Have booked marked your Blog it is good.
As for pizza, (also known as the "devils food" round these parts) it is tricky to inject for because you have, carbs and fats which changes the rate of absorption.
Use the Search at the top there there was a thread started by @porl69 about how to bolus for "Pizza, pasta and other things" cant remember what its called also see if you can find the "T1 Food" you may or may not pick some ideas about bolusing for all sorts of foods
Tanke care.
Thanks Knikki.
At the moment I am on fixed doses of Insulin. My DSN said I won't be carb counting until I'm out of my honeymoon period. I'm finding it difficult on fixed doses as I'm either hypo'ing or way too high! I will check it out though, I want to get as ready as I can for carb counting and bolusing.
Great blog. I've just signed up. I'm new to this insulin malarkey too.
As someone who started carb counting 24 hours after diagnosis, I fail to understand the thought processes here. I too had a honeymoon period which went on for about 3 years. But I became as balanced as I could be and ate pretty much what I wanted. It wasn’t an issue and quite frankly was well within any bodies capabilities.
If you remain in honeymoon for a long period of time it’s going to be a right drag.
Blog checked out! I like it!
LADA - another acronym for you, Latent Autoimmune Diabetes in Adulthood. It's a very slow onset T1 mostly in older adults - I was 50 when it started, and easily mis-diagnosed, especially if you present initially as the classic clinically obese middle-aged soul who looks totally inactive and as if they don't watch what they eat.... luckily I landed with a GP who knew about LADA at the critical point before I landed in A & E with DKA, which was probably less than a week away.
Hi, @TIGERLILY1991 , fixed doses are fairly standard with newly dx'd as it reduces the amount of variables involved and makes it easier for the docs to figure out ratios.
It won't last forever, so I'd recommend going with the flow for now - there'll be plenty of time for figuring out your own techniques once they let you off the reins, although I do agree with the other posters that this should really only be a few weeks or a month or two.
Another acronym to get familiar with is CGM, continuous glucose monitoring. A small device gets stuck on your arm or stomach and sends bg readings to your phone every 5 mins, so you can track how bg is moving. It makes managing bg levels several hundred percent easier when you can actually see how those levels are moving.
One thing to be aware of is that there are dozens of variables involved, which is why x units of insulin for y grams of carbs won't necessarily work out the same way two days running.
That can lead to newly dx'd becoming hugely frustrated - they're playing by the rules, but T1 isn't.
There are no quick and easy answers to this. Sometimes T1 is just plain unpredictable. With time, though, and cgm, you'll figure out plenty of techniques to even out the randomness.
Stephen Ponder's book, Sugar Surfing, is a good read on both using cgm well and psychologically accepting that we are dealing with a moving situation.
Unlike other conditions, which basically involve taking a pill or two each day, T1 involves active management where the patient makes the decision. Ponder's book is good at getting the point across that we can actively steer and influence the direction of our bg.
I've found it helps to not think of T1 as a threat or enemy. I think of it more as a small child which needs to be looked after - sometimes T1 behaves, sometimes it doesn't, but whatever it's doing, you're always going to look after it.
Good luck!
Thanks for the information Scott-C - I hate not really being in control so just finding it frustrating. I was thinking about looking at a CGM as I'm a Prison Officer and will have lots of variables for my glucose, like adrenaline for one! I will also check out the book x
Hi! Nice blog! First call your diabetic team for an adjustment in dosing if you are dropping too much.
I started out with a background of slow acting and then fast acting was added. But I immediately started carb counting with fast acting. LADA/type 1 can last 8 years plus in an adult, weeks in a child. It's erratic to figure out dosing when you are in your honeymoon phase because sometimes you still make insulin and sometimes you don't. So you are safer trending to a higher set of numbers than later when you can have more control.
There is a huge difference of insulin needed with 120 carbs (pizza easily) and a 16 carb meal. You adjust for that by carb counting and dosing accordingly. It's just my opinion but you will have to learn eventually as a type 1 to carb count so I would start reading about it and start asking about being sent to a course for it.
Definitely! Keep dextrose tablets EVERYWHERE! They’re not nice enough that you over eat them and end up with a massive post-hypo spike.Be sure to take a quick sugar snack with you whenever you leave the house. It also helps to have it by your bedside for easy reach in the middle of the night.
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