Off to see my DSN this afternoon.

[Fetchmeacoffee]

Hi all.

I'm off to see my DSN this afternoon , and I think it's going to be a lengthy visit. I'm after some advice on how to tackle my problems head on , with getting some real answers before leaving , getting home and feeling down in the dumps again.

Basically I've struggled ever since diagnosis , even from the word go I've taken what seems to be a massive amount of insulin. This morning I woke up to blood sugar levels of 10.1 , not too bad with some of the readings I get , I took my 42 units of Lantus last night as usual , had two bits of brown bread toasted for brekkie about half 9 this morning , gone to test pre lunch and I'm sat at 19! This is after a huge 30 dosage of novorapid this morning.

I'm suffering depression at the moment , and its all due to my diabetes - if it was controlled better i'd be a lot happier and not need any happy pills.

How do I push my case across to try and get better control ? My GP is all for me going on the pump because I can regularly get a low reading below 2 , but if I don't take a huge amount of insulin , I sit in the 20's and feel like poop.

Please , any suggestions will be helpful

Thanks

 

[picklebean]

I'm not sure whether you wanted advice on what to say to your DSN or advice on how to tackle your diabetes problems....

So, I'm hoping it's the latter because it's now 4pm and you didn't get any replies before this.

Being honest with your Dr / DSN is always a good place to start because if they know how things are for you then they can help to support you. Diabetes is a tough thing to deal with and it is all too often linked with depression. The two things interact and can make each other worse. If your sugars are all over the place then you're going to be feeling terrible and then you lose heart over your efforts to try and manage your diabetes and it's all a big vicious cycle.

I'm afraid I don't have any answers really, because I suffer from chronic depression myself and have had problems managing my diabetes for years. I just wanted to say that you're not alone and that coming here is definitely a good idea. There's plenty of support here if you need it.

Don't ever feel like you're the only diabetic who doesn't have everything working smoothly with perfect blood sugars etc etc. So many people struggle with this condition and it's a matter of finding what works for you, realising where exactly you've been going wrong and making adjustments so that you can lead a better life day to day and hopefully start to feel better in general.


Sorry I couldn't be of help, I just wanted to show some support!

 

[noblehead]

Perhaps your gp is right about you being an ideal candidate for a pump Fetch, hope the meeting with the dsn went well!

 

[elaine77]

Hey hope appointment went ok,

I'm not on insulin yet so I can't comment on anything to do with that but from reading this forum for a long time one thing that might be worth looking at is ur diet?

I know that apparently you can just inject to cover the carbs when on insulin but the majority of people on here seem to believe that a lower carb diet makes ur levels, both high and low, a lot easier to control. Also the GI index may complicate things when injecting insulin due to timescales for ur body processing the carbs?

Maybe ur insulin and ur diet are not co-operating with each other lol especially when it comes to things like bread where it's all carb but can range from low GI to medium to high GI.

Have u done a DAFNE course at all? Could be worth asking ur DSN about that or asking for some advice from a dietician who specialises in diabetes? (If they don't exist, they should!)

Good luck


Diagnosed with GD in 2010, Completely disappeared postpartum. Re-diagnosed December 2012 with type 1.5 diabetes, age 26, BMI 22 currently controlled by only Metformin, 500mg twice a day.

 

[Daibell]

Hi. I hope the meeting with DSN went well. I agree with Elaine ref diet. The number of units you are injecting does imply that you have insulin resistance so perhaps your BMI is too high? If you can get that down I think you will see an improvement in blood sugars and may then need to reduce your insulin to avoid hypos. Two slices of brown bread for breakfast might make some people spike. I don't know if you are low-carbing but if not try to restrict the carbs to less 150gm/day if you can and low-GI ones. Apologies if you are doing all of this, but just in case.....