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Type 1'stars R Us

Discussion in 'Type 1 Diabetes' started by Robinredbreast, Jun 10, 2018.

  1. MeiChanski

    MeiChanski Type 1 · Well-Known Member

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    For snacks, I do the pay as you go system, bolus for the biscuits and if I want sweets, I bolus for the sweets.
    Today I had mcdonalds, I did split bolus, but I remained high after 4 hr mark - novorapid and fiasp both last for 4 hours, so I recorrected. Low carb snacks or food give or take may need some insulin, but tiny amounts.
     
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  2. therower

    therower Type 1 · Well-Known Member

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    As mentioned you can theoretically bolus as often as you like. BUT you also have to take into consideration IOB ( insulin on board ). Remember your bolus can still be having an affect on your BS a good 5 hrs after injecting. Injecting more insulin within this time frame can lead to unexpected lows and hypos. It’s all trial, error and experience.
     
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  3. Mel dCP

    Mel dCP Type 1 · Well-Known Member

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    Yip. I dose every time I eat a carb. Sometimes minuscule amounts, but it all adds up to a high if I don’t!
     
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  4. therower

    therower Type 1 · Well-Known Member

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    The beauty of a pump.;)
     
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  5. Gaffer type 1

    Gaffer type 1 LADA · Well-Known Member

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    Thanks all for the heads up
    As I haven't been contacted medically by a single person since diagnosis 5 weeks ago thanks for your help
     
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  6. Fairygodmother

    Fairygodmother Type 1 · Well-Known Member

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    I’m astonished there’s been no follow up. But then again, given the state of the system and what we’re told about the overwhelming result of medics leaving the U.K. and retiring, maybe I shouldn’t be.
    We can’t tell you what to do, but there’s a wealth of T1 experience on this site so please, please ask us to share what we’ve found works individually for each of us any time you want. We’re all different, one size doesn’t fit all, but I think I’ve learned more here than anywhere else.
     
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  7. MeiChanski

    MeiChanski Type 1 · Well-Known Member

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    You'll have to be firm and stern and keep pushing for help. But at the same time we can all share some help, we all have to inject for carbs however little. I know some T1s are surprised having to inject for carrots. Taking into consideration other factors as well - weather, DP, hormones, stress and other illnesses.
     
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  8. Fairygodmother

    Fairygodmother Type 1 · Well-Known Member

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    It’s very early days @Gaffer type 1. Five weeks - was it a shock or a relief to have a diagnosis? And welcome to this very exclusive club. And to the best thread on the forum.
    Have you got an appointment booked with a Diabetes Specialist Nurse, or with someone at a diabetes clinic? If you have, then it’d be a good idea to keep a record of what you’re eating at each meal and what your blood sugars are before you eat and two to three hours after you eat. The timeframe’s often difficult to set for recording blood sugars after you eat but any kind of record will help whoever sees you to assess what treatment you’ll need.
    What were your symptoms before diagnosis, and do you know how high your blood sugars were then? It’s said that it’s not a good idea to aim for perfect results but on early on as a sudden reduction can have a bad effect on eyesight.
    To test blood sugars you’ll need a meter. Ask your GP if they can prescribe one for you, and test strips to go with it. Maybe you’ve already got one.
    I use scales that weigh in grams and have a function that’ll return to zero so that I can add other foods without needing a new plate or bowl, plus a book or app called Carbs and Cals.
    You’ll be able to calculate how much insulin you need for the carbohydrates you eat when you’re given a ratio of insulin:carb. Maybe you’ve already got one to work with. The record of carb eaten and blood sugar results will help to find out what your individual ratio should be.
    Good luck.
     
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  9. Mel dCP

    Mel dCP Type 1 · Well-Known Member

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    Sorry things have been so silent from your clinic @Gaffer type 1 - it’s quiye possibly to fall through the net, I did myself for a long time.

    As the others have said, keeping good records is a really valuable tool. I use an app called MySugr to log all my meals and doses, plus a load of other info - driving, sickness, location of food (very useful when eating out as you can see what you had at that place before and how well your carbs guess and dosing went) etc. It’s invaluable. I photograph all me meals to add into my logs as a visual aid as well. It will also produce very visual PDF reports that are useful to takento clinic. The more data you give it, the more useful it becomes: theres a free more limited version but I have the paid one and it’s worth every penny - it’s two or three quid a month.

    For carb counting, I use another app called MyFitnessPal as it gives you the nutritional breakdown of millions of foods. Just be aware that the data is added by the users, so may have errors, but check against the label on your pack to make sure it’s accurate. You can build up a detailed food diary and print reports to take to clinic. When searching for foods I’d suggest adding UK or the name of a British supermarket so that you get our carb counts rather than the American ones, which include fibre content, and we don’t dose for fibre!

    The DAFNE (dose adjustment for normal eating) course teaches you how to match your insulin to your food. It starts off by suggesting you try one unit of fast acting insulin per 10g carbohydrate and then tweak it from there. The start point is:

    Fast acting insulin is in your system for 4 hours
    1u per 10g carbs
    10g carbs raises you by 3mmol
    1u drips you by 3mmol
    YDMV (your diabetes may vary!)

    And for many people that holds true, it does for me after midday. In the morning my ratios are 1u:7g carb and 1u drops me by 2mmol, for example. Apps like MySugr can use all these ratios once you’ve entered them to suggest doses, taking into account hope much insulin and carbohydrate you already have in your body.

    Tl;dr - get in touch with your clinic of course, but hopefully we can help you get to grips with it ❤️
     
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  10. Robinredbreast

    Robinredbreast Type 1 · Oracle

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    Morning guys, had a low last night and a high wowser this morning :wideyed::wideyed:( River deep then Mountain high) so sipping a cup of tea then travelling on school run. I worked it out that the run, in one day is about 130 miles and it's the last day today as the college closes for the summer hols, I'm going to miss the two lads :(

    Happy Friday to you all :)
     
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  11. Japes

    Japes LADA · Well-Known Member

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    @Gaffer type 1 Are you on a fixed amount for your bolus at each meal at the moment?

    I'm asking because I know a lot of people are to start with. Even though I already had a good idea of carb counting, I stuck to the 4 units with each meal and correct a higher than 10 before I went to bed as firmly instructed until I was let loose with adjusting my doss. Even then I had to have all my homework done and checked for a month with a clear diary of what I'd eaten, accurate carb counts, dose taken, all blood sugars recorded before officially being let loose.

    But, yes, taking everything else into consideration, I do now take extra or cut back as needed.

    Morning all...
     
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  12. Japes

    Japes LADA · Well-Known Member

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    Just to add - it's worth you getting on to them after 5 weeks. I'd still be waiting if I hadn't...
     
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  13. Mel dCP

    Mel dCP Type 1 · Well-Known Member

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    Morning chaps. Off to school for regular Friday job share. Very boring night, Loop is “taking care of business” to the extent I might name it Elvis.

    Have a good day, friends ❤️
     
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  14. WuTwo

    WuTwo Type 1 · Well-Known Member

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    Morning all. Got a member of my important family of clients coming in today. Lives abroad but pops back from time to time to fulfil the residency rules.

    Lovely guy - my age, veggie, Buddhist and very quiet. Doesn't mean he isn't thinking hard though. I like him a lot and it wil be a pleasure to meet with him.

    After that I might ask boss if I can be excused. Brain is still woozy and body very wobbly - he did notice yesterday and we made sure I didn't do anything I can't undo if I have to!
     
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  15. WuTwo

    WuTwo Type 1 · Well-Known Member

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    I love the idea of you system being called Elvis! It's brilliant.
     
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  16. WuTwo

    WuTwo Type 1 · Well-Known Member

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    This is a total Oh s**t moment as I realise that the clash of the tablets has hit me with shocking force and will be in place until about 1.00 p.m. and - joy - at its worst whilst important client expects some sort of sense from me.

    Hmmm.. What can I possibly say "Hey - client - good to see you, I am junked up to the eyeballs but sit down and we'll go through your financial affairs ...."
     
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  17. Fairygodmother

    Fairygodmother Type 1 · Well-Known Member

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    Mornin’ all.
    Sorry being a pharmacist’s store cupboard’s left you woozy @WuTwo, but hope the meeting gives more pleasure than embarrassment.
    Goodness, @Robinredbreast, 130 miles - is the scenery good? Will you be escorting the same two lads again after the holidays?
    Are you cooking on gas yet @Japes?
    How would Elvis cope with Elvis’ diet, assuming it was a fish and cheese burger with the bun and fries @Mel d CP? Have you hit him with a bigger carb load yet?
    Wonder why it’s never been important to name the pens, is it because they’re so familiar they’d end up just ‘you’ or ‘it’. Maybe I don’t appreciate them enough.
     
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  18. WuTwo

    WuTwo Type 1 · Well-Known Member

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    The beauty of people being clients for the last 25-30 years is that you get to know each other as people, not just as professional and client. All he'll be is concerned, which is sweet of him. I've been so very lucky to have them as clients all this long time!
     
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  19. helensaramay

    helensaramay Type 1 · Expert

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    Good Morning

    I agree @Fairygodmother I never named my pens but have named my pumps. All my meters have been called Dracula or Vlad because of the way my blood is sucked up the strip.
    @WuTwo I hope you can enjoy your wooziness.
    @Robinredbreast does anyone (you or your lads) get end of term presents, today? When I was at school, it was not viewed favourably amongst your fellow pupils if you gave your teachers anything. It seems to be a competition now to give them the best box of chocolates, mug or whatever.
    @Mel dCP I hope Elvis doesn't leave the building without you.

    Today is a "meh" day. One team call, a spin class and a difficult document to write ... al whilst himself is off enjoying himself on the annual boys outing which consists mostly of beer and walking between the pubs. They have been doing this for about 10 years and have to go to exactly the same pubs in exactly the same order and end up in exactly the same Indian restaurant. I am expecting him to be talkative when he gets home. Typically, he is quite a shy, introverted chap but once he has had a few glasses, things start to change and the volume goes up. He doesn't do it very often so although binge drinking isn't great I would rather he did it one day a year and then drink little for the rest of the year than to have a bottle in his hand every night.
     
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  20. Delticmatt100

    Delticmatt100 Type 1 · Well-Known Member

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    Hi all hope ur well.

    I now have BD shields that go on my needles so I dnt hardly feel it much now as I inject.

    Also been reading that possibly can get feet issues. Tbh it scares me don't wanna loose my feet.
    Saw consultant few days ago he did a vibration test on my foot and breath sign of relief when I felt it straight away on tip of toes.
     
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