It’s a struggle

1st off, are you in UK? Are you under hospital care? If so, you need to contact them urgently tomorrow.

If not in UK, you still need to get hold of medical experts that can have a look at your lifestyle and eating/insulin in detail.

 

Do you carb count and adjust your own insulins?

And welcome too!! Glad you found forum..

 

As a T1 you should request your GP to refer you to hospital consultant for beat care.

Are you happy adjusting yoyr bolus's for food or adjysting your basal injection doses?

 

When do you take your insulin? Obviously before your meal, but if you give it 15-30 minutes before you could reduce that time.

 

100% agree on getting referred to a hospital, and I'm a bit shocked you haven't been to be honest! You'll be able to see a consultant, diabetes nurse (who both have experience with helping you optimise your doses) and sometimes even a dietitian should you feel the need to. I go every 3 months and couldn't do this without that.

As for the gastroenteritis, do you think it could have affected the way your food is digested? How long after your meal are you spiking? You could potentially try and split your bolus until your body decides to sort itself out. I had to do this for a while a couple of weeks ago because it was spiking around 2 hours after my meal. If I had to bolus 5u, I would take 3u with my meal and the other 2u about an hour after eating.

 

Whereabouts in the country are you? Someone on here might be able to tell you where the nearest diabetes team to you are based. When I was discharged from A&E I googled the number of the team at the local hospital and phoned them directly - they were fantastic.

 

It's the fast acting one good luck hope you can get that referral! At my old hospital I went almost a year without an appointment due to long waiting times and I felt so lost and quite alone to be honest.

 

Bolus is your short acting - novo rapid and Basal your long acting. Speak to your gp and he will refer you to your hospital diabetes team. I hadn't been to the hospital for a number of years. I have been diabetic for 32 years and like you had gastroenteritis, but got it twice in 4 months and it through me off balance. My gp got me an emergency appointment and was seen 2 weeks later x

 

Hi @emmawhit32 sorry to hear you're struggling. we're all here for you though so keep your chin up!

I'm also 32, T1 since 5. Similarly to you, I've noticed my control has suffered in the last few years. It seems that as soon as I turned 30 it became so much harder to stay on top of it. Not sure if it's all biological or something to do with lifestyle change (became a dad, new job etc.)

I believe there are some medical reasons for management to become more difficult as you get older but lack the expertise to let you know what. Someone like @Juicyj might be able to help.

I also feel your pain around family not really knowing what it's like. Something I've found really useful though is to make them listen, and even if they don't really get it they can at least (hopefully!) offer gentle words of encouragement.

One of the hardest things for me about diabetes is the fact that you can sometimes feel like the only one in the world who knows what it's like to have diabetes. For the first ten years of being diabetic the only other diabetic people I met were other kids in the paediatric waiting room. Talk about feeling isolated! But that's where finding places like this forum can really help. I've been a long-time reader here and the words I've read have been so comforting. Even the rants and moans - I can see that I'm not the only one feeling that way!

All the best, and listen to the others - get in touch with your local DSNs and get some specialist advice.

J

 

Hi @emmawhit32 When things go astray you need to go back to basics, so write a food/insulin/BG diary, recording information like this helps to look for patterns, it will also help you when you do get to sit down with your nurse to review what's going on.

I would also try doing some basal testing, it's easy to do and will be able to help you work out what's happening with your basal requirements: http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007 getting your basal requirements right is the foundation for good control. It may well be the case that your basal insulin isn't right for you but basal testing will help you identify what is going on - the testing can be broken down into 4 time frames and to really see what's going on you need to check each time period 3 times.

Make sure your nurse prioritises you and tell them you desperately need help, please also remember this is temporary things will improve so try not to feel too down, it will come right again, feel free to message me if I can help more.

 

Some GPs (ie Peterborough) do not refer T1's to hospital unless they request it and even then the patient may have to show log books etc to get a referral....

You may have to insist, I hope not, but just be prepared.

There are huge differences in care between hospirals and GPs. You may be offered a chance of a Libre that you wouldnt get from a GP, if you had troubles with basals you could be iffered different ones that GPs really arent up to date with.

You need and are entitled to hospital consultant if you request it. There are other adnances like insulin pumps etc that GPs cannot offer you...

Even meters.... GPs are less likely to offer you the aviva expert and will just go for basic cheapest they can offer you..

Do log everything and get facts behind you to show..

 

you should be under the hospital. you may need a new insulin.

 

I feel very lucky to be born on the information technology age where i can connect with other with the same disease. I do wish when i reach 30( another 15 years to go) i will at least able to control my bs. Let hope technology for diabetic management get better.