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Type 1 Diabetes
Insulin Change = Awful Control
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<blockquote data-quote="bonus" data-source="post: 2508739" data-attributes="member: 1189"><p>Hi Everyone,</p><p></p><p></p><p>I know direct answers can't be given etc just but just wondered if anyone can give any reasonable recommendation. </p><p></p><p>I used to use <strong>Levimir & NovaRapid</strong> insulin but found my control gradually went downhill mainly due working a more physical job in Waitrose <strong>at Night </strong>involving alot more walking and varied eating times / amounts at different times of the day resulting in varied Hypo's & Hypers.</p><p></p><p>A was changed to <strong>Toujeo & Fiasp</strong> about 6 months ago.</p><p></p><p></p><p><strong>Toujeo</strong> - Supposed to give a steady background lowering however I barely notice it doing anything from results on my libre 2 . Ive made adjustments over time to dosage amounts.</p><p></p><p><strong>Fiasp</strong> - Instant fast acting lowering. I've found im having to do multiple 6+ injections with Fiasp as ( as its supposed to) it lowers the levels so fast. But I've found the amount it lowers, the area injected and the speed it works can also variate alot. Also I can do a test, get a high level, inject a few units, it lowers, then levels immediatly raise as the insulin has done its job.</p><p></p><p>I can be in a normal level range then have the smallest amount of carbs / food which will then result in 20mmol+ unless fiasp is given at EVERY single snack moment. I found Humalog and Novapid used to 'work' with more 'power' and would cope with the odd snack without huge rises.</p><p></p><p></p><p>I have changed unit amounts, injection times etc and have been a Type 1 for 15 years. Im a 75kg male.</p><p></p><p>Im struggling on whats best to do as I think my Diabetic nurse is; on which insulin will work best for Basil & Bolus. </p><p></p><p></p><p>I know all have different action times / peaks but never had this much of a challenge in getting stable. </p><p></p><p></p><p>Thanks for reading such a long post and any help given!</p><p></p><p></p><p></p><p>Justin</p></blockquote><p></p>
[QUOTE="bonus, post: 2508739, member: 1189"] Hi Everyone, I know direct answers can't be given etc just but just wondered if anyone can give any reasonable recommendation. I used to use [B]Levimir & NovaRapid[/B] insulin but found my control gradually went downhill mainly due working a more physical job in Waitrose [B]at Night [/B]involving alot more walking and varied eating times / amounts at different times of the day resulting in varied Hypo's & Hypers. A was changed to [B]Toujeo & Fiasp[/B] about 6 months ago. [B]Toujeo[/B] - Supposed to give a steady background lowering however I barely notice it doing anything from results on my libre 2 . Ive made adjustments over time to dosage amounts. [B]Fiasp[/B] - Instant fast acting lowering. I've found im having to do multiple 6+ injections with Fiasp as ( as its supposed to) it lowers the levels so fast. But I've found the amount it lowers, the area injected and the speed it works can also variate alot. Also I can do a test, get a high level, inject a few units, it lowers, then levels immediatly raise as the insulin has done its job. I can be in a normal level range then have the smallest amount of carbs / food which will then result in 20mmol+ unless fiasp is given at EVERY single snack moment. I found Humalog and Novapid used to 'work' with more 'power' and would cope with the odd snack without huge rises. I have changed unit amounts, injection times etc and have been a Type 1 for 15 years. Im a 75kg male. Im struggling on whats best to do as I think my Diabetic nurse is; on which insulin will work best for Basil & Bolus. I know all have different action times / peaks but never had this much of a challenge in getting stable. Thanks for reading such a long post and any help given! Justin [/QUOTE]
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