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Type 1 Diabetes
Please help me understand MDI
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<blockquote data-quote="EllieM" data-source="post: 2519023" data-attributes="member: 372717"><p>Hi [USER=555263]@Marmar00[/USER] </p><p>I think the first question to ask is what insulin delivery method are you using at the moment. There are pros and cons for both methods and different people will have different answers as to what is the most reliable.</p><p></p><p>Also, what is your hypo awareness like and do you have a continuous glucose monitor of any sort?</p><p></p><p>As a long term (forty years?) MDI user I know and have experienced a number of potential causes for hypos, some more serious than others. But on the flip side I've never experienced a DKA, probably because I've always had some background insulin available to keep me going.</p><p></p><p>But I'm used to mild hypos and not bothered by them (just treat and go). My most serious hypos have been partly user error (eg mix up of basal and bolus pens, over zealous application of bolus for a high reading), and carelessness when I've had low hypo awareness. I've also had a couple of lantus lows (prpbably caused by injecting lantus into a blood vesse) which were definitely scary. </p><p></p><p>But I've traveled overseas quite a lot on MDI and never been hospitalised for a hypo while overseas (though navigating airport security while hypo and scoffing glucose tablets is no fun). And make sure some glucose is in your pockets if you are flying. There is no point having it in your hand luggage if said luggage is packed in the overhead locker when the seatbelt signs are on.</p><p></p><p>Are you travelling overseas alone, or with friends or colleagues. It's easier with others as you can get them to help you if you go hypo, but I've travelled alone as well.</p></blockquote><p></p>
[QUOTE="EllieM, post: 2519023, member: 372717"] Hi [USER=555263]@Marmar00[/USER] I think the first question to ask is what insulin delivery method are you using at the moment. There are pros and cons for both methods and different people will have different answers as to what is the most reliable. Also, what is your hypo awareness like and do you have a continuous glucose monitor of any sort? As a long term (forty years?) MDI user I know and have experienced a number of potential causes for hypos, some more serious than others. But on the flip side I've never experienced a DKA, probably because I've always had some background insulin available to keep me going. But I'm used to mild hypos and not bothered by them (just treat and go). My most serious hypos have been partly user error (eg mix up of basal and bolus pens, over zealous application of bolus for a high reading), and carelessness when I've had low hypo awareness. I've also had a couple of lantus lows (prpbably caused by injecting lantus into a blood vesse) which were definitely scary. But I've traveled overseas quite a lot on MDI and never been hospitalised for a hypo while overseas (though navigating airport security while hypo and scoffing glucose tablets is no fun). And make sure some glucose is in your pockets if you are flying. There is no point having it in your hand luggage if said luggage is packed in the overhead locker when the seatbelt signs are on. Are you travelling overseas alone, or with friends or colleagues. It's easier with others as you can get them to help you if you go hypo, but I've travelled alone as well. [/QUOTE]
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