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<blockquote data-quote="Juicyj" data-source="post: 2595868" data-attributes="member: 53162"><p>Hello [USER=569933]@nerdyt1d[/USER] </p><p></p><p>Sorry to hear you're feeling overwhelmed, sounds like t1d is consuming your life..</p><p></p><p>I strived for perfection soon after diagnosis, wanting to keep a tight range, scared of hypers and hated hypos, still do, but taking your foot off the gas here I can see where your DSN is coming from because if your range is too tight then you put yourself under increased pressure, I personally couldn't cope with the alarms of a tight range, but as I was taught at DAFNE we need to wait 2-3 hours for the insulin to deplete and before making a correction, if you correct too soon you still have insulin working and loading more in means potential hypo, called insulin stacking. I have my range now set at 5-10mmol/l, I have to keep it at 5 as I drive and can easily/quickly drop from 4.5 to 3.9 so setting it at 5 gives me a good buffer and avoid really low hypos too.</p><p></p><p>To live ok with t1d to me, means being able to cope with imperfection, not obsessing with graphs, not stressing the highs either, I am a mum, work, run and am very active, I couldn't do any of that if I strived to keep my levels in a tight range though.</p><p></p><p>In regards to exercise - walking is best, most forms of exercise will raise levels as your body release hormones such as adrenaline/cortisol as a reaction and to encourage the liver to secrete glucose, hormones have quite an impact on my control, so I know what works and what doesn't', now I run and can cope fine with my levels in the morning but if I run at night I always go low after an hour, so time of day can too play at part in control, eating fat can delay the carb rise so you spike later. I can also eat the same thing day in day out and get different results too. Eating too much protein also causes a problem as we only bolus for carbs but eating too much protein means we convert this to glucose.</p><p></p><p>When I got over whelmed I focused on doing things I enjoyed like music, walks, etc etc, anything to distract me form thinking about t1d, these days it's a tiny part of my life, however now I use a pump so it takes a huge burden off me mentally, this is something to consider too, as you're micro managing your DSN may view this as meeting NICE guidelines for pump therapy, so worth a chat.</p></blockquote><p></p>
[QUOTE="Juicyj, post: 2595868, member: 53162"] Hello [USER=569933]@nerdyt1d[/USER] Sorry to hear you're feeling overwhelmed, sounds like t1d is consuming your life.. I strived for perfection soon after diagnosis, wanting to keep a tight range, scared of hypers and hated hypos, still do, but taking your foot off the gas here I can see where your DSN is coming from because if your range is too tight then you put yourself under increased pressure, I personally couldn't cope with the alarms of a tight range, but as I was taught at DAFNE we need to wait 2-3 hours for the insulin to deplete and before making a correction, if you correct too soon you still have insulin working and loading more in means potential hypo, called insulin stacking. I have my range now set at 5-10mmol/l, I have to keep it at 5 as I drive and can easily/quickly drop from 4.5 to 3.9 so setting it at 5 gives me a good buffer and avoid really low hypos too. To live ok with t1d to me, means being able to cope with imperfection, not obsessing with graphs, not stressing the highs either, I am a mum, work, run and am very active, I couldn't do any of that if I strived to keep my levels in a tight range though. In regards to exercise - walking is best, most forms of exercise will raise levels as your body release hormones such as adrenaline/cortisol as a reaction and to encourage the liver to secrete glucose, hormones have quite an impact on my control, so I know what works and what doesn't', now I run and can cope fine with my levels in the morning but if I run at night I always go low after an hour, so time of day can too play at part in control, eating fat can delay the carb rise so you spike later. I can also eat the same thing day in day out and get different results too. Eating too much protein also causes a problem as we only bolus for carbs but eating too much protein means we convert this to glucose. When I got over whelmed I focused on doing things I enjoyed like music, walks, etc etc, anything to distract me form thinking about t1d, these days it's a tiny part of my life, however now I use a pump so it takes a huge burden off me mentally, this is something to consider too, as you're micro managing your DSN may view this as meeting NICE guidelines for pump therapy, so worth a chat. [/QUOTE]
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