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<blockquote data-quote="EllieM" data-source="post: 2405227" data-attributes="member: 372717"><p>HI [USER=522049]@Jeremy.M[/USER] .</p><p></p><p>Am sorry you are having issues at the moment but sometimes T1 is like that. Just a thought, but could there be issues with your basal insulin (eg it's been out of the fridge too long and has gone off, or has a crack in the vial). In general when my levels go up for non obvious reason I go through some of the following</p><p>1) check vials for cracks, consider how long vial has been out of the fridge. My lantus sometimes stops working properly after a couple of weeks. You can also check whether your insulin pen is delivering insulin correctly. (The bottom section of the needle cap that you throw away holds 20 units.)</p><p>2) am I coming down with an illness (eg a UTI might not have any symptoms but increases my insulin use).</p><p>3) consider rotating your injection sites more carefully.</p><p></p><p>Anyway, I've come to accept that my bg does crazy things sometimes and I just have to live with it. (Though, admittedly usually I know it's something I've eaten that I've accounted for wrong.) </p><p></p><p>I regard myself as a bit insulin resistant and I would use 8 units of insulin for 25g of carbs, but my consultant says I'm not. She's dealing with people who are using U500 and U300 insulins which are 5 and 3 times the strength of normal insulin because their users need 100s of units a day. People genuinely vary in their insulin ratios, and I think it's counter productive to assign a particular level as being insulin resistant. You need what you need and if it's not leading to weight gain and you can keep your sugar levels vaguely in range then there's no point stressing about it. (Personally, I low carb because my dad is T2 and I find it a lot easier to stop weight gain and control my sugars when I don't take too many carbs. But I don't do keto because I don't want to have to count protein as well <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" />).</p><p></p><p>Of course, if there is a chance you are still producing some insulin and are honeymooning, then that is yet another reason for your insulin needs to vary.<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="EllieM, post: 2405227, member: 372717"] HI [USER=522049]@Jeremy.M[/USER] . Am sorry you are having issues at the moment but sometimes T1 is like that. Just a thought, but could there be issues with your basal insulin (eg it's been out of the fridge too long and has gone off, or has a crack in the vial). In general when my levels go up for non obvious reason I go through some of the following 1) check vials for cracks, consider how long vial has been out of the fridge. My lantus sometimes stops working properly after a couple of weeks. You can also check whether your insulin pen is delivering insulin correctly. (The bottom section of the needle cap that you throw away holds 20 units.) 2) am I coming down with an illness (eg a UTI might not have any symptoms but increases my insulin use). 3) consider rotating your injection sites more carefully. Anyway, I've come to accept that my bg does crazy things sometimes and I just have to live with it. (Though, admittedly usually I know it's something I've eaten that I've accounted for wrong.) I regard myself as a bit insulin resistant and I would use 8 units of insulin for 25g of carbs, but my consultant says I'm not. She's dealing with people who are using U500 and U300 insulins which are 5 and 3 times the strength of normal insulin because their users need 100s of units a day. People genuinely vary in their insulin ratios, and I think it's counter productive to assign a particular level as being insulin resistant. You need what you need and if it's not leading to weight gain and you can keep your sugar levels vaguely in range then there's no point stressing about it. (Personally, I low carb because my dad is T2 and I find it a lot easier to stop weight gain and control my sugars when I don't take too many carbs. But I don't do keto because I don't want to have to count protein as well :)). Of course, if there is a chance you are still producing some insulin and are honeymooning, then that is yet another reason for your insulin needs to vary.:) [/QUOTE]
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