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<blockquote data-quote="phoenix" data-source="post: 492274" data-attributes="member: 12578"><p>Nicola, the reason that some of us including me haven't replied is that you ask specifically about low carb and T1.</p><p>Personally, it's not something I do have good diabetes control.</p><p> </p><p>I've only just scanned this thread but I agree that it's a good idea that you are having your thyroid checked since that can apparently make people feel depressed. My main symptom before diagnosis with hypothyroid was a lack of motivation. Thirty percent of women with T1 also have autoimmune thyroid problems so it's certainly a possibility.</p><p> </p><p>Your HbA1c though is very high and high glucose levels can certainly also make you feel tired and as you know can lead to all sorts of other problems including DKA but also future ones.</p><p> </p><p> I think that it's essential to make sure that you are using the correct basal and bolus rates . If these aren't right, they you can't hope to get reasonably levels however well you carb count and whatever you decide to eat.</p><p> </p><p>It might be a good idea to do a diary for a few days. It's a hassle but it does help to sort out patterns.</p><p>Include fasting levels, before meal readings, 2hour post meal readings and bedtime readings.</p><p>Include times and doses for both basal and bolus insulins</p><p>Include what you eat (for absolute perfection weigh the starchy carbs and write down how many carbs that amounts to... again a hassle but it's sometimes hard to guess portion size)</p><p>If you do any exercise etc put that in as well.</p><p>Doing this may help you to see where you are having problems. If you feel able to then post the diary in a thread. I think you'll find many more replies and people eager to help.</p><p> </p><p>Lastly, just a little warning. Your levels are high and you've had them this way for some time. It is probably better not to try to fix things overnight. The reason for this is that reducing levels quickly can cause any background retinopathy to worsen The normal advice from doctors is that it's safer to do it gradually, over a period of months.</p></blockquote><p></p>
[QUOTE="phoenix, post: 492274, member: 12578"] Nicola, the reason that some of us including me haven't replied is that you ask specifically about low carb and T1. Personally, it's not something I do have good diabetes control. I've only just scanned this thread but I agree that it's a good idea that you are having your thyroid checked since that can apparently make people feel depressed. My main symptom before diagnosis with hypothyroid was a lack of motivation. Thirty percent of women with T1 also have autoimmune thyroid problems so it's certainly a possibility. Your HbA1c though is very high and high glucose levels can certainly also make you feel tired and as you know can lead to all sorts of other problems including DKA but also future ones. I think that it's essential to make sure that you are using the correct basal and bolus rates . If these aren't right, they you can't hope to get reasonably levels however well you carb count and whatever you decide to eat. It might be a good idea to do a diary for a few days. It's a hassle but it does help to sort out patterns. Include fasting levels, before meal readings, 2hour post meal readings and bedtime readings. Include times and doses for both basal and bolus insulins Include what you eat (for absolute perfection weigh the starchy carbs and write down how many carbs that amounts to... again a hassle but it's sometimes hard to guess portion size) If you do any exercise etc put that in as well. Doing this may help you to see where you are having problems. If you feel able to then post the diary in a thread. I think you'll find many more replies and people eager to help. Lastly, just a little warning. Your levels are high and you've had them this way for some time. It is probably better not to try to fix things overnight. The reason for this is that reducing levels quickly can cause any background retinopathy to worsen The normal advice from doctors is that it's safer to do it gradually, over a period of months. [/QUOTE]
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