If I may ask, what are the three biggest challenges which make controlling your diabetes the most difficult?
Hi there!
So I've had T1D diabetes since early December 2015. Totally unoriginal diagnosis story, ordered to A&E with a blood glucose of 50mmol/litre (aka caramel blood), and enough HbA1c to melt your face, y'know, the whole shebang.l
Whilst you are in the honeymoon, yes this is all valid, however, a word of caution. Eggs. As your endogenous insulin levels drop, protein starts to have much more of an effect than just background gluconeogenesis. One of the things your endogenous insulin does is help to suppress the action of glucagon on your liver (as it is taken up directly by the liver), reducing both the liver dump effect and also enhanced gluconeogenesis. Below a certain insulin threshold, the glucagon that your body releases in response to certain food types needs to be countered with exogenous insulin, to a surprisingly high level. The biggest issue being that currently, almost no exogenous insulin makes it to the Liver, unlike endogenous insulin, where it all does!
Likewise, with your current endogenous insulin production, you are unlikely to see much of a dawn phenomenon, but as that is reduced, once again, your body starts to do things that you have little control over and need to manage.
All things, however, that won't be affecting you at the moment, and the longer you can maintain a LCHF type diet, the longer you should be able to stave off much of this.
This is great, what a fantastic discussion we are having. I guess research only takes you so far before experience shows its worth.
If I may ask, what are the three biggest challenges which make controlling your diabetes the most difficult?
This information is golden.
Thank you ladies and gents
My blood glucose average is 5mmol/litre, with no spikes above 7 in the past month or so.Hey I'm a newly diagnosed type one myself only diagnosed last week. My blood sugars are all over the place atm still my lowest has been 7.0 and thats only been once. My average atm seems to be between 10 and 14 with the occasional spike to anything between 20 and 24. Has yours came under control yet? And if so how long did it take?
What do u do I was diagnosed in Nov and have high metabolism please help I can have a hypo in a blink of an eye
It's personal preference whether you don't mind eating a lot of carbs and compensating with taking a lot of insulin (and suffering far less stable blood sugar as a result), or eliminating them from your diet, taking far less insulin, extending your honeymoon period and living with less hypos and drastic spikes.Is it high or low carbs no one has told me to much I was just given a book
Always consult your physician or diabetes specialist before making any changes, it's important that you use their knowledge and experience.Ok a low carb diet so only a small amount of pasta rice ect I am willing to try anything as I can't keep suger levels high as that is what I have been doing at work as I work with 2-4.5 year old and can't have hypo because of staff ratio and safety of the children.
Is it high or low carbs no one has told me to much I was just given a book
Hi Michael, welcome to the forum.
As others above have suggested, what you have mastered so far is the 'easy mode'.
In my experience the difference between producing some of your own insulin and none is not just a matter of quantity.
Injected insulin is crude, imprecise, unpredictable and most of all slow to start and stop compared to your natural endogenous insulin. My understanding is that during the honeymoon period your pancreas still produces significant quantities of insulin, reacting as rapidly and automatically to changes as it should, but it just can't quite output enough in total. Helping it out with a daily basal could be the only reinforcement it needs at first, and allows it to keep taking care of the really tricky fine and rapid adjustments.
Over time though it will gradually change from being like an automatic self-driving car with a slight tendency to drift left, to one where you have to steer along the twisty road completely manually
and you can only see the road a few metres behind you, not where you actually are now
and sometimes turning the wheel by ten degrees will turn the car by eleven degrees, but sometimes by six
and when you turn the wheel it takes half an hour to start changing direction and four hours to stop changing
and you can't even rely on those delays being consistent...
I think my own honeymoon period took several years to fully fade out. I have much more experience now, but managing it is still a lot harder than it was in those early months.
It seems Bernstein and others believe that the honeymoon period can be prolonged by keeping insulin requirements low through low carbs (though you'll find that you can sometimes get surprising spikes from your liver and from protein, even without carbs).
I hadn't heard of this back when I was diagnosed, but if that is the case then I'd say it's well worth working hard to keep it going as long as possible.
I will do I've done carb counting today and sugars stayed in 6-7 rang at work ok they are around 5 now with school run to do
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