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
Type 1 Diabetes
No idea what I'm doing - advice needed!
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="UK T1" data-source="post: 2390852" data-attributes="member: 503751"><p>Hi, lots of good ideas already. Just thought I'd add that you don't have to wait until a physical appointment to ask your diabetes team for some advice. Mine have email addresses for non-urgent queries or they can arrange a quick call back if you want to discuss something. It might make your face to face appointment more useful if eg you're wondering about whether your basal is correct and they know that in advance and ask you to do some finger prick tests at specific times to give better insight into what's happening.</p><p></p><p>I was put on levemir once a day when diagnosed and it worked fine. After about 10 years my HbA1c started creeping up for no apparent reason and some targeted testing highlighted it was only lasting me 18hrs no longer 24hrs. I now inject a low dose before bed and a higher dose when I wake and this works well at the moment. </p><p></p><p>I find carb counting works really well for me, I usually eat under 100g carbs a day, often under 50g as that has always been my preferred diet (even pre diagnosis). I do get caught out and every now and then go back to strictly weighing foods if I feel my ability to do it by eye has slipped. Eating out is always a guess but I haven't eaten out through the pandemic so not had that problem for a while! Although usually negligible, I do find a huge salad can have carbs which add up, so might only need 0.5 or 1u novorapid for it, but would start rising without. I hate eating the same things too often and so do vary meals daily and as I fancy. If you're returning to your pre meal glucose level then your carb counting is probably OK, I'd suggest playing with dose timing instead. Novorapid can have an effect up to 5hrs after (usually less if I have been vaguely active I find though).</p><p></p><p>My basal requirements change depending on the base level of exercise I have been doing over the past few days/week. By tweaking my basal (I appreciate this is easier with a twice a day basal with shorter action profile) I can keep my bolus ratios between 1:10, or 1:15 if I'm more active. Many others need different ratios for different times of the day.</p><p></p><p>Remember non-diabetics get spikes, but the key thing is to not stay high for long and try to avoid yo-yoing. I struggled when lockdown first started as my job suddenly became desk based and I was therefore less active. I sometimes needed to prebolus up to 45mins before lunch on those days! If I've been exercising I sometimes don't need to prebolus at all. I don't always get it right but using the libre has given me confidence to inject, then wait to start eating until it shows my bloods are starting to drop. This has helped me avoid spikes too high. If I am staying higher longer than I'd like I try and do some exercise rather than a correction dose as I find this quite effective and faster. Once I'm not working from home I won't be able to do that though!</p><p>Hope this helps a bit. You're doing well by all measures, but never a bad thing to want to improve!</p></blockquote><p></p>
[QUOTE="UK T1, post: 2390852, member: 503751"] Hi, lots of good ideas already. Just thought I'd add that you don't have to wait until a physical appointment to ask your diabetes team for some advice. Mine have email addresses for non-urgent queries or they can arrange a quick call back if you want to discuss something. It might make your face to face appointment more useful if eg you're wondering about whether your basal is correct and they know that in advance and ask you to do some finger prick tests at specific times to give better insight into what's happening. I was put on levemir once a day when diagnosed and it worked fine. After about 10 years my HbA1c started creeping up for no apparent reason and some targeted testing highlighted it was only lasting me 18hrs no longer 24hrs. I now inject a low dose before bed and a higher dose when I wake and this works well at the moment. I find carb counting works really well for me, I usually eat under 100g carbs a day, often under 50g as that has always been my preferred diet (even pre diagnosis). I do get caught out and every now and then go back to strictly weighing foods if I feel my ability to do it by eye has slipped. Eating out is always a guess but I haven't eaten out through the pandemic so not had that problem for a while! Although usually negligible, I do find a huge salad can have carbs which add up, so might only need 0.5 or 1u novorapid for it, but would start rising without. I hate eating the same things too often and so do vary meals daily and as I fancy. If you're returning to your pre meal glucose level then your carb counting is probably OK, I'd suggest playing with dose timing instead. Novorapid can have an effect up to 5hrs after (usually less if I have been vaguely active I find though). My basal requirements change depending on the base level of exercise I have been doing over the past few days/week. By tweaking my basal (I appreciate this is easier with a twice a day basal with shorter action profile) I can keep my bolus ratios between 1:10, or 1:15 if I'm more active. Many others need different ratios for different times of the day. Remember non-diabetics get spikes, but the key thing is to not stay high for long and try to avoid yo-yoing. I struggled when lockdown first started as my job suddenly became desk based and I was therefore less active. I sometimes needed to prebolus up to 45mins before lunch on those days! If I've been exercising I sometimes don't need to prebolus at all. I don't always get it right but using the libre has given me confidence to inject, then wait to start eating until it shows my bloods are starting to drop. This has helped me avoid spikes too high. If I am staying higher longer than I'd like I try and do some exercise rather than a correction dose as I find this quite effective and faster. Once I'm not working from home I won't be able to do that though! Hope this helps a bit. You're doing well by all measures, but never a bad thing to want to improve! [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Type 1 Diabetes
No idea what I'm doing - advice needed!
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.…