Side Effects

[Spiker]

Maybe the DSN can get you on a basal bolus (MDI) insulin injection regime. With correct carb counting and a correct basal insulin dose you will lose weight as long as you taper down your insulin dose to match the reduced cals or reduced carbs of whatever diet you choose to do.

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[DFiona]

So could this be an alternative: ?

I am prepared to try but only if they properly help monitor me. I have found insulin an an absolute nightmare in terms of hypos and with no support at home with young children to raise.

The short-acting insulins like novorapid make me hypo to the point I need to eat sugar fast, so up goes the weight. I can cope with one more injection on top of my current insulin, but not in middle of day - I just won't manage.

Any ideas/recommendations?

 

[Spiker]

The trick with short acting insulin if you are going hypo is to reduce the amount and adjust your insulin:carb ratio. It's essential that you carb count, and not just have fixed doses, unless you are willing to always have the same amount of carbs at each breakfast, at each lunch etc.

Unfortunately it will ultimately be up to you to manage your condition, obviously the health care team can't do that for you. So my recommendation would be that you adapt to cope with 5 or so daily injections on MDI. You can achieve good blood sugar control, and lose weight, and escape all the nasty side effects, and improve your quality of life.

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[DFiona]

The trick with short acting insulin if you are going hypo is to reduce the amount and adjust your insulin:carb ratio. It's essential that you carb count, and not just have fixed doses, unless you are willing to always have the same amount of carbs at each breakfast, at each lunch etc.

Unfortunately it will ultimately be up to you to manage your condition, obviously the health care team can't do that for you. So my recommendation would be that you adapt to cope with 5 or so daily injections on MDI. You can achieve good blood sugar control, and lose weight, and escape all the nasty side effects, and improve your quality of life.

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:-(

Do you have children and a partner? I have children and no partner as well as other health problems not even mentioned on here yet.

What you are suggesting v unlikely to work based on past experiences. Will hear any suggestions they have.

I just want to be happy.

Thanks for trying to help.


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[Spiker]

I know how chaotic it can be looking after children without help. Do you not like the idea of multiple injections because you don't like injections, or is it the amount of being organised that is the problem? I know that looking after kids can make life harder to organise.

An alternative approach is fixed meals, an old fashioned approach. Would that work better for you? Or could you do a fairly disciplined low carb diet?

Basically as you are taking all the oral diabetes medicine you can tolerate, and your blood sugars are still high, you either need to use less carbs, or more insulin. It's that simple I'm afraid.

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[Spiker]

Or could you set aside time for 12 minutes of very intense exercise, 3 days a week? That's had very good results for people. Unless you have a health condition that prevents that.

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[DFiona]

Or could you set aside time for 12 minutes of very intense exercise, 3 days a week? That's had very good results for people. Unless you have a health condition that prevents that.

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That's the answer Spiker . Just need to find a gym I like and can afford. My eyes mean I really need to be accompanied these days -- no fast power walking of 2-3 years ago when not on any meds at all, to avoid falling

Exercise could cure cancer, I swear
. I love it when I feel strong enough. Very light treadmill walking to start with.

All diabetics should have huge discounted by NHS membership of good gyms -- we'd save the NHS a fprtune in the long term!