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Diabetes Discussion
Type 1 Diabetes
How do you know when you are out the Honeymoon Phase?
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<blockquote data-quote="Mrs HJG" data-source="post: 2599919" data-attributes="member: 552087"><p>Hi [USER=571148]@AlisonBaxter[/USER] it's likely to be so individual from what I have gleaned, and trust me, I have read so much to get an answer, as I am currently honeymooning without insulin, and live in fear of the day that all changes.</p><p></p><p>I was told that if/when I start waking constantly over 6, and staying above 8 for extended periods after eating, it will be time to start insulin, and the honeymoon will be ending. </p><p></p><p>I eat low carb, (100g/day, c.25g per meal plus a couple of nut snacks), and exercise daily - so although my diet is restricted it is not identical each day, but my Libre helps keep me in check and see where I have gone over night and the real spikes etc.</p><p></p><p>If I ate a 'normal' carb-filled diet I am sure I would need to be on insulin to get my levels down, and be stressing my pancreas into quick submission. As I'm not a 'foodie' I am happy to 'go without' and prolong my time without insulin in any way I can, including reducing as much stress as possible, (spikes me more than a bag of jelly babies, probably!), and following @glucosegoddess on instagram's hacks (Jessie Inchauspé).</p><p></p><p>From my own experience I would say the honeymoon will be over when insulin is needed and small amounts don't bring on a hypo because my pancreas has stopped being 'helpful' - I tried for 3 weeks and on 3 units of humulin M3 twice a day I was dipping to the low 4s and treating with Quality Street (it was Christmas!) from being in the 20s at diagnosis aged 51, so I needed to come off it for my sanity.</p><p></p><p>After 12 months of low carb my HbA1c has kept reducing and my GAD antibodies have also decreased, and I will have my c-peptide re-checked in the summer, as I am bit of an anomaly.</p><p></p><p>I totally get the wanting to know and have 'proper' definitive answers, but after 16 months I am (happily?) resigned to the fact that with diabetes, there is no such thing.</p><p></p><p>Just seen you latest post - infections, illness, antibiotics, steroids (everything!) will increase most likely your BG, hopefully temporarily, so I would expect your insulin requirement to go back down a bit when you recover, but your diabetes team will be able to guide you on that.</p></blockquote><p></p>
[QUOTE="Mrs HJG, post: 2599919, member: 552087"] Hi [USER=571148]@AlisonBaxter[/USER] it's likely to be so individual from what I have gleaned, and trust me, I have read so much to get an answer, as I am currently honeymooning without insulin, and live in fear of the day that all changes. I was told that if/when I start waking constantly over 6, and staying above 8 for extended periods after eating, it will be time to start insulin, and the honeymoon will be ending. I eat low carb, (100g/day, c.25g per meal plus a couple of nut snacks), and exercise daily - so although my diet is restricted it is not identical each day, but my Libre helps keep me in check and see where I have gone over night and the real spikes etc. If I ate a 'normal' carb-filled diet I am sure I would need to be on insulin to get my levels down, and be stressing my pancreas into quick submission. As I'm not a 'foodie' I am happy to 'go without' and prolong my time without insulin in any way I can, including reducing as much stress as possible, (spikes me more than a bag of jelly babies, probably!), and following @glucosegoddess on instagram's hacks (Jessie Inchauspé). From my own experience I would say the honeymoon will be over when insulin is needed and small amounts don't bring on a hypo because my pancreas has stopped being 'helpful' - I tried for 3 weeks and on 3 units of humulin M3 twice a day I was dipping to the low 4s and treating with Quality Street (it was Christmas!) from being in the 20s at diagnosis aged 51, so I needed to come off it for my sanity. After 12 months of low carb my HbA1c has kept reducing and my GAD antibodies have also decreased, and I will have my c-peptide re-checked in the summer, as I am bit of an anomaly. I totally get the wanting to know and have 'proper' definitive answers, but after 16 months I am (happily?) resigned to the fact that with diabetes, there is no such thing. Just seen you latest post - infections, illness, antibiotics, steroids (everything!) will increase most likely your BG, hopefully temporarily, so I would expect your insulin requirement to go back down a bit when you recover, but your diabetes team will be able to guide you on that. [/QUOTE]
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How do you know when you are out the Honeymoon Phase?
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