Honeymoon phase...

Hi Tom

The honeymoon can be a time of erratic sugars - which can be very annoying! All you can do is test and see how things are working for you. Your DSN should be able to provide support too.

As my honeymoon was ending, I found I started to go higher after meals, so I needed to increase my bolus ratios.

Are you correcting with fast acting insulin when you're high?

lordcharlton said:

Hey, thanks for the reply!
Yep, I'm using nova rapid but only doing 1unit at a time which helps and also a good dose of cardio... just at the moment it's going up to 18 high after a small bit of food. There's no drink or sugary anything either in my diet.

what a ride

Best
Tom

Click to expand...

If you're going up to 18 after food, then it certainly looks like you may need more insulin.

Have you done a basal test to see if your basal insulin is enough? Basal is the foundation of good control, so getting that right makes it easier to see if your mealtime injections need attention.

If you're looking for a good book about Type 1, Think Like A Pancreas is excellent.

Here's a link to blood sugar targets,,which you may know anyway, but it's a useful reminder about what you're aiming for

https://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

.

Just to add for the benefit of all readers, Type 1 is not linked to lifestyle and is an auto-immune condition

I'm 28 and diagnosed for a little over a year. I know exactly how you feel and everyone used to assume that what I was going through was the result of the honeymoon phase. However, in my case it's something much different.

Running is a HUGE part of my type 1 diabetes management and if I take a break from running, my insulin needs increase significantly and my fasting levels do as well.

To put that into perspective, I normally run about 4-7 miles every day (averaging about 8.5 minute miles). On those days, I need 10 units of basal (Tresiba) and my insulin:carb ratio is 1u:15g-1:20 (depending on the time of day).

I'm currently on vacation in NYC and have still been walking 20k steps each day (about 10miles), but haven't ran in over a week.

I've had to increase my basal from 10 to 12 units. My carb ratio is around 1:8g, and my fasting levels are still up from 4-5mmol/l to around 6-6.5. I woke up this morning at 10 mmol/l and gave myself a 2 unit correction. That would normally drop me 5-6mmol/l but in the last 75minutes I've only dropped 3mmol/l.

My point is not to confuse you. I only want to share my situation which seems similar to yours and let you know that it may be something other than the honeymoon phase.

Happy to share anything else if it's of value to you.
Note: I'm on a Dexcom G5 CGM which is why I'm able to know all of these numbers and share them so easily.

@lordcharlton id just like to reiterate @azure 'a point that type 1 isn't a lifestyle condition. It is an autoimmune condition and while some lifestyle changes can assist in management, type 1 diabetes is treated with insulin. If you aren't on the right dose of insulin, lifestyle changes can't compensate for that. If increasing your dosages has helped with managing your levels, that suggests you need the increased doses. If your only taking one unit of fast acting insulin at a time for meals, but rising to18 after meals that suggests 1 unit is not enough and you need to have a look at carb counting to figure out your insulin to carb ratio. You might also need to have a look at your basal rate if things are changing and honeymoon is ending to see if you need more basal insulin.

Hi. I've had to increase my insulin gradually since going onto insulin 4 years ago, no doubt due to the honeymoon phase. It's likely you need to do the same. Are you carb-counting your Bolus?

@lordcharlton Theres an online course here:

http://www.bertieonline.org.uk

Carb counting is crucial for,control. I was taught it at diagnosis, and it's not hard

Yes, there is a lot to,learn! Type 1 certainly keeps you on your toes! Learning as much as you can about it and how your body reacts is important. Knowledge is power

Regarding your 18 - do speak to your team for advice. That's higher than ideal and must have made you feel a bit off.