I'll tag in @michita & @Mel dCP (a couple of members that come to mind.) :)

    @Diakat beat me to it with Mel
     
    • Friendly Friendly x 2
    • Like Like x 1
    • Agree Agree x 1
    • Funny Funny x 1
  6. Juicyj

    Juicyj Type 1 · Moderator
    Staff Member

    Messages:
    6,066
    Likes Received:
    5,446
    Trophy Points:
    198
    Hi @jamesmsawyer and welcome on board :)

    From experience in having had this over 7 years now. I started lowish carbing within 12 months, mostly down to the fact my BG levels were swinging wildly and going high/low was very mentally exhausting, however with that said, if I want carbs I still eat them, so last night had a couple of small slices of pizza, they can be managed if this is what you would prefer to do, having attended DAFNE with a load of men, most coped very well with them. I have also found that taking smaller amounts of insulin reduces the room for error with miscalculations.

    The major game changers for me in improving my HbA1c have been in using an insulin pump and more recently self funding the Dexcom G6 which has had a major impact on my control, I correct for anything above 7 now, and have an alarm to alert me to lows, also my hypos are less frequent and less severe, so I rarely go below 3.

    Also becoming really knowledgeable in managing this is an absolute must, so good reading material includes 'think like a pancreas' written by a type 1, get yourself on DAFNE if you haven't already been put forward, Dose Adjustment for normal eating - your DSN can get you onto a course, this is really useful and you also meet other type 1's too.

    I was pretty embarrassed about my t1 after diagnosis, almost ashamed of it, but the more I talked about it the easier it's become and meeting other people with t1 has been great, knowing you don't sail this ship alone is quite comforting.
     
    • Like Like x 2
    • Agree Agree x 1
    • Useful Useful x 1
  7. jamesmsawyer

    jamesmsawyer Type 1 · Newbie

    Messages:
    3
    Likes Received:
    8
    Trophy Points:
    23
    Hi, @Juicyj, thanks for letting me know how you got on with a lower carbohydrate intake, I do think I am going to try it, because like you say there is less room for error in miscalculation insulin etc. I'll also make sure to look at those book recommendations too.

    Yeah I do look back now and wonder why I was embarrassed at all, but I was younger then, it is really nice to talk to other type 1 diabetics so thanks again!
     
    • Like Like x 3
    • Friendly Friendly x 1
  8. KK123

    KK123 Type 1 · Well-Known Member

    Messages:
    1,227
    Likes Received:
    840
    Trophy Points:
    173
    Hi James, I am quite low carb too, around 60 to 80 per day, sometimes more but mostly less. As long as you adjust your insulin in accordance with what you are eating you should be fine. Lots of testing as usual of course and don't forget that applies to your basal as well as your bolus. I think people sometimes focus on the insulin they take with meals and reduce that only but I found that my between meals levels dropped rapidly too until I adjusted my basal.

    Oh and @Scott-C, do you really eat 'what you want'? :)
     
    • Like Like x 3
    • Friendly Friendly x 1
  9. Juicyj

    Juicyj Type 1 · Moderator
    Staff Member

    Messages:
    6,066
    Likes Received:
    5,446
    Trophy Points:
    198
    To be honest @jamesmsawyer Only you can make that call, your meter and HbA1c will tell you what's working and what isn't, and we are all different even with type 1.

    I'm not embarrassed at all now - but i'm not outspoken or attention seeking though either, prefer to blend it into life and remain uncomplicated, mentally and physically, I tell people if they need to know, i.e. in case I go hypo and then have to explain strange behaviour, otherwise doesn't stop me doing anything, in fact taken up running since diagnosis and that's helped hugely too with control - sorry forgot to mention that bit, exercise is very important :)
     
    • Like Like x 2
    • Friendly Friendly x 1
  10. Scott-C

    Scott-C Type 1 · Well-Known Member

    Messages:
    2,054
    Likes Received:
    2,272
    Trophy Points:
    158
    I've got my own versions of Intermittent Fasting and OMAD. It involves having a really long lie in on a Saturday until about 2pm, which covers the IF, then adjourn to an all-you-can-eat Chinese buffet, so that's like OMAD, then I just have a few beers throughout the evening, as they don't count as a meal...
     
    • Winner Winner x 4
    • Funny Funny x 2
    • Like Like x 1
  11. Scott-C

    Scott-C Type 1 · Well-Known Member

    Messages:
    2,054
    Likes Received:
    2,272
    Trophy Points:
    158
    If you're not trying it already, pre-bolusing is well worth it, injecting before a meal to give the insulin time to get to work, before hitting it with food. That way, the food is meeting already active insulin so it's more of a level playing field, instead of the insulin playing catch up.

    Timing varies between people, 20 to 30 mins is quite common, but it does need experimenting with, and will often vary depending on whether you're on an upward or downward trend, the gi of the food, the order that "faster" carb components in the meal are eaten, the general macro composition of the meal overall, and general sensitivity to insulin in the last day or two.

    It can make a significant difference - I could eat a 50 to 70g meal and end up well above 10 for an uncomfortable period of time if I inject at first bite, but if I pre-bolus the same meal about 20 to 30 mins, it'll frequently not go above 7 to 8.

    Sugar Surfing by Stephen Ponder covers the topic very well, although it's more aimed at people using cgm (which is well worth using, it's influenced my a1c hugely).

    Sugar Surfing also says don't be shy of inter-meal corrections if the trend is going obviously out of line, but, again, that can be difficult to be confident about without cgm

    Maybe also re-think ratios. Many of us get caught up in thinking 1u to 10g is set in stone (hcps can be quite strident about that), but it's just a general starting point, and there is nothing at all wrong with playing it differently. 1 to 7 seems to work for me pretty well, but again, it's entirely individual.

    I suppose the big question is what do we mean by low carb? Many of my meals are around the 50 to 70g mark, with a fair number of 80 to 100g ones. Low carbers might look askance at those numbers, but I don't think 50 to 70 per meal is excessive, nothing which pre-bolusing can't handle, and, to be honest, the 80 to 100g ones are generally over a few courses, so nothing a bit of split-bolus won't handle depending on how long I'm taking to eat it.
     
    • Like Like x 3
    • Winner Winner x 2
    • Friendly Friendly x 1
  12. therower

    therower Type 1 · Well-Known Member

    Messages:
    2,998
    Likes Received:
    3,985
    Trophy Points:
    198
    @jamesmsawyer . Welcome to the forum.
    Would like to give advice but I see that you’ve got some of the best advice available from all the gals and guys above.
    One thing I will say. Diabetes thrives in dark places. Open up and let the sun shine on diabetes and it becomes far easier to control. Well done on opening up. All that you need know is a t- shirt letting everyone know that you are the proud owner of a useless pancreas.:):)
     
    • Like Like x 3
    • Funny Funny x 1
  13. Paul520785

    Paul520785 Type 1 · Well-Known Member

    Messages:
    65
    Likes Received:
    56
    Trophy Points:
    58
    Hi and just a couple of comments -
    I am a 60+year veteran with T1 and have seen some very helpful changes mainly technology over the years.
    I work on a fixed insulin dose morning and evening and enjoy the opportunity to eat more when having heavy exercise.
    HbA1c has been between 55 and 65 ever since the test became available. From experience everyone is different so I would recommend learning all you can and then seeing what works for you! And please do not believe all so called health professionals know what they are talking about but also some are exceptional!
    I have never hidden or advertised that I am a diabetic. It is, I think , essential that someone in the group you are with does know.
    I am still here with no complications so I must be doing something right for quite a few years.

    Paul - Hobbies - Fishing - Boating - Ham Radio - and Chainsaw sculpting!
     
    • Like Like x 4
    • Winner Winner x 1
  14. michita

    michita Type 1 · Well-Known Member

    Messages:
    217
    Likes Received:
    178
    Trophy Points:
    103
    Hi jamesmsawer
    I was diagnosed in my 40s about 3 years ago. Switching my diet to low carb was logical choice for me and because of the diet change I have been doing well in terms of bs level and keeping fit. Going low carb has been relatively easy for me and I feel getting diabetes made me determined to be the healthiest I can be (because I am a little bit angry :) )

    I note in your profile that you are 19 so my situation is probably quite different to you. You would eat out more with friends etc. I think it’s all about balancing and finding what you feel comfortable most. All the best !
     
    • Like Like x 1
    • Friendly Friendly x 1
  15. therower

    therower Type 1 · Well-Known Member

    Messages:
    2,998
    Likes Received:
    3,985
    Trophy Points:
    198
    @Paul520785 . Chainsaw sculpting. Not an everyday pastime. One of those things that to someone like myself beggars belief.
    It is amazing how such a powerful piece of kit can create such stunning works of art.
     
    • Agree Agree x 1
  16. Robinredbreast

    Robinredbreast Type 1 · Oracle

    Messages:
    15,580
    Likes Received:
    24,635
    Trophy Points:
    298
    Hi @jamesmsawyer and welcome to the club we don't really want to join. I have reduced carbs, but not a low carber and exercise helps me to get number's down ( I like to walk) but as always, it's a balancing act and sometimes we topple.
    You could try to tweak your medications and food, keep testing, also 2 hours after food.
     
    • Like Like x 1
    #16 Robinredbreast, Feb 12, 2019 at 10:30 PM
    Last edited: Feb 13, 2019
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook