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<blockquote data-quote="Platinum" data-source="post: 470035" data-attributes="member: 91091"><p>I agree – I would rather a slightly higher HbA1C than the fluctuating BM’s. When my insulin absorption is OK, I manage excellent control – I can easily keep my BM’s higher than five and less than ten for a week or so, but then it all goes haywire for no obvious reason. I am currently keeping a diary of ambient temp, food types consumed, insulin dose, cannula location etc. to see if I can find a correlation.</p><p>One thing I have found that helps, is to give my insulin gradually using an extended bolus. If I need say 20 units, I get better results giving it over 30 minutes then all in one go – My thought was maybe less chance of insulin pooling?</p><p> </p><p>I can’t wait for a ‘closed loop’ system, but until CGM gets more reliable, this won’t happen.</p><p> </p><p>Hopefully your retinopathy will stay away, especially as you seem to be under better control now. I have been diabetic since 1974 – The days of being given four needles to last the month along with stainless steel wires to keep the needles unblocked!</p></blockquote><p></p>
[QUOTE="Platinum, post: 470035, member: 91091"] I agree – I would rather a slightly higher HbA1C than the fluctuating BM’s. When my insulin absorption is OK, I manage excellent control – I can easily keep my BM’s higher than five and less than ten for a week or so, but then it all goes haywire for no obvious reason. I am currently keeping a diary of ambient temp, food types consumed, insulin dose, cannula location etc. to see if I can find a correlation. One thing I have found that helps, is to give my insulin gradually using an extended bolus. If I need say 20 units, I get better results giving it over 30 minutes then all in one go – My thought was maybe less chance of insulin pooling? I can’t wait for a ‘closed loop’ system, but until CGM gets more reliable, this won’t happen. Hopefully your retinopathy will stay away, especially as you seem to be under better control now. I have been diabetic since 1974 – The days of being given four needles to last the month along with stainless steel wires to keep the needles unblocked! [/QUOTE]
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