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Type 1 Diabetes
Type 1: Blood Sugar All Over the Place Really Need Help Adjusting Levels
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<blockquote data-quote="Diabetic_Aspie" data-source="post: 1196878" data-attributes="member: 309266"><p>1. Definitely, definitely need to sort out basal. Ask your consultant for degludec: it IS literally flat cover over like 48 hrs. My experience: levemir is the worst basal insulin, glargine is way better, but degludec is really the way to go.</p><p></p><p>2. You can re-introduce sugar into coffee later. I know it's very hard emotionally to make that sacrifice: I was resentful as hell that I had to refuse myself something enjoyed freely by millions of others. You will enjoy it again, too. Later, though: after your BG is under better controlled. Meanwhile, use Xylitol: it's literally indistinguishable from sugar in its taste and costs 10 quid per kilo on Amazon.</p><p></p><p>3. Without well established routine eating habits it is VERY DIFFICULT to bring BG under control - especially on MDI. Skipping meals and wide variation of the amount of carbs you have for the same meal each day (talking about supper here) are really not great ideas.</p><p></p><p>4. Your insulin to carb ratio can vary hugely through the day. We tend to have highest insulin resistance in the morning and lowest late at night. You need to experiment with it.</p><p></p><p>5. I might have missed it, but I don't think anyone mentioned the possibility that your high fasting BG in the morning could be due to a rebound hyper after a hypo while you sleep. Can you borrow either CGM or, at least, Libre from your diabetes team for a week or so. The difference it made to my understanding of my BG patterns was HUGE.</p><p></p><p>6. Sorry to be intrusive, but what IS your occupation? Our job does play a major role in our BG control, not to mention overall well-being.</p><p></p><p>7. I'm curious why there's such an urgency to get things well controlled? It could lead to easy frustration which would lead to diabetes burnout. It really helped me when i realised that I have my whole bloody life to get to know the diabetes monster. Don't rush it. It will not win us a diabetes - free life.</p></blockquote><p></p>
[QUOTE="Diabetic_Aspie, post: 1196878, member: 309266"] 1. Definitely, definitely need to sort out basal. Ask your consultant for degludec: it IS literally flat cover over like 48 hrs. My experience: levemir is the worst basal insulin, glargine is way better, but degludec is really the way to go. 2. You can re-introduce sugar into coffee later. I know it's very hard emotionally to make that sacrifice: I was resentful as hell that I had to refuse myself something enjoyed freely by millions of others. You will enjoy it again, too. Later, though: after your BG is under better controlled. Meanwhile, use Xylitol: it's literally indistinguishable from sugar in its taste and costs 10 quid per kilo on Amazon. 3. Without well established routine eating habits it is VERY DIFFICULT to bring BG under control - especially on MDI. Skipping meals and wide variation of the amount of carbs you have for the same meal each day (talking about supper here) are really not great ideas. 4. Your insulin to carb ratio can vary hugely through the day. We tend to have highest insulin resistance in the morning and lowest late at night. You need to experiment with it. 5. I might have missed it, but I don't think anyone mentioned the possibility that your high fasting BG in the morning could be due to a rebound hyper after a hypo while you sleep. Can you borrow either CGM or, at least, Libre from your diabetes team for a week or so. The difference it made to my understanding of my BG patterns was HUGE. 6. Sorry to be intrusive, but what IS your occupation? Our job does play a major role in our BG control, not to mention overall well-being. 7. I'm curious why there's such an urgency to get things well controlled? It could lead to easy frustration which would lead to diabetes burnout. It really helped me when i realised that I have my whole bloody life to get to know the diabetes monster. Don't rush it. It will not win us a diabetes - free life. [/QUOTE]
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