I'm very interested in your situation. Maybe rivaroxaban is changing your fat cells. Less fat cells for me gives me greater insulin sensitivity. Is it not your weight loss which has made you more sensitive?
Is rivaroxaban known to have weight loss as a side effect?
Proof yesterday, normally have breakfast 1 unit long, 2 short, sit around waiting to go to work don' inject dinner or tea then 1 long at night. Sunday go walking so 1 long breakfast and no short, 4 miles in and 3.7 so 4 apricots and by lunch time 5.4. Had 20grams lunch and cake from shop Apple sponge thing didn' inject got back to car 6 miles later 5.7. So the only insulin I had before hypo was long 1 unit and I cannot reduce that if indeed you need some in your system to stop you konking out. I could exercise in morning and still cut carbs but would hypo.
Amazing or what! I take it from the lack of enzymes that it’s more than your pancreas’ beta cells that are being attacked. How long have you been diagnosed T1?
I wonder what your team, truely think of it.
I know your situation isn't common but many type1s don't low carb thou. Of course some do who have been told they are insulin resistant thou.
Its clear you are definitely not.
Remind me again why your doing low carb dieting again?
The OP obviously has either been misdiagnosed, or is a troll. It's true that the bulk of the pancreas's function is to secrete digestive enzymes into the duodenum that function can be more easily supplanted with oral substitutes. It's the beta cell's insulin secretion (into the blood stream) that constitutes the failure that is Type 1 diabetes. This has been true for many generations and is no different today. It requires exogenous insulin for survival. The OP claims he doesn't require that. So he isn't a Type 1 diabetic.
No, not in London. In the northeast of England. I'm sorry you are not supported properly but sounds like you know what you're doing. Maybe they feel you are very well equipped to give yourself good diabetes management? I'm not sure but you're definitely pro-active in getting good results. So well done. Better results than a lot of people I'd have thought?If I ate what I wanted bloods are all over the place too many variables. If I eat selectively whole foods only, weighed amounts stay between 5 and 7. My daughter is type one she is on pump and 2 units to 10 carbs, Pisa night 28 units!!! No thanks. Managed yesterday on 1 short none breakfast, none lunch, none tea and one unit short to correct 7.5 with 50g of nuts and 1 long. Woke up on 5.5. Need to tinker with my salad at tea time so I don' have to correct.
What does my team think of this? Well I imagine you are in London or private, team? See diabetes nurse (different one each time) once a year. They poke my feet in and out in 5 minutes don' think that constitutes care. Drs don' have a clue, 4 week appintment wait anyway be dead by the time you see one of them.
It' something I chose to peruse less injecting, less messing around, don' need to add up food or guess and correct, feel better than I have in years.
Perhaps surprisingly, most Diabetes consultants do understand this. Perhaps unsurprisingly, 90% of people with Type 1 don't. That's where much of the problem lies.This is a self treated condition, I don't think docs truly understand yet this idea of how cgm/libre allows adjustment on the fly before we go out of range.
I am not in London and do not have a private team.What does my team think of this? Well I imagine you are in London or private, team? See diabetes nurse (different one each time) once a year. They poke my feet in and out in 5 minutes don' think that constitutes care. Drs don' have a clue, 4 week appintment wait anyway be dead by the time you see one of them.
Perhaps surprisingly, most Diabetes consultants do understand this. Perhaps unsurprisingly, 90% of people with Type 1 don't. That's where much of the problem lies.
My comment was about docs in general, not specifically consultants.
I had to explain to my GP what an AGP graph was: she'd never seen one before.
And as for consultants, sure, some of them are up to speed but some aren't. After doing a DAFNE course last year, I basically got a row from a consultant for not doing a 1u to 10 carbs ratio.
I explained that my understanding was that DAFNE suggests 1:10 (or 1:1 in their ridiculous Portion language - the presenting T1 DSN later admitted to me that the only time she and colleagues use CP is when they present DAFNE) as a starting point but is then adjusted according to experience, and mines showed way better results at 1.5 to 10.
Did any of this wash? No, consultant was insistent that it must be 1:10 because "that's what DAFNE says". Idiot. Her speciality is research on tweaking stem cells and transplantation. Doesn't mean she knows anything about practical issues such as ratios.
And as for inter-meal adjustments instead of DAFNE "save corrections till meal"....I didn't even go there.
I think some consultants are still trapped in the overly safety conscious mindset of management through strips alone and view the tweaking which cgm allows as dangerous.
I agree that education makes a big difference, but sight shouldn't be lost of the fact that it doesn't need a week long course to inform people that you can look at the back of packets, get Carbs & Cals, and use as a very general starting point 1u lowers by 2 to 3, 10g raises by 2 to 3 and adjust from there according to experience.
Even without formal education, there are plenty of posts in this site from people who have decided to get libre out of curiosity and the wealth of information it gives has caused them to become engaged and actively seek out information without hanging around on a lengthy waiting list for the next DAFNE course.
My DAFNE course encouraged us to use different ratios for different meals, for different people, depending on each individuals results. It inspired all of us to take more control of our own diabetes. My consultant has always said, you are the person who knows how best to manage your diabetes. As always, the inconsistency from health authority to health authority is atrocious. It’s a lottery!
WHat's of more concern there is that DAFNE is supposed to be a very clearly set curriculum with very clearly defined outcomes and learning points. That's how the evidence base backs it up.Yes, I suppose it depends on the presenters. I remember a post from a while back which said their DAFNE course told them all to take the same amount of basal to see how that worked out. Yikes!
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