Search
Search titles only
By:
Search titles only
By:
Home
Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
Search
Search titles only
By:
Search titles only
By:
New posts
Search forums
Menu
Install the app
Install
Reply to Thread
Guest, we'd love to know what you think about the forum! Take the
Diabetes Forum Survey 2024 »
Home
Forums
Diabetes Discussion
Ask A Question
Moving into insulin!
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Message
<blockquote data-quote="Ellenor2000" data-source="post: 2093493" data-attributes="member: 508208"><p><strong>DISCLAIMER:</strong> I am not a doctor and this is not medical advice. Please consult a medical professional before applying any principles I advocate for.</p><p></p><p>If your DSN is right about the insulin deficiency, you're not (at least predominantly) type 2. LADA (adult-onset DM1) can occur around the same time people get DM2, and some people have both at the same time.</p><p></p><p>FreeStyle Libre is one of those things that's useful to have, because you can prick less often than if you're getting all of your glucose markers from pricks. Many people think you only need to prick once per sensor, or even less - this is wrong. I'd recommend pricking once every other day, because some sensors are woefully inaccurate (but the inaccuracy is consistent) and you need to calibrate how you read the sensor's output against what's real. You may show a long erroneous night hypo if you sleep on your side - pressure appears to make the Libre sensor less accurate (reads low).</p><p></p><p>Did they actually pull a C-peptide to decide that you were insulin-deficient? Having ultra high bHB in the blood is a perfectly good surrogate, as is combined ketonuria/glycosuria. If your ins. dose looks like that typical of a type 1 your age and size, you likely actually are insulin deficient. This also holds true if you were showing ketones on top of hyperglycemia while having eaten carbohydrates.</p><p></p><p>I wrote a big block of text about what I understand to be the mechanism behind ketoacidosis (a clear and present danger for someone presenting a type 1 diabetic phenotype). In the block of text I also cursorily discuss physiologic ketosis, and the distinction between that and ketoacidosis. However, I do not want to place the wall of text here because I am worried it will be factually inaccurate or inappropriate. Ask, though, and you will receive.</p></blockquote><p></p>
[QUOTE="Ellenor2000, post: 2093493, member: 508208"] [B]DISCLAIMER:[/B] I am not a doctor and this is not medical advice. Please consult a medical professional before applying any principles I advocate for. If your DSN is right about the insulin deficiency, you're not (at least predominantly) type 2. LADA (adult-onset DM1) can occur around the same time people get DM2, and some people have both at the same time. FreeStyle Libre is one of those things that's useful to have, because you can prick less often than if you're getting all of your glucose markers from pricks. Many people think you only need to prick once per sensor, or even less - this is wrong. I'd recommend pricking once every other day, because some sensors are woefully inaccurate (but the inaccuracy is consistent) and you need to calibrate how you read the sensor's output against what's real. You may show a long erroneous night hypo if you sleep on your side - pressure appears to make the Libre sensor less accurate (reads low). Did they actually pull a C-peptide to decide that you were insulin-deficient? Having ultra high bHB in the blood is a perfectly good surrogate, as is combined ketonuria/glycosuria. If your ins. dose looks like that typical of a type 1 your age and size, you likely actually are insulin deficient. This also holds true if you were showing ketones on top of hyperglycemia while having eaten carbohydrates. I wrote a big block of text about what I understand to be the mechanism behind ketoacidosis (a clear and present danger for someone presenting a type 1 diabetic phenotype). In the block of text I also cursorily discuss physiologic ketosis, and the distinction between that and ketoacidosis. However, I do not want to place the wall of text here because I am worried it will be factually inaccurate or inappropriate. Ask, though, and you will receive. [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Ask A Question
Moving into insulin!
Top
Bottom
Find support, ask questions and share your experiences. Ad free.
Join the community »
This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies.
Accept
Learn More.…