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Diabetes Discussion
Type 1.5/LADA Diabetes
Type 1 question about high blood sugar readings
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<blockquote data-quote="NicoleC1971" data-source="post: 2119229" data-attributes="member: 365308"><p>I am sure that if your friend does go to his appointments and is honest about these readings, then his team would be rightly advising him that running this high will damage him in the long term. I imagine he must feel rough running this high but it is easy to get used to feeling bad like this and to get a sensation of 'hypo' when your blood sugar goes below what your body is used to.</p><p>As he's on insulin he obviously needs to be careful when reducing carbs so as to get his bolus dose right however the first step is for him to get the basal right otherwise he'll be fighting a losing battle. </p><p>This is done by not eating carbs for 24 hours and testing to see what happens usually including some night time tests. No bolus dosing obviously.</p><p>You don't say how old your friend is or why he is taking such lax care of himself? Diabetes type 1 is really about self management and getting used to how your body reacts to food/exercise/stress so its an N of 1 experiment.</p><p>Personally I find it almost impossible to achieve normal blood sugars (4-7) when eating carbohydrates and guessing insulin doses. If he is willing to eat the same foods/portions daily then this might be possible but I find it easier to minimise starches and sugars.</p><p>As for hypo symptoms at blood sugars between 5 and 20, I'd say they are safe and would lessen when his blood sugar normalises. They are not a good enough reason to risk his sight, kidneys, heart and nervous system by running high. Sometimes I mistake a rapid drop in by bgs for a hypo but it is usually a sensation. Again if you are not taking much insulin to cope with carbs you get less of those big drops and rises that can cause panic eating of carbs!</p><p></p><p>Agree that a ketone check is imperative but it should be noted that some of us can have scary high bgs like this without going into ketosis</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 2119229, member: 365308"] I am sure that if your friend does go to his appointments and is honest about these readings, then his team would be rightly advising him that running this high will damage him in the long term. I imagine he must feel rough running this high but it is easy to get used to feeling bad like this and to get a sensation of 'hypo' when your blood sugar goes below what your body is used to. As he's on insulin he obviously needs to be careful when reducing carbs so as to get his bolus dose right however the first step is for him to get the basal right otherwise he'll be fighting a losing battle. This is done by not eating carbs for 24 hours and testing to see what happens usually including some night time tests. No bolus dosing obviously. You don't say how old your friend is or why he is taking such lax care of himself? Diabetes type 1 is really about self management and getting used to how your body reacts to food/exercise/stress so its an N of 1 experiment. Personally I find it almost impossible to achieve normal blood sugars (4-7) when eating carbohydrates and guessing insulin doses. If he is willing to eat the same foods/portions daily then this might be possible but I find it easier to minimise starches and sugars. As for hypo symptoms at blood sugars between 5 and 20, I'd say they are safe and would lessen when his blood sugar normalises. They are not a good enough reason to risk his sight, kidneys, heart and nervous system by running high. Sometimes I mistake a rapid drop in by bgs for a hypo but it is usually a sensation. Again if you are not taking much insulin to cope with carbs you get less of those big drops and rises that can cause panic eating of carbs! Agree that a ketone check is imperative but it should be noted that some of us can have scary high bgs like this without going into ketosis [/QUOTE]
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