PLEASE HELP! MY FRIEND IS NOT CONTROLLING HIS TYPE 1 DIABETES

kevinmartinuk_ said:

The problem is for 2 hours every morning I will be having BG between 12-14. For this reason I have done the 1 unit for 5g Carbs got perfect between 4-7 after 2 hours and then to have a 2nd identical breakfast after that 2 hours. My question is is there any other way to get good BG after 2 hours without having to re-eat the same amount of carbs ?????

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You are trying to run before you can walk. Solve your +4 hr BG first, without hypos, only then try to address the +2 hr BG which is a "nice to have". You are aiming for perfection, and as a result, failing at the basics. Sorry to be blunt.

Yes +2hr levels can be fixed, but get your +4hr levels sorted first.

Just thinking on this....

It may well be that you are having waking phenomenen.

As soon as I wake and before I get out of bed I have to inject a correction bolus. Otherwise 2 hours later my blood levels will be in the 15'S.. Rising from a 5.0 when waking.

If this 2 hour rise is just directly after you wake etc then it may be worthwhile going without your breakfast.. Testing every hour for 5 hours to see what happens.. If you rise hugely 2 hours after waking it may well be that you have "waking phenomen"

sometimes.. Even as a t1 of 30 years we all need to go back to 30 yrs. We all learn something new each day...

Well done for supporting your Pal and for him posting.. Takes guts to admit needing advice.

To be honest its scarey and horrible for friends or families to have to assist with a hypo... And from my assisted incidents I have said and done some stupid things!!! Its hard for non diabetics to know how we are because you can never feel the same experience. And the same applies to us unless we so happen to ever help a T1 needing help.. Certainly in 30 years I have never needed to help another T1 so really don't know how it really feels.

Thumbs up from me to all of you....

http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007

This is a link to how to test your basal, you need to start with that so you know your baseline is stable and effective before you try to figure out your bolus requirements, otherwise you have no idea whether it is your long acting or short acting insulins that are causing you an issue.

Some of us eat less carbs than normal, less carbs = less insulin = the rule of small numbers. The net result is that you have far fewer highs and lows and less insulin on board to cause you an issue. You can always use this as a starting point and then introduce more carbs if you can't deal with a low carb lifestyle. At least in the short term you might get some stability is all I am thinking before the low carb haters leap on me.

Good luck.

Ali

Agree with @ ali H... Also the less insulin the less errors....

Hi Kevin,
Sorry to hear you are having difficulty with hypo's I can only agree with comments I have read, it is safer to reduce hypo's before you worry too much about higher blood sugars. Re your holiday I have found that I need to reduce my background and daily insulin if climate is hot. Also if you drink alcohol this reduces absorption of insulin and when blood alcohol reduces you can get a rush of insulin and hypo. I found eating more when drinking can help but mid morning additional food / snack is needed . hope this helps also activity / exercise also needs reduction in insulin beforehand. Believe me after 49 years of insulin it does get easier. Good luck.

Hi Kevin,
Just wanted to say welcome to the forum, I am T2 so can only say your in the right place for the best advice ..