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Type 1 Diabetes
Type 1, menstruation and menopause
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<blockquote data-quote="LittleSue" data-source="post: 41984" data-attributes="member: 6295"><p>For years I've clearly needed less insulin and had more stable readings during <em>that </em> week, but DAFNE has made it clear that my carb:insulin ratio and basal dose needs to vary at various times during the month. Despite far better daytime control my HbA1c recently got worse, I realised I'd been concentrating less on adjusting overnight doses, blaming high am readings on dawn effect when I'd likely been high most of the night. So I decided to test overnight ad infinitum (trying to get a CGM on long-term loan) to really get a handle on what needs to change in which week.</p><p></p><p>Unfortunately I now suspect I might be approaching "the change" - which I guess will complicate things further.</p><p></p><p>I'd be interested to learn how others bs has been affected by menstruation and menopause. Is it usual for ratios/insulin resistance to change with menstrual cycle? (Basal dose varies by about 25%, bfast ratio varies between 1:1 and 1.5:1) HCPs have blamed this on ladies "eating chocolate when premenstrual" but that only accounts for it if the chocolate is extra carbs not covered by insulin, not if you adjust bolus according to carbs.</p><p></p><p>How does the menopause affect bs control, both whilst going through it and afterwards? Does being post-menopausal make bs more stable?</p><p></p><p>Thanks</p></blockquote><p></p>
[QUOTE="LittleSue, post: 41984, member: 6295"] For years I've clearly needed less insulin and had more stable readings during [i]that [/i] week, but DAFNE has made it clear that my carb:insulin ratio and basal dose needs to vary at various times during the month. Despite far better daytime control my HbA1c recently got worse, I realised I'd been concentrating less on adjusting overnight doses, blaming high am readings on dawn effect when I'd likely been high most of the night. So I decided to test overnight ad infinitum (trying to get a CGM on long-term loan) to really get a handle on what needs to change in which week. Unfortunately I now suspect I might be approaching "the change" - which I guess will complicate things further. I'd be interested to learn how others bs has been affected by menstruation and menopause. Is it usual for ratios/insulin resistance to change with menstrual cycle? (Basal dose varies by about 25%, bfast ratio varies between 1:1 and 1.5:1) HCPs have blamed this on ladies "eating chocolate when premenstrual" but that only accounts for it if the chocolate is extra carbs not covered by insulin, not if you adjust bolus according to carbs. How does the menopause affect bs control, both whilst going through it and afterwards? Does being post-menopausal make bs more stable? Thanks [/QUOTE]
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