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Diabetes Discussion
Type 1 Diabetes
only high or low, no middle
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<blockquote data-quote="NicoleC1971" data-source="post: 2492594" data-attributes="member: 365308"><p>Hello. I think all type 1s feel for you as managing the hypo/hyper rollercoaster does feel like an art even if it is a science.</p><p>My advice would be to get hold of the FSL 2 when you are next in the UK and then do a zero carbs basal testing day just to see how your basal is working across a typical 24 hour period. Be safe and have the hypo supplies ready or pitch the basal test rate at a lower level.</p><p>I know that there are other variables (illness, exercise, pmt, stress and coming out of your honeymoon period) but having a reliable basal rate is the normal starting point.</p><p>I'd agree with the other poster suggesting low carbs as way to help smooth out dosing errors. I do it because I am lazy and want to eat real food without having to weigh out the carbs or scan a barcode. I exercise quite a lot and tweak any bolus I am taking (I still need a little for protein) to allow for that e.g. in the meal before the exercise.</p><p>The goal of your diabetes team should be to get your blood sugars more 'time in range' not just having a good hba1c and I think having this many hypos, especially without warning, isn't right. </p><p>On that basis , another option is to consider a pump, which allows you more flexible dosing to better mimic ehat the body does. It helps you to calculate boluses and correction doses mathematically so that you don't accidentally stack up your insulin doses when trying to correct a high. All of that is possible with your pen but I'd say having a pump makes it easier.</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 2492594, member: 365308"] Hello. I think all type 1s feel for you as managing the hypo/hyper rollercoaster does feel like an art even if it is a science. My advice would be to get hold of the FSL 2 when you are next in the UK and then do a zero carbs basal testing day just to see how your basal is working across a typical 24 hour period. Be safe and have the hypo supplies ready or pitch the basal test rate at a lower level. I know that there are other variables (illness, exercise, pmt, stress and coming out of your honeymoon period) but having a reliable basal rate is the normal starting point. I'd agree with the other poster suggesting low carbs as way to help smooth out dosing errors. I do it because I am lazy and want to eat real food without having to weigh out the carbs or scan a barcode. I exercise quite a lot and tweak any bolus I am taking (I still need a little for protein) to allow for that e.g. in the meal before the exercise. The goal of your diabetes team should be to get your blood sugars more 'time in range' not just having a good hba1c and I think having this many hypos, especially without warning, isn't right. On that basis , another option is to consider a pump, which allows you more flexible dosing to better mimic ehat the body does. It helps you to calculate boluses and correction doses mathematically so that you don't accidentally stack up your insulin doses when trying to correct a high. All of that is possible with your pen but I'd say having a pump makes it easier. [/QUOTE]
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