new LADA

Peter OConnor

Member
Messages
11
Type of diabetes
LADA
Treatment type
Pump
Diagnosed 6 years ago, type 2 HBA1C of 66. short treatment of metformin an dthen low carb and exercise kept it in check for 5 years ( HBs in the 30s). Then October last year after feeling sick for months and then really sick, HBA1C of 110 and low C peptides. LADA and now about to go on pump. The more I read of LADA this is so common.
 
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Peter OConnor

Member
Messages
11
Type of diabetes
LADA
Treatment type
Pump
Newly diangosed type 1 LADA. HOneymoon period I imagine as insulin needs since diagnosis are dropping. From 16 lantus long lastign down to 8 and bolus from 1 to 10 to 1 to 20 and Im still chasing insulin.
Any suggestions
 

EllieM

Moderator
Staff Member
Moderator
Messages
10,040
Type of diabetes
Type 1
Treatment type
Pump
Dislikes
hypos and forum bugs
Hi @Peter OConnor and welcome to the DCUK forums.

I Live in NZ and moved onto the tandem last March. Have you got a start date yet? When I started I had to wait for a training session to use the pump and also sufficient time for our dietician to work out my starting rates on that pump.

To be honest I'm slightly surprised that they are moving you onto a pump while still in honeymoon period but I guess it will help you avoid hypos.

How are you on carb counting? You'll need to be able to do that in order to enter your food amounts into the tandem.
 
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Peter OConnor

Member
Messages
11
Type of diabetes
LADA
Treatment type
Pump
Hi Ellie,
I have a start date in three weeks. I'm going through Aotearoa Diabetes Collective and paying for the training so I don't have to wait for that and the pump of course is free. I think my carb counting is pretty good and my ratio seems right. I was over insulin bolusing for quite some time but seem to have resolved some of that. Im excited about the pump as I lead a very active life ( or at least I did) and I think this will return the possibility of that. Keen to go surfing again.
 

EllieM

Moderator
Staff Member
Moderator
Messages
10,040
Type of diabetes
Type 1
Treatment type
Pump
Dislikes
hypos and forum bugs
Hi Ellie,
I have a start date in three weeks. I'm going through Aotearoa Diabetes Collective and paying for the training so I don't have to wait for that and the pump of course is free. I think my carb counting is pretty good and my ratio seems right. I was over insulin bolusing for quite some time but seem to have resolved some of that. Im excited about the pump as I lead a very active life ( or at least I did) and I think this will return the possibility of that. Keen to go surfing again.
Tandem isn't waterproof so when I do water activities I detach mine and reattach every couple of hours to give a dose of insulin. Also, cgms tend not to work well in the water (bluetooth connection) so you'll need to watch out for hypos. Not trying to put you off surfing but you need to be aware of the tech limitations. I'd hope that a newish diabetic would have good hypo awareness so it shouldn't be too much of an issue. Certainly when I was on my tandem intro course there were some very active people attending. There are also plenty of exercise threads from the T1s here so I'd hope you'd find the forum useful.

Be aware that insulin ratios can change (illness, weather, activity, age, etc, etc, etc) so you'll probably have multiple insulin profiles on your pump and you're likely to need to adjust them (specially if you're in honeymoon period).

My tandem isn't perfect (my main gripe is that there is no way to tell it that my insulin resistance goes up when I'm over 10 mmol/L so I have to manually correct then) but I love it compared to MDI (I truly hate lantus). Also, if you are controlling things via very low carb my dietician was adament that I should have at least 30g per meal for the tandem. I don't but I admit that things are easier when I have at least 10g for breakfast, as the dawn phenomena gives me a ridiculously high insulin to carb ratio if I don't.

Of course, I'm a long term (more than 50 years) T1 so not producing any insulin, so your circumstances may be very different.

But in conclusion, I love my tandem.
 
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Peter OConnor

Member
Messages
11
Type of diabetes
LADA
Treatment type
Pump
thanks Ellie
yes, getting back to surfing is a long term goal. I'm only 65 so plenty of time! I'm by nature reasonably low carb about 120 to 140 a day and find I need at the moment to chase my insulin if I havent eater enough. ITs a constant chase. I can eat at the moment up to 30 carbs a day without bolus.