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Type 1: DSN appointment tomorrow...

kimrooney89

Well-Known Member
Messages
201
Location
Glasgow
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Liars
Evening all

I hope you're well.

I have an appointment with my DSN tomorrow morning...My BG levels are still above target even although I'm following a LCHF diet.

I'm 27, have been T1 for 10.5 years and also have Dawn phenomenon and seem to be insulin resistant up until mid afternoon.

I live in North Lanarkshire in Scotland and would like to be considered for a freestyle libre and maybe even an insulin pump. I'm terrified of the affects higher than normal BG levels could have on my body, I follow the same routine every day : wake at the same time, eat the same food at the same time, same activity level etc etc. Yet, no two days BG readings / units injected are anuwhere near the same

Any tips on how to raise this with my DSN?
 
@kimrooney89 I'd show her your readings, pointing out the DP. Then stress how nothing you've done to combat this is helping.

I'd ask directly about a pump, not,wait for them to mention it.

Think what answers and suggestions you might get from the DSN, so you're prepared with answers/explanations.

If you're suffering with insulin resistance that doesn't go,away even when you eat moderate carbs (ie not LCHF) then you could also ask about a change of insulin or even Metformin.

I recommend making notes - appointments go all too quickly and it's easy to forget things!
 
That sounds like great advice @azure - thank you. It's getting quite difficult now as I feel as though nothing I do makes any difference.

Having the exact same routine/eating habits daily is very repetitive but I dont try anything different as I'm wary of how it would impact my BG levels.

I've also kept a food diary this week too which should hopefully help too. Thanks again
 
Last edited:
@kimrooney89 I can't speak for Scotland, but certainly in England the Freestyle Libre is not available on the NHS. If your clinic has been visited by a rep lately, they might be able to give you a 'free trial' pack. If not, it is a big outlay, but you could just buy yourself one sensor, and use your phone as the reader, if you have an android. That would give you two weeks to get a really good look at what is going on. Hope that helps

Definitely be really direct - it is a short appointment, and they are not mind readers, nor do they live with this - you need to be clear with her about what those numbers are actually doing to your life on a day to day basis, and say that you are afraid of the consequences, which you have every right to be! It's your body, fight for it!

Good luck
 
Thank you EllsKBells

I had considered purchasing a libre but I'm not in the position financially to keep paying for the sensors...

I've written a list of bullet points so that I don't forget to mention something, I think I may have seen someone mention on the forum that they were given a libre on the NHS and they lived in Scotland.

Hopefully I'll be able to discuss everything in the short appointment
 
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