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Type 1 Diabetes
how can I improve my control?
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<blockquote data-quote="keep_going" data-source="post: 1156156" data-attributes="member: 276075"><p>Please let me know if I should post this elsewhere...</p><p></p><p>I've had t1 for 28years. Currently using levemir am 9u and pm 8u, and humalog 1u to 10g carbs.</p><p>HbA1c running just around 7.8% but it has come down since I had my gall bladder out and I've been more physical - I hope this continues to improve.</p><p>While recovering from my op I took the time to very carefully record all food and blood results onto paper and it turns out I am matching up my insulin and carbs well during the day, but I was probably having night hypos and sleeping through. My levemir was reduced and this seems to have stopped and my consultant is happy with all my results atm.</p><p></p><p>I am not so happy though. I still get higher am reading that need 1,2 or 3 corrections. I have had a few night hypos that I have slept through but that seems to happen if I make a correction before bed...so I might want to do one if I am running at 10mmols to reduce it down to 7mmols. So on one hand it looks like I need more levemir but if I do I get more night hypos.</p><p>DSN said managing diabetes is clunky, but I used to have much better control overnight than I have now...I am not sure what has changed other than getting older...</p><p></p><p>What do I do if my consultant and nurse actually think my diabetes is okay? I've not been in this position before (my clinic is now far busier than it used to be and of course underfunded).</p><p>I am currently reading Dr Bernstein's book which is v interesting.</p><p></p><p>I also feel like diabetes is catching up with me a bit now too...my last eye test showed that I do have some background retinopathy which really shook me tbh.</p><p></p><p>Thank you for any insights, suggestions or experiences you might share with me.</p></blockquote><p></p>
[QUOTE="keep_going, post: 1156156, member: 276075"] Please let me know if I should post this elsewhere... I've had t1 for 28years. Currently using levemir am 9u and pm 8u, and humalog 1u to 10g carbs. HbA1c running just around 7.8% but it has come down since I had my gall bladder out and I've been more physical - I hope this continues to improve. While recovering from my op I took the time to very carefully record all food and blood results onto paper and it turns out I am matching up my insulin and carbs well during the day, but I was probably having night hypos and sleeping through. My levemir was reduced and this seems to have stopped and my consultant is happy with all my results atm. I am not so happy though. I still get higher am reading that need 1,2 or 3 corrections. I have had a few night hypos that I have slept through but that seems to happen if I make a correction before bed...so I might want to do one if I am running at 10mmols to reduce it down to 7mmols. So on one hand it looks like I need more levemir but if I do I get more night hypos. DSN said managing diabetes is clunky, but I used to have much better control overnight than I have now...I am not sure what has changed other than getting older... What do I do if my consultant and nurse actually think my diabetes is okay? I've not been in this position before (my clinic is now far busier than it used to be and of course underfunded). I am currently reading Dr Bernstein's book which is v interesting. I also feel like diabetes is catching up with me a bit now too...my last eye test showed that I do have some background retinopathy which really shook me tbh. Thank you for any insights, suggestions or experiences you might share with me. [/QUOTE]
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