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Type 1: Newby. type1.

Thank you so much @himtoo!!

This has given me a bit of hope that there is light at the end of the tunnel

I've been feeling a bit frustrated and as though I'm not being understood/supported by my DSN.

I'm going to have a look through all the information on the link you've given me.

Happy New Year, thank you
 
azure said:
Yes, LCHF isn't a magic answer as you have to consider bolusing for protein, delayed rises from fat, and also physiological insulin resistance (caused by the diet).
Click to expand...

A fair point. However one would need to bolus higher doses for the carbs..which in themselves can also be problematic regarding BS control with sharper peaks as they are digested any how's as well as the consideration for the protein & fat..
Insulin resistance? Not all have this issue. Some? Only at certain times of the day..

There's no one size "magic answer" to any of it, what ever side of the fence one sits In respect of pumps or diet... Lol. You know my "mindset" on pumps.

Welcome @kimrooney89 ,
At the end of the day. You gotta do what works for you.. You will get support whatever route you take..!
 
Yes I agree @Jaylee, there definitely isn't a simple solution or an easy fix....I've yet to find anything that improves my control and that's all I want.
I worry about the impact on my body of continuous unstable BG levels, I'm constantly lethargic which isn't good when you have two children.
Maybe LCHF will help me to reign things in a little
I definitely agree with certain times of day affecting resistance to insulin, I'm 100% more sensitive to my insulin in the evening.
Thank you for your support
 
Do you bolus in advance of your meals @kimrooney89 ? That can help stop spikes and give smoother sugars. For breakfast, when I'm most resistant to insulin, I need to bolus 30mins in advance, whereas I can bolus much closer to my evening meal (my most sensitive time, like you).

Before you had the cheaper needles how was your control? Has it always been the same or is this a more recent problem? (Eg because of the needles and/or that you've developed insulin resistance?)
 
@azure I think you're on to something there! I'll definitely give that a try 30 minutes in advance in the morning. I don't know why I never thought of before.

The Dawn phenomenon has always been an issue, but the resistance is a more recent problem. I had noticed an increase in the amount of insulin I was injecting for about 2 weeks before my needles were changed, I thought it was due to the change in the weather as I find the temperature can impact on absorption etc.
The resistance definitely been worse since the needle change, I'm having to correct with every meal and the amount of insulin I'm taking is also higher than what I would have taken previously (not including corrections).
I suppose the needle change could be a coincidence and it's possible that something within my body has changed which has made me more resistant?
 
Hi @kimrooney89 and welcome to the forum

You do meet the ABCD recommendations for pump eligibility (I've underlined two below) so do discuss things with your DSN/Consultant next time you see them:

ABCD recommends that insulin pump therapy is also considered in the following situations:
• Pregnancy
• Acute painful neuropathy or symptomatic autonomic neuropathy if
conventional treatment fails to enable adequate blood glucose control
• Hypoglycaemia unawareness
• Extreme insulin sensitivity
• Needle phobia
• Severe insulin resistance with poor blood glucose control
(especially if type 2)
• Specific quality of life issues:
– Pathological fear of hypoglycaemia
– Marked glycaemic excursions/dawn phenomenon
– Excessive number of injections for optimised control
– Impaired exercise capacity, abnormal eating behaviour or an unacceptable number of sick days
– Shift work or frequent travel across time zones
– In children: sub-optimal school performance, exclusion from aspects of a full school life; behavioural problems (for example, mealtimes); adverse impact on family dynamics

Best wishes and good luck with the new diet.
 
@noblehead thank you very much! I have an appointment with my DSN in two weeks so will definitely broach the subject again
 
hi @kimrooney89 - I have been LCHF for about three years now and find it's really helped my control. I didn't drop all the carbs in one go. I think it helped me adjust my basal levels and bolus needs as I reduced carbs over a period of several months. You may find that you don't need to go very low carb to see benefits, so it might be worth aiming for say 150g/day and see how you get on. You can always adjust that either way at any time if it's not having the results you want. You need to find what works for you.
 
Thank you @robert72 - that sounds like very good advice!
I don't think I'll cut carbs completely, I'll still have them at dinner/tea time as I seem to be most sensitive to my insulin in the evening.
 

Hi and welcome from another type 1
 
just want to add we are really pleased you have joined us @kimrooney89
there is a wealth of information on the forum and lots of lovely people .
 
kimrooney89 said:
Thank you @himtoo, I am already reaping the rewards of the knowledge and friendship that comes along with this forum
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Hi @Kimrooney,you might like to get a copy of Dr Richard Berstein's
Diabetes Sloution 4 th Edition, he is a t1 diabetic of 50 yrs and his advices are 1st class and Invaluable,Happy holidays
 
kimrooney89 said:
Hi @Clivethedrive happy new year! Thank you very much, I'll have a look online and pick myself you a copy
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Your very welcome,he is a very respected Diabetes expert def' not part of the system that is still stuck in the past trying out of date treatments,he can also be found online as he has a regular question answer slot for type1 and 2 Diabetics,clive
 
Clivethedrive said:
Your very welcome,he is a very respected Diabetes expert def' not part of the system that is still stuck in the past trying out of date treatments,he can also be found online as he has a regular question answer slot for type1 and 2 Diabetics,clive
Click to expand...

Think Like A Pancreas is a better book and has better info about pumps.
 
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