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Type 1'stars R Us

wildtoast said:
*puts pharmacist hat on* Have you checked for ketones? I know you do low carb/keto so I guess you maybe have some ketones normally? But worth checking the levels if BG is high and you feel ****! edit: rubbish! Didn't know that one wasn't allowed hah.
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Ketones are 2.8mmol, which isn’t unusual for me. Will correct at 1940.
 
Just taken 5u NovoSluggish, so 12 hours since my last dose and 24 hours since my last food. Perhaps next month I’ll try a day where I only correct at meal times as per DAFNE guidelines. Wouldn’t do this more than once a cycle though, and it’s not often I get a quiet day to myself with no stress to do it calmly!
 

****'s sake, Mel, I've not read the whole thread, and I know you've been doing this for decades, so I ain't going to teach grandma to suck eggs, but aren't the graphs just showing your basal is too low?
 

Hope you’ve not got a ‘bug’ free-riding. Or is it another of those ruddy female hormones things?
 
Scott-C said:
****'s sake, Mel, I've not read the whole thread, and I know you've been doing this for decades, so I ain't going to teach grandma to suck eggs, but aren't the graphs just showing your basal is too low?
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Tl;dr - Effectively, yes.

Long version: I’m on Tresiba. Which three weeks out of four keeps me dead level 24/7 according to fasted basal testing. However, the week before my period is due, I become incredibly insulin resistant, but because Tresiba is so slow to react to a dose change, even with very careful tracking of my cycle (and that’s not as consistent as it once was) I can’t seem to time an increase and a decrease right. It takes 3-6 days for a change in dose to take effect, the resistance lasts 4-7 days, and it seems to vary in its timing between my laying an egg and the inevitable. I’m not on any hormonal birth control. I record my temperature every morning, as I did when planning to conceive my son, it used to be a very reliable method of seeing where I was, but that’s not as reliable two decades down the line. I also have a ladies’ app for tracking and recording all this stuff. The purpose of this experiment today was to highlight the difference to my team between me dribbling in a million tiny doses throughout the day, and what happens if I don’t, for when I get told off for stacking. Yesterday I took 14 corrections, and kept mostly in or around my range, grey dots on the graph. Never more than 2u IOB at a time. Today I fasted, and haven’t corrected, just to show my team what happens and just how resistant I am, lilac dots. It’s been suggested that a pump is the best way to manage this (Lantus gave me horrendous night hypos and leg pains), so I’m collecting evidence to strengthen my case for one. I’ve suggested a top up of a unit or two of Levemir on to; of my Tresiba for that week, but they won’t countenance two basals. So I can manage the resistance with constant Novorapid input, but it’s a full time job as I’m doing all the work of a pump. Many women with pumps just have a temporary basal rate for this week of 150-200% - that’s about how much I increase my total daily doses by.

​
 
Wow. 14 corrections. I would defo be looking at the Iport Mel. A pump seems inevitable for you
 
Wow @ Mel dcp did i read right all this is to prove you want a pump to give you better control or for you to keep with in your tight 4-7 range?
 
Meanwhile I've just had curry and even after all that reading about Mel fasting over the day makes me want to eat something else. Sorry.

In other news I'm replying using the mobile app. Ooooooooo look at me technology enhanced old *art
 
Jeesh, @Mel dCP , hats off in a gentlemanly way to the distaff side for the other hormones you're having to deal with. Us blokes just need to manage the balance between insulin and beer.
 
Knikki said:
Wow @ Mel dcp did i read right all this is to prove you want a pump to give you better control or for you to keep with in your tight 4-7 range?
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I want a pump so I can get better control during “shark week” without having to take fifteen billion injections. It’s a full time job, I would like to automate it! I have a life as well.... if it wasn’t for this particular week, I’d be happy to continue using MDI, tbh. But 25-30% of the time it requires such minute by minute micromanaging that I can’t effectively do anything else. Hopefully all this data will prove that I can a) use the data from my Libre effectively and have invested my own money in a MiaoMiao to get the maximum benefit from it; b) know how to use tiny doses of insulin to nudge my BG levels into line; c) am finally taking control of the flippin’ thing - they’ve already said I’ve got the best control I’ve ever had and can see how hard I’ve had to work to get that. But I can’t keep this up forever using injections. Today’s exercise shows what happens if I don’t constantly correct.

@Knikki - while my personal target is non-d levels, when all this is happening, I can’t even get NHS/NICE levels without stopping myself every thirty minutes!

@Scott-C - I don’t drink beer any more, that would just add another layer of difficulty!

Edit: down to 10.4 and feeling a lot better. Peaked at 17.1...
 
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Evening just sitting here on my bed trying to think of cold festive films to cool me down. Still exceptionally hot but looking forward to tomorrow as it's Monday and I will be awaiting the doctors of review me ( well .......to say you have progressed well and you can go home right now)
Today BS has gradually come down to 12.2
 
Why is it hospital wards always seem to be kept at about 300 degrees c! Working on them is hell never mind being a patient trying to get better.

I hope you're starting to feel much better and hope you'll get home asap!
 
Time for bed, and to lie under my ceiling fan at full Chinook helicopter power.

BG is 6.5mmol now, half a unit IOB still, so should level out around mid-fives in the next half hour or so. Thank you all so much for your advice and support during my little experiment today, really means a lot xxx

Sleep well, friends <3
 
@SueJB I'm sorry to read of your loss, blood sugars do get messed up at times like that so take care.

I had a lazier day than I planned, fairly stable till 7pm and a rapid Lanus drop (19 hours in) caught me out on as I had a late tea, 3.5 so I injected and ate and levelled off at 7 where I've stayed, but the bolus tail is yet to start so it's 2 Weetabix, bed and hope it doesn't spike.
 
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