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How long do the fixed doses last ?

Discussion in 'Type 1 Diabetes' started by Diabeticger, Apr 26, 2020.

  1. Diabeticger

    Diabeticger Type 1 · Well-Known Member

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    Being diagnosed just over a year now, on a fixed dose since day one so rather than alter my dose I alter my meals if my pre test is a bit high, which in turn leaves me hungry.

    Another (weird to me) thing is I started off having porridge for breakfast , which was great as I do like it but suddenly is spiked my bloods !!

    Are there any relatively good cereals there ( bran flakes ect ) that I could eat rather than eggs every morning
     
  2. Antje77

    Antje77 LADA · Moderator
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    As for your title question, I was never on fixed doses, instead I was told to start out with a tiny dose and log what happened, and they were happy with me working out how much I needed from there. For me that meant keeping a food diary and testing a minimum of 11 times a day while learning to read food labels and add up the carbs.
    As long as you're on the fixed doses, could you alter what goes into your meals instead of simply eating less when you're a bit high? If you have to eat less of the carbs because you're on the high side pre-meal you could instead eat more of the fats and proteins to save you from being hungry.
     
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  3. therower

    therower Type 1 · Well-Known Member

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    @Diabeticger . What fixed dose insulin are you using?
    Are you on a bolus / basal regime?
    You really should be pushing your diabetes team for more freedom where injecting insulin is concerned.
    As for the porridge. When first diagnosed it’s highly likely your pancreas was still producing insulin ( honeymoon period ) this would explain your ability to deal with the carbs. The honeymoon period doesn’t last and the pancreas ceases to produce any insulin whatsoever, when this happens it’s imperative that you are able to adjust your insulin requirements accordingly to match the carbs you’re eating.
    Type 1 diabetes does not require you to eat less to keep your BS levels in range. That’s what the insulin is for.
    Providing you adhere to a sensible and healthy diet the world is your oyster.
     
  4. Jaylee

    Jaylee Type 1 · Moderator
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    Hi,

    If I remember correctly.
    You mentioned in a post last week that you were prescribed & instucted "on 14 until of lantus at night and a 5_5_4 dose of novorapid?" https://www.diabetes.co.uk/forum/threads/1st-diaversary-coming-up.173658/#post-2250242

    Ideally, you should have the flexibility already to adjust your dose to what you eat?

    However you will need to address this with your diabetic team.. (Unfortunatly, we can't give dosage advice.)
    I feel you need to understand your insulin to carb ratios & the timing of dosage with what's eaten..
    Which in fairness is a personal journey of trial & error..

    Best wishes.
     
  5. Goma5

    Goma5 Type 1 · Member

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    Fibre bran is fairly well spike proof for me if you can stomach it!
     
  6. Rose22

    Rose22 Type 1 · Well-Known Member

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    I was started on insulin just over 2 months ago, and like you on fixed doses. This was really hard I found as it simply didn’t match what I was eating. I am usually more active in the first 1/2 of the day too so tend to drop lower by lunch. My specialist diabetes nurse said she didn’t want me worrying about carb counting. Think they want you to get used to injecting etc then over time look at patterns and what you eat at and acitivity and carb counting to match the insulin dose to it. I would email my nurse my reading and doses each week and we’d adjust from that. I had a bad hypo at 3pm right when needed to get the kids from school and it really threw me! 45 mins later recovered enough and someone got them for me. But it was the deciding factor that fixed doses for me wasn’t working! I think for freedom fixed dosing is really restrictive! I’m fairly new so I’m just giving my experience. I contacted my nurse to say I want to try carb count and match my levels better. If I hadn’t I’d be on fixed doses still...perhaps like you a year later.
    Bertie online was the course my diabetes nurse suggested I do. The first group one I can attend on nhs (before covid19 lockdown) was end of the year Dec. I would contact your team and come up with a plan so you can feel in control more of what you eat and how to dose for it. It’s a bit of trial and error. My main goal is feeling well and energised most of the time...need good blood sugar readings to do that. Hehe wish it was easy!
    Best of luck!
     
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