We have thought about insulin pumps but we don't want to jump to it at the moment. If it doesn't work out then it might make my routine even worse
I think you, may have both Type1 and Type2 (otherwise call inslin resistance).
Just to add to what I said, eating is more important than exercise as a type 1, unless you are getting so much exercise that you can basically eat whatever you want without going high. Rice and bread are probably 2 of the hardest meals to eat as a diabetic, no matter how well-controlled you are; it is even harder when stressed. Insulin really doesn't work fast enough to match the digestion profile of these foods, and it's hard not to end up with high blood sugars after eating them. Noodles are hard too as they digest for hours after eating them. Milk has lots of sugar and will raise your blood sugar, so if you are drinking it before bed you will wake up with high blood sugar.
I am also wondering if she rotate the injection side and stress is a big killer for us diabetic.Well this is rather a stretch. What he has is puberty and exam stress. Simple.
@Darshan1504 why are you taking both actrapid and Novorapid? Are you rotating your injection sites? Do you have any lipohypertrophy? How many units do you inject in one injection?
Well this is rather a stretch. What he has is puberty and exam stress. Simple.
I think it also work for type 1.His doctor has given him Forxiga and unless I have misunderstood his inslin doses are when he is taking Forxiga. As far as I know no senible doctor would consider Forxiga for type1 unless there is a high level of inslin resistance.
(I don't like the risk profile of Forxiga for Type1 but that is not the subject of this thread.)
I think it also work for type 1.
https://www.diabetes.co.uk/news/201...ucose-levels-in-type-1-diabetes-90850974.html.
So basically it not a safe drug for us type 1.Have to keep it in mind in case my gp decided to is it on me.It does work as it removes suger from the body, but you can get mostly the same result by not eating the suger/carbs. It also can result in DKA being missed until it is too late, as DKA can happen as much lower BG when someone is taking a SGLT2 inhibitor. (DKA is due to very low inslin, not high BG, but normlay (without a SGLT2 inhibitor) BG will be very high before DKA becomes a risk.) Unless I have missed the news SGLT2 inhibitors are still not licensed for use in Type1.
So basically it not a safe drug for us type 1.Have to keep it in mind in case my gp decided to is it on me.
I have mentioned it in the first post itself.Well this is rather a stretch. What he has is puberty and exam stress. Simple.
@Darshan1504 why are you taking both actrapid and Novorapid? Are you rotating your injection sites? Do you have any lipohypertrophy? How many units do you inject in one injection?
Umm it's a he and I have taken my doses on every possible spot you can think of. I rotate my spots very frequentlyI am also wondering if she rotate the injection side and stress is a big killer for us diabetic.
The doses that I have mentioned are after I discontinued forxiga and yes I had a lot of problem with forxiga. Do not recommend!His doctor has given him Forxiga and unless I have misunderstood his inslin doses are when he is taking Forxiga. As far as I know no senible doctor would consider Forxiga for type1 unless there is a high level of inslin resistance.
(I don't like the risk profile of Forxiga for Type1 but that is not the subject of this thread.)
Thanks! I'll have to see if I can get access to thoseI've used both a pump and injections and they both have their pros and cons. I think there was more of a difference before moderns basal insulins like Tresiba, Lantus and Levemir came along. I think they can be enormously useful if you are having a specific problem that injections can't address, but first you need to figure out what those problems are if they exist. Are you able to get access to a continuous glucose monitor such as the Dexcom or Freestyle Libre? You really can't tell what's going on with just fingerpricks, these devices will give you a much better idea.
I have mentioned it in the first post itself.
Lantus-60
Actrapid- 20----------20
Novorapid- -----20-----
I'm taking actrapid and novorapid both because I can't get enough wait time before my lunch so I use novorapid.
I do have lipohypertrophy
The doses that I have mentioned are after I discontinued forxiga and yes I had a lot of problem with forxiga. Do not recommend!
I actually can't find a place without the lumps. That's what the main problem is. After these high doses and almost 5 injections a day, there isn't really any area left untouched. I'm just leaning towards dietary changes now because I feel that that's the only thing that'll help me in the long run. I will try the pump but my doctor says that I should probably wait for a while and not rush to anything until my exams are done. Also here in India, the pumps are super expensive and even our insurance policies don't help us so I'll need to be 100% sure that my body adapts to it before I rush to buy it.Sorry, I don't see where the first post answers any of those questions. That's why I asked them. So you do have lipohypertrophy and you're injecting 60 units of lantus all in one shot? When I asked how many units do you inject in one injection I wasn't trying to find out how many units you take, because as you say you had mentioned that in your first post, I was trying to find out whether when you take your mealtime bolus of 20u you split that up in to different injection sites. That's a large number of units, it's not ideal for good absorption of insulin to inject 20 or 60u all in one place. Whether your insulin is being absorbed is more of a concern if you have lumps and bumps from lipo. You've talked about your body swelling and not being sure the insulin goes in. You may need to think about your injection technique, whether you are using the right length needle, whether you are avoiding sites compromised by lipo. You might need to think of splitting your bolus doses into 2 or three (so do 7u left leg, 7u right leg, 6u belly) to help a bit with absorption issues.
A pump can be helpful if you are stuggling with absorption problems and certainly something to try before considering diaport..
I use a pen with 4mm needles. I feel that 4mm needles are the best for me. I sometimes use 6mm syringes and I follow the way that my doctor has suggested. I change the needles every second time.Hi @Darshan1504 ,
This is more a focus on injection technique. Do you use a "pen" with cartridges & something like a microfine 4 or 6 millimetre needle?
Or are you "drawing up" using a syringe??
Sorry, more questions...
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