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<blockquote data-quote="Scott-C" data-source="post: 2125917" data-attributes="member: 374531"><p>Yeah, that sounds like a good plan.</p><p></p><p>I see from your profile that you're 45. There's a possibility that you might be LADA, Latent Autoimmune Diabetes of Adulthood, which is a sort of subset of T1: T1s dx'd when young have the beta cells which make insulin pretty much wiped out very quickly, but when the onset is at an older age, the beta cells get wiped out more slowly over a period of time, so LADAs still naturally make insulin but need to supplement it with a few injected units here and there. I mention it merely as a possibility as 2u per meal seems quite low, but maybe worth discussing with your docs.</p><p></p><p>Another possibility is the "honeymoon period". After dx, and insulin injections, the beta cells can sometimes get a new lease of life and start making insulin again for a while, sometimes a few months, sometimes a year or two. This can mean the need for injected insulin goes down to very small amounts. But it can also make things unpredictable - how do you dose for 50g carbs when you don't know whether your beta cells are going to make insulin for it or not?</p><p></p><p>It is complicated, and in some ways, while forums like this can be valuable sources of information, it can sometimes unnecessarily over-complicate things. </p><p></p><p>I was dx'd 30 years ago, and the advice was, "try to keep your bg between 4.7 and 7.4, have some sweets if you go too low and have some insulin when you go too high. Sister Carmichael will tell you about Digestive biscuits now."</p><p></p><p>That was pretty simple advice which has served me well. Some of us old timers are left scratching our heads a bit when increasingly bizarre methods like drastically reducing carbs and making lasagne with leeks pop up. Keep it simple.</p><p></p><p></p><p></p><p></p><p>Don't sweat that. It's a bit like when a deep sea diver comes up, it's in stages to avoid the bends. If your bg goes from high to normal too quick, that can be a big shock to the system, so better to gradually reduce over a month or so.</p></blockquote><p></p>
[QUOTE="Scott-C, post: 2125917, member: 374531"] Yeah, that sounds like a good plan. I see from your profile that you're 45. There's a possibility that you might be LADA, Latent Autoimmune Diabetes of Adulthood, which is a sort of subset of T1: T1s dx'd when young have the beta cells which make insulin pretty much wiped out very quickly, but when the onset is at an older age, the beta cells get wiped out more slowly over a period of time, so LADAs still naturally make insulin but need to supplement it with a few injected units here and there. I mention it merely as a possibility as 2u per meal seems quite low, but maybe worth discussing with your docs. Another possibility is the "honeymoon period". After dx, and insulin injections, the beta cells can sometimes get a new lease of life and start making insulin again for a while, sometimes a few months, sometimes a year or two. This can mean the need for injected insulin goes down to very small amounts. But it can also make things unpredictable - how do you dose for 50g carbs when you don't know whether your beta cells are going to make insulin for it or not? It is complicated, and in some ways, while forums like this can be valuable sources of information, it can sometimes unnecessarily over-complicate things. I was dx'd 30 years ago, and the advice was, "try to keep your bg between 4.7 and 7.4, have some sweets if you go too low and have some insulin when you go too high. Sister Carmichael will tell you about Digestive biscuits now." That was pretty simple advice which has served me well. Some of us old timers are left scratching our heads a bit when increasingly bizarre methods like drastically reducing carbs and making lasagne with leeks pop up. Keep it simple. Don't sweat that. It's a bit like when a deep sea diver comes up, it's in stages to avoid the bends. If your bg goes from high to normal too quick, that can be a big shock to the system, so better to gradually reduce over a month or so. [/QUOTE]
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