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I don't understand my diabetes anymore
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<blockquote data-quote="EllieM" data-source="post: 2198458" data-attributes="member: 372717"><p>As a T1 for 49 years I can truthfully say that <strong>hypos are the thing I most hate about diabetes</strong>. They are scary, horrible, can make you feel like <insert favourite swear word here> for a day afterwards if they are really bad, and can also lead to a see saw of high and low blood sugars.</p><p></p><p>I've had some hospital inducing hypos (mainly during pregnancies but also more recently when I lost hypo awareness as a result of keeping my blood sugars too low) and have come to the compromise where I aim for a "good" hba1c but not a perfect one.</p><p></p><p>Insulin ratios: I'd suggest keeping a food, insulin and blood sugar diary for a week. You've got several issues here</p><p>1) basal dose - I suspect it's too high if you are getting hypos at night. You really need to get this right before trying to calculate your insulin ratios.</p><p>2) insulin ratios - they can vary by time of day for an individual person, and the actual ratio can vary massively, anything between 1u per 1g and 1 unit for 20g …. (and probably outside those ratios).</p><p>3) correction dose - this allows you to reduce your blood sugar if it's too high before a meal (eg 1 unit might reduce you by 20mg/dl)</p><p></p><p>My clinic usually issue me with a continuous glucose monitor and get me to keep a diary for a week before recommending new ratios/basal. I could work it out myself but it helps to have their back up. </p><p></p><p>It sounds like you could really benefit from a consultation with a doctor/diabetes clinic and ideally get a continuous glucose monitor with an alarm so that you can have warnings if your blood sugar goes too low. </p><p></p><p>Good luck with your finals. </p><p></p><p>ps Some of the advice here refers to UK course etc. I am guessing you are in Europe or the US as you are not using UK bg units. Can I ask where you're from, as some of the advice about medical care available is country dependant?</p></blockquote><p></p>
[QUOTE="EllieM, post: 2198458, member: 372717"] As a T1 for 49 years I can truthfully say that [B]hypos are the thing I most hate about diabetes[/B]. They are scary, horrible, can make you feel like <insert favourite swear word here> for a day afterwards if they are really bad, and can also lead to a see saw of high and low blood sugars. I've had some hospital inducing hypos (mainly during pregnancies but also more recently when I lost hypo awareness as a result of keeping my blood sugars too low) and have come to the compromise where I aim for a "good" hba1c but not a perfect one. Insulin ratios: I'd suggest keeping a food, insulin and blood sugar diary for a week. You've got several issues here 1) basal dose - I suspect it's too high if you are getting hypos at night. You really need to get this right before trying to calculate your insulin ratios. 2) insulin ratios - they can vary by time of day for an individual person, and the actual ratio can vary massively, anything between 1u per 1g and 1 unit for 20g …. (and probably outside those ratios). 3) correction dose - this allows you to reduce your blood sugar if it's too high before a meal (eg 1 unit might reduce you by 20mg/dl) My clinic usually issue me with a continuous glucose monitor and get me to keep a diary for a week before recommending new ratios/basal. I could work it out myself but it helps to have their back up. It sounds like you could really benefit from a consultation with a doctor/diabetes clinic and ideally get a continuous glucose monitor with an alarm so that you can have warnings if your blood sugar goes too low. Good luck with your finals. ps Some of the advice here refers to UK course etc. I am guessing you are in Europe or the US as you are not using UK bg units. Can I ask where you're from, as some of the advice about medical care available is country dependant? [/QUOTE]
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