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Insulin

nessa1970 said:
I took myself off metforman but will take it again. No I'm really getting good at taking the insulin. Just frustrated. I ate oopsie bread an that has zero carb an I'm like 17.1 before I eat it is woke up at 12 .3 ate nothing then about to eat the oopsie an I'm 17. *** I haven't eaten ... so I do a correction of 4.... eat one oopsie didn't bolus as its zero. So will see in 2 hours . I'm going gym pools from Monday coming. I'm not touching any carbs accept for veges salad stuff an occasional fruit cause I love fruit. Even a dam peach is 9. That's 2 units. Omgosh bye fruit.
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I'm not sure what oopsie bread contains but whether a meal contains carbs or no carbs most type 1's still need to bolus when they eat.............that is fact @nessa1970

As others have said don't get hung-up about taking insulin or carbs as this will only make you ill, fruit is a nutritious and enjoyable food and you don't have to exclude it from your diet.
 
AndBreathe said:
Nessa, I'm not T1, so it wouldn't be appropriate for me to respond, in terms of bolus rates.

If you do a forum search, using something like "bolus for protein", you should find some informative content. There have been a few threads on it.
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Thank you very much I will do that.
 
azure said:
If you're waking high, that could be Dawn Phenomenon or your basal not being enough (speak to your DSN). Not eating may have made it worse as you could then have a liver dump. Even I wake on a good number and then don't have breakfast, my BS will go up and be hard to get down.

I personally think you should try eating a small number of carbs a day. LCHF can make insulin resistance worse and make it harder to keep your BS down, meaning you need more and more insulin.

If it was me, I'd ask about going back in the Metformin, do a basal test or ask your DSN if you should increase your basal, get your thyroid and female hormones checked, and try a different diet that is less likely to make you insulin resistant. Even, say, 20g carbs at each meal, is still very low but might be enough to help.
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I will do all of that. Thank you. What do you mean by female hormones????
 
Nidge247 said:
As already stated, it's the excess of foods consumed that gives you weight gain, NOT the insulin you take which is the item which your body needs to process said foods.

However, most people can still produce 'some' insulin naturally if their beta cells are not all destroyed. As this figure is individual to each person there's no hard and fast rule that you can apply - you need to find out what your body requires and work with that.
This is how some people NEED to inject insulin even on LCHF, whereas I am lucky to find a plateau where I still have enough beta cells producing insulin naturally - now I've found the foods it can cope with.

The further problem us T1's have, is that nothing is fixed forever, and what suits us right now, has the ability to change when you least expect it and for seemingly no reason. This is why you need to carry on test, test, test, even when it seems that you have good control.

LCHF works for a lot of people, but by no means a cure-all and even with that still needs careful monitoring.
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I do have beta cells still working. Surprises me as I would have thought that would make things a bit easier. I will definitely try different foods etc I was 4.1 before tea which was hummus carrots celery few grapes an oopsie bread. I'm hoping I'll be fine I did a bolus of 3. Tho I don't think I'd need too on that food but I did. So confused. Cheers
 
noblehead said:
I'm not sure what oopsie bread contains but whether a meal contains carbs or no carbs most type 1's still need to bolus when they eat.............that is fact @nessa1970

As others have said don't get hung-up about taking insulin or carbs as this will only make you ill, fruit is a nutritious and enjoyable food and you don't have to exclude it from your diet.
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Oopsie bread contains cream cheese, egg whites, egg yolk salt , psyllium husk and baking powder. So I still bolus say for a plain omelette? Which contains zero carb. So how do I know what to bolus I have nothing to go by
 
nessa1970 said:
So how do I know what to bolus I have nothing to go by
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Trial & error is often a phrase used when trying to work out the bolus dose for meals that don't include carbs (or very few), I don't follow a LCHF diet but hopefully other members who do will advise @nessa1970

nessa1970 said:
So I still bolus say for a plain omelette?
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This is only my experience, but if I eat a cheese omelette (4 eggs) for breakfast I need to bolus 4u and on MDI I would need to split-dose, it's not much less than my usual bolus dose for my morning porridge which is 5u,
 
nessa1970 said:
I will do all of that. Thank you. What do you mean by female hormones????
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I've found that oestrogen and progesterone can affect blood sugar and insulin resistance. I've not worked out which or what exactly causes it, but an imbalance in hormones can affect blood sugar eg when on the Pill, shortly after pregnancy, at the menopause, etc. So worth checking how things are, if you can.

And you're welcome :) Don't despair. There IS a solution for you.
 
nessa1970 said:
Hi. I saw my dn yesterday and she's changed all my insulin intake ...
My question is: why does it fluctuate... if your beta things are all dead then how come one person may take 20 background etc an others higher or lower.
My correction was 1-5 now it's 1-3 My carb one is 1-5 was 1-10, an my lantus is 12 was 9.
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Stress Hormones play a massive part for me, adrenalin is a huge kicker of upturn in BG. I did some work activity that put me hugely out of my comfort zone, I took the normal basal, skipped breakfast, and my BG shooter from 6mmol to 20 by lunchtime.
 
nessa1970 said:
Prebolusing?
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Hi @nessa1970, prebolusing is taking your fast acting insulin in advance of eating - I usually try to do this 15-20 minutes before food is ready but it can take some experimenting to find what works best for each person. It gives the insulin a chance to start working just as the carbs begin digesting. I think the exception to this is where there is also a lot of fat (e.g. pizza) where you maybe don't have to do this as the fat slows down absorption.

edit: whoops! Beat me to it :)
 
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