After 28yrs as Type1 diabetic I'm going through a rough patch. I had a shock early last year when a type 1 friend died without warning of a heart attack. I had been going along OK until then, not the best diabetic but no major issues.
I decided to tighten up my control. I bought a freestyle Libre and really tried to get on top of my carb counting. I have done the DAFNE course. I saw the consultant last month who was concerned that my HBA1c was 41/5.9 and after looking at the information downloaded from my meters said he was concerned about the number of hypos I was having and emphasised the damage they can do.
I have just changed from Lantus to Levemir on the same doses. 5 units at 8am and 3 at 8pm. I have tested these doses and they seem to be OK. I try and restrict my carb intake and bolus Humalog. I have a ratio of 1 unit to 10grams carbs. I generally take about 2 units at breakfast, 3 units at lunch, and 3 or 4 units at dinner. I rotate my injection sites. I am going up and down like a yoyo. I am trying not to correct too much and giving food or insulin time to work. The last few days I seem to be frequently between 12 and 15 which takes a long time to go down.
I wake frequently during the night and test my blood sugar. I know the stress I am experiencing is not helping.
I have spoken to the DSNs who were no help. The first passed me on to a colleague as she did not know much about carb counting! The second only talked about using my health function on my Aviva expert meter, and that it was dangerous to have hypos.
I am quite an active person going to exercise classes and walking. I find if I sit for quite a period after a meal my insulin does not seem to work and my blood sugars just go up until I am active again. I have a healthy diet, drink very little and don't smoke. Also last year I was diagnosed with an over active thyroid and lost over as stone in weight. I do not want to loose any more. I am on medication for this.
Sorry to rant on but I feel at a loss and don't know how to control this. So many of you seem to have such good control, that's where I would like to be. My graphs are like a range of mountains rather than a smooth plain!
Any suggestions would be much appreciated.
I decided to tighten up my control. I bought a freestyle Libre and really tried to get on top of my carb counting. I have done the DAFNE course. I saw the consultant last month who was concerned that my HBA1c was 41/5.9 and after looking at the information downloaded from my meters said he was concerned about the number of hypos I was having and emphasised the damage they can do.
I have just changed from Lantus to Levemir on the same doses. 5 units at 8am and 3 at 8pm. I have tested these doses and they seem to be OK. I try and restrict my carb intake and bolus Humalog. I have a ratio of 1 unit to 10grams carbs. I generally take about 2 units at breakfast, 3 units at lunch, and 3 or 4 units at dinner. I rotate my injection sites. I am going up and down like a yoyo. I am trying not to correct too much and giving food or insulin time to work. The last few days I seem to be frequently between 12 and 15 which takes a long time to go down.
I wake frequently during the night and test my blood sugar. I know the stress I am experiencing is not helping.
I have spoken to the DSNs who were no help. The first passed me on to a colleague as she did not know much about carb counting! The second only talked about using my health function on my Aviva expert meter, and that it was dangerous to have hypos.
I am quite an active person going to exercise classes and walking. I find if I sit for quite a period after a meal my insulin does not seem to work and my blood sugars just go up until I am active again. I have a healthy diet, drink very little and don't smoke. Also last year I was diagnosed with an over active thyroid and lost over as stone in weight. I do not want to loose any more. I am on medication for this.
Sorry to rant on but I feel at a loss and don't know how to control this. So many of you seem to have such good control, that's where I would like to be. My graphs are like a range of mountains rather than a smooth plain!
Any suggestions would be much appreciated.