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Type 1.5/LADA Diabetes
T1 LADA on insulin newly diagnosed
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<blockquote data-quote="Marie 2" data-source="post: 2014036" data-attributes="member: 475037"><p>Sweating like crazy, is pretty common when you drop too low. But people do experience different symptoms. If I drop too low I also get colored spots when I blink. I've had tingling on my tongue, anxiety. And some people get nausea when they drop too. Exercise will cause a drop easier. There are just all sorts of symptoms you can have and you learn to identify them.</p><p></p><p>Hot showers in the am makes my BG go up 60 points in a half hour with no eating. I now take all my showers in the afternoon or night. But I know people that their sugars drop instead. Things like that can vary person to person.</p><p></p><p>The problem is the honeymoon phase has some ups and downs, you produce some insulin some of time until you don't. My honeymoon phase probably lasted about 6-8 years?</p><p></p><p>But it sounds like you need a better handle on your insulin usage. Drops are from too much insulin and the highs are not enough at the right time. It does take constant calculating what you need when, because, exercise, stress, high fats all make you use insulin differently and then you throw in maybe sometimes you are still making some if you are still in any kind of honeymoon phase.</p><p></p><p>But frankly if you are just using a long acting insulin shot, it's just too easy to drop too much if you are taking enough to deal with your meals since when you're not eating and say exercising, it's still the same amount in your system? So that can cause a person to drop too much. And that means the same amount is in your system when you are sleeping, when you're not exercising or eating. What we call a basal is technically what you need because your liver produces glucose throughout the 24 hour day. The basal insulin, if you use long acting insulin is for about 24 hours. The bolus is what we take with a fast acting insulin (not that fast really) to deal with the food we eat and peaks at about 1 1/2 to 2 hours. Once you start a meal insulin (bolus) , you shouldn't need as much long acting insulin and will probably need to adjust that. Right now you are not taking that much insulin, but the long acting dose might be what is causing a problem when you are more active and you are dropping.</p><p></p><p>But as a type 1, LADA, you need insulin to deal with food, your body at some point will not be able to deal with even minimal carbs. Even protein will raise your BG level too. No matter how well you try to eat, it won't make insulin anymore, so even a bowl of broccoli will need insulin..............</p><p></p><p>The best thing? Get a CGM, a constant glucose monitor, Most of the insurance in the US covers it for a type 1. It's just some insurance companies require you have 3 months of logging 4 times a day numbers to show you've had some lows. Some don't. But it's very easy to do. Ask your endo about that. Instead of finger sticking all day, you can look at your phone or reader to know your BG 50 times a day if you want. It's just the best thing to know what your BG is doing.</p></blockquote><p></p>
[QUOTE="Marie 2, post: 2014036, member: 475037"] Sweating like crazy, is pretty common when you drop too low. But people do experience different symptoms. If I drop too low I also get colored spots when I blink. I've had tingling on my tongue, anxiety. And some people get nausea when they drop too. Exercise will cause a drop easier. There are just all sorts of symptoms you can have and you learn to identify them. Hot showers in the am makes my BG go up 60 points in a half hour with no eating. I now take all my showers in the afternoon or night. But I know people that their sugars drop instead. Things like that can vary person to person. The problem is the honeymoon phase has some ups and downs, you produce some insulin some of time until you don't. My honeymoon phase probably lasted about 6-8 years? But it sounds like you need a better handle on your insulin usage. Drops are from too much insulin and the highs are not enough at the right time. It does take constant calculating what you need when, because, exercise, stress, high fats all make you use insulin differently and then you throw in maybe sometimes you are still making some if you are still in any kind of honeymoon phase. But frankly if you are just using a long acting insulin shot, it's just too easy to drop too much if you are taking enough to deal with your meals since when you're not eating and say exercising, it's still the same amount in your system? So that can cause a person to drop too much. And that means the same amount is in your system when you are sleeping, when you're not exercising or eating. What we call a basal is technically what you need because your liver produces glucose throughout the 24 hour day. The basal insulin, if you use long acting insulin is for about 24 hours. The bolus is what we take with a fast acting insulin (not that fast really) to deal with the food we eat and peaks at about 1 1/2 to 2 hours. Once you start a meal insulin (bolus) , you shouldn't need as much long acting insulin and will probably need to adjust that. Right now you are not taking that much insulin, but the long acting dose might be what is causing a problem when you are more active and you are dropping. But as a type 1, LADA, you need insulin to deal with food, your body at some point will not be able to deal with even minimal carbs. Even protein will raise your BG level too. No matter how well you try to eat, it won't make insulin anymore, so even a bowl of broccoli will need insulin.............. The best thing? Get a CGM, a constant glucose monitor, Most of the insurance in the US covers it for a type 1. It's just some insurance companies require you have 3 months of logging 4 times a day numbers to show you've had some lows. Some don't. But it's very easy to do. Ask your endo about that. Instead of finger sticking all day, you can look at your phone or reader to know your BG 50 times a day if you want. It's just the best thing to know what your BG is doing. [/QUOTE]
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