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Is my condition good

Bassiette

Well-Known Member
Messages
118
Location
Egypt
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
candy etc
Hi all
i have diagnosed with type 1 a year ago i'm 25 years old now i used insulin bi phasic (novomix 30 flexpen) first i used actrapid in hospital it was useless then i have been told to use novomix i used 25 -10 then 25-15 at day and night i felt good turned to get wight again after two months i stopped using insulin for a whole month i was good but again it rises sharply Dr told me i was in honey moon phase or something and i turned to use a novomix but old doses weren't enough i used 30-15 at day and night .I used this for 9 months i felt good felt with hypoglycemia many times never had a comma or some thing my tests always good i eat what i want untill i made Hba1c it was 8.5 i was shocked and last week i began to fell hyperglycemia thirst going to toilet many times at day getting up at morning and feeling with thirst i even take my doses with no food at all and didn't feel hypoglycemia.So i went to Dr he told me i'm in good condition at told to use mixtard 30 instead of novomix as it is economic .and i use now gabapentin 100 and nerve tonic "Milga" for my feet pain .He told it's sign of neuropathy and gave me pioglitazone 30 to take 1/2 tab before lunch i told him it's for type 2 but he said it will increase sensitivity of ur tissues to insulin.He told me to use mixtard 30-15 unites instead of Novomix i told him that i want to incrase the units but he said that's enough
now i want to ask why didn't he incrases my unites ?
why do use Pioglitazone with mixtard ?
is the pain in my feet in a seriuos complication of diabetes and diabetic foot ??
thanks and sorry for my bad English
 
Is your doctor a diabetes specialist at a hospital or a general practitioner (family doctor)? It doesn't sound like you are getting the best advice. You should be seeing a specialist at a hospital.
 
I think you may need to seek another GP or ask to be referred. As a T1 you should be on the Basal/Bolus regime with once a day Basal and Bolus for mealtimes; NICE recommends this for T1s. I would certainly question the pioglitazone as it's not usual for T1s on insulin to have this; there may be exceptions of course. You should be having a sensibly low carb diet to avoid weight gain and you should be aiming for an HBa1C down to around 6.5%. The Basal/Bolus regime should help you achieve this of nearly.
 
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