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Type 1 Diabetes
My friends aren't sympathetic when it comes to going low
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<blockquote data-quote="catapillar" data-source="post: 1627753" data-attributes="member: 32394"><p>[USER=416946]@Fatima_94[/USER] what basal are you using? Levemir is flexible enough to deal with dose changes day by day. But most other basals need 2-3 days for dose changes to settle in, so they aren't very flexible. If you are having to change your basal dose based upon what you are eating that does suggest you don't understand how to use your basal. The job of your basal is to keep you flat-ish when you aren't eating or bolusing, it isn't to deal with food.</p><p></p><p>If you are going low 2 hours after a bolus dose on a daily basis that suggests you are taking too much insulin for the meal. Your insulin to carb ratio may be too high, or you may be eating meals where the carbs are released too slowly.</p><p></p><p>If you are waking up low, and the low itself hasn't woken you up, that does raise concerns about hypo awareness as you could have been hypo all night long, meaning your body gets used to being low and won't give you hypo warning symptoms. Nocturnal hypos are the priority to be be avoided in diabetic management - they are the things that can kill you immediately. If that means you wake up a bit higher while you are figuring out your basal dose, that's fine because that won't kill you.</p><p></p><p>Structured education for type 1 diabetics isn't a choice for your doctor. It isn't a case that your doctor can choose not to refer you to the course. All type 1s should be offered courses according to the NICE guidelines. If you aren't being offered a course by your GP then your GP doesn't understand how to manage type 1s and you should seek a referral to a hospital diabetic clinic, who will put you on the course. To be honest you could probably do with a bit more input from a hospital clinic if you are having 1-2 hypos a day.</p></blockquote><p></p>
[QUOTE="catapillar, post: 1627753, member: 32394"] [USER=416946]@Fatima_94[/USER] what basal are you using? Levemir is flexible enough to deal with dose changes day by day. But most other basals need 2-3 days for dose changes to settle in, so they aren't very flexible. If you are having to change your basal dose based upon what you are eating that does suggest you don't understand how to use your basal. The job of your basal is to keep you flat-ish when you aren't eating or bolusing, it isn't to deal with food. If you are going low 2 hours after a bolus dose on a daily basis that suggests you are taking too much insulin for the meal. Your insulin to carb ratio may be too high, or you may be eating meals where the carbs are released too slowly. If you are waking up low, and the low itself hasn't woken you up, that does raise concerns about hypo awareness as you could have been hypo all night long, meaning your body gets used to being low and won't give you hypo warning symptoms. Nocturnal hypos are the priority to be be avoided in diabetic management - they are the things that can kill you immediately. If that means you wake up a bit higher while you are figuring out your basal dose, that's fine because that won't kill you. Structured education for type 1 diabetics isn't a choice for your doctor. It isn't a case that your doctor can choose not to refer you to the course. All type 1s should be offered courses according to the NICE guidelines. If you aren't being offered a course by your GP then your GP doesn't understand how to manage type 1s and you should seek a referral to a hospital diabetic clinic, who will put you on the course. To be honest you could probably do with a bit more input from a hospital clinic if you are having 1-2 hypos a day. [/QUOTE]
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My friends aren't sympathetic when it comes to going low
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