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Low Carbs versus NHS recommended diet.
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<blockquote data-quote="azure" data-source="post: 1330631" data-attributes="member: 39639"><p>But what did he do on MDI? Surely he bolused then? If he can't or won't bolus correctly, and is 'misusing' his insulin, then LC is a dangerous suggestion which could,lead to severe hypoglycaemia or worse...</p><p></p><p>Rather than get him back on your wagon (LC for a Type 2) I strongly advise you try to gently persuade him to seek out help from a Pump Nurse, even if that means travelling a little further for his appointments or simply speaking to one on the phone, which would be less hassle. He would then, hopefully, be on the appropriate 'wagon' for a Type 1 who is using an insulin pump.</p><p></p><p>You don't estimate your food and adjust your basal. I find it hard to,believe he's doing that. However stubborn he is, if he's been a Type 1 that long he'd know how to bolus. And if he's correcting highs then why isn't he simply using the bolus system for his food?</p><p></p><p>As I and others have said - it makes no sense at all, and is very hard to understand and believe.</p><p></p><p>I know you don't use a pump,and aren't Type 1, but to me it sounds like the equivalent of taking Metformin by balancing it on your head, with the number of tablets corresponding to the number of degrees centigrade the temperature is that day.</p><p></p><p>I can't really think of any other adequate comparison. It simply doesn't make sense.</p></blockquote><p></p>
[QUOTE="azure, post: 1330631, member: 39639"] But what did he do on MDI? Surely he bolused then? If he can't or won't bolus correctly, and is 'misusing' his insulin, then LC is a dangerous suggestion which could,lead to severe hypoglycaemia or worse... Rather than get him back on your wagon (LC for a Type 2) I strongly advise you try to gently persuade him to seek out help from a Pump Nurse, even if that means travelling a little further for his appointments or simply speaking to one on the phone, which would be less hassle. He would then, hopefully, be on the appropriate 'wagon' for a Type 1 who is using an insulin pump. You don't estimate your food and adjust your basal. I find it hard to,believe he's doing that. However stubborn he is, if he's been a Type 1 that long he'd know how to bolus. And if he's correcting highs then why isn't he simply using the bolus system for his food? As I and others have said - it makes no sense at all, and is very hard to understand and believe. I know you don't use a pump,and aren't Type 1, but to me it sounds like the equivalent of taking Metformin by balancing it on your head, with the number of tablets corresponding to the number of degrees centigrade the temperature is that day. I can't really think of any other adequate comparison. It simply doesn't make sense. [/QUOTE]
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