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Type 1 Diabetes
Type 1: What are your HbA1c test results?
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<blockquote data-quote="Luke2" data-source="post: 2747027" data-attributes="member: 585537"><p>From what I’ve learned in the very short time that I’ve been diagnosed with type 1 (13 months) is that everyone is different.</p><p></p><p>Different sensitivity, different activity levels, different bodies! Unfortunately, there is no one size fits all. I do find how ‘active’ I am makes a huge difference.</p><p></p><p>These are a few of the things that I do to help maintain my TIR, keep my Hba1c pretty healthy and eat what I want:</p><p></p><p>- I’ve done extensive calculating in my bolus and basal ratios. This has been done at different times of the day based on activity levels.</p><p></p><p>- regarding the above - I inject the most for my breakfast, I do inject a fair bit for lunch, and the least I inject for is my tea.</p><p></p><p>- Pre bolus - I do this for everything, usually 25 mins if I’ve not been very active. 15 minutes if I’ve been active (gym/walk etc).</p><p></p><p>- High carb - I usually dump all my insulin at once. High fat/protein i usually split it 60% upfront and 40% after an hour.</p><p></p><p>- I count all carbs and use an app called ‘calorie counter’. This helps me log everything I’m doing, including exercise as it links to my Apple Watch. This can help identify more problematic food. </p><p></p><p>- If my levels rocket up after eating something I’ll usually think what it could be and try and eat that again but try different tactics, then keep doing it until I’ve nailed it. </p><p></p><p>- If I can see my levels going to the moon (I consider this anything over 10-11mmol) I will then try to go for a walk (I bought a walking machine for the winter) or even do some chores haha! </p><p></p><p>- I do weight training 3 times a week without fail. When I have a week or two off because of holiday I notice my sensitivity decrease to insulin.</p><p></p><p>- when you have days/weeks of poor control relative to yourself, I always find these as opportunities to learn. What has caused this? What can I do to change it?</p><p></p><p>- I avoided certain foods when diagnosed as reading information online kind of points you towards a low carb diet (which I hate). So, I decided to start adding different foods in gradually to see how I reacted and kept trying to ‘master’ those foods. I would absolutely advocate trying different foods to see how you react and how you can manage them with bolusing etc. </p><p></p><p>- what I will say is my early days of ‘lower carb’ diet I was still the same in terms of TIR as I am now and it hasn’t impacted my Hba1c. Now I eat on average circa 250/300g of carbs a day (sometimes more).</p><p></p><p>I don’t claim to be any form of expert, as I am a newbie to the world of diabetes. I do have an addictive personality and I’ve done stupid amounts of research. I’m now at a place where I can relax a bit more which is nice!</p></blockquote><p></p>
[QUOTE="Luke2, post: 2747027, member: 585537"] From what I’ve learned in the very short time that I’ve been diagnosed with type 1 (13 months) is that everyone is different. Different sensitivity, different activity levels, different bodies! Unfortunately, there is no one size fits all. I do find how ‘active’ I am makes a huge difference. These are a few of the things that I do to help maintain my TIR, keep my Hba1c pretty healthy and eat what I want: - I’ve done extensive calculating in my bolus and basal ratios. This has been done at different times of the day based on activity levels. - regarding the above - I inject the most for my breakfast, I do inject a fair bit for lunch, and the least I inject for is my tea. - Pre bolus - I do this for everything, usually 25 mins if I’ve not been very active. 15 minutes if I’ve been active (gym/walk etc). - High carb - I usually dump all my insulin at once. High fat/protein i usually split it 60% upfront and 40% after an hour. - I count all carbs and use an app called ‘calorie counter’. This helps me log everything I’m doing, including exercise as it links to my Apple Watch. This can help identify more problematic food. - If my levels rocket up after eating something I’ll usually think what it could be and try and eat that again but try different tactics, then keep doing it until I’ve nailed it. - If I can see my levels going to the moon (I consider this anything over 10-11mmol) I will then try to go for a walk (I bought a walking machine for the winter) or even do some chores haha! - I do weight training 3 times a week without fail. When I have a week or two off because of holiday I notice my sensitivity decrease to insulin. - when you have days/weeks of poor control relative to yourself, I always find these as opportunities to learn. What has caused this? What can I do to change it? - I avoided certain foods when diagnosed as reading information online kind of points you towards a low carb diet (which I hate). So, I decided to start adding different foods in gradually to see how I reacted and kept trying to ‘master’ those foods. I would absolutely advocate trying different foods to see how you react and how you can manage them with bolusing etc. - what I will say is my early days of ‘lower carb’ diet I was still the same in terms of TIR as I am now and it hasn’t impacted my Hba1c. Now I eat on average circa 250/300g of carbs a day (sometimes more). I don’t claim to be any form of expert, as I am a newbie to the world of diabetes. I do have an addictive personality and I’ve done stupid amounts of research. I’m now at a place where I can relax a bit more which is nice! [/QUOTE]
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