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Type 1'stars R Us

British asparagus season has just started here - first of the year last night (no, not home grown, we're not gardeners at all). Time for smelly wee. We just steam and eat with melted butter and pepper as a starter.

Now, white asparagus - decadent luxury or slightly unpleasant and a waste? A german friend thinks the former, we're the latter.

White asparagus....just no
 
Oh mon dieu. They’ve got me teaching FRENCH... I haven’t been to a French lesson since about 1989! On the bright side, there’s national literacy and numeracy tests today so my year sevens haven’t turned up. I’ve got a lovely top floor classroom to hide in. :)
Print something off - ask them to translate it. Leave it for the usual teacher to mark.
 
Luckily work had been set. Not much for me to do other than tell them to shut up hahaha.

Bloods a little low today, I wonder if my increased basal much be a bit much. I’ll see how it goes this evening before making more changes. I seem to go quite high then.
 
These false hypos are getting on my nerves a bit now. 4.7 and shaking like a leaf! And I have no idea how to handle that, so just took my normal dose of insulin and had my lunch, as it was that time. Trying my best not to stuff myself too much like I did when his happened yesterday, which left me with high levels still 4 hours later! A lovely lunch of reheated roast dinner and a few squares of sugar free dark chocolate for puds.

On the plus side, I did my first injection in my stomach! Thank God for the teeny tiny needles I got prescribed! Time to give my thighs about if a break me thinks. And just used up my first novorapid pen! Today's not going too badly!
 
These false hypos are getting on my nerves a bit now. 4.7 and shaking like a leaf! And I have no idea how to handle that, so just took my normal dose of insulin and had my lunch, as it was that time. Trying my best not to stuff myself too much like I did when his happened yesterday, which left me with high levels still 4 hours later! A lovely lunch of reheated roast dinner and a few squares of sugar free dark chocolate for puds.

On the plus side, I did my first injection in my stomach! Thank God for the teeny tiny needles I got prescribed! Time to give my thighs about if a break me thinks. And just used up my first novorapid pen! Today's not going too badly!
If you can, get into a routine about where you inject. If you overuse a site you can end up with lipohypertrophy (takes a while but as well to know about it now; speaking from experience sadly!) whereby the tissue you'reinjecting into gets lumpy from overuse and is therefore more resistant to injected insulin and more variable in absorption. There are tips on this site at https://www.diabetes.co.uk/insulin/injection-sites.html
 
Are nurses supposedly told the same things when they're trained? Getting completely different advice from different nurses now.

Nurse 1: eat how you normally would, but just cut out most sugar
Nurse 2: eat the same amount if carbs in every meal. Definitely cut down on carbs for now.

Nurse 1: inject and then wait no longer than 5-10 minutes before eating
Nurse 2: definitely wait 20 minutes after injecting before you eat

Nurse 1: you'll have to wait 6-12 months before you start carb counting
Nurse 2: no reason why you cant start carb counting as soon as possible, as you seem keen

Argghhh!!!

Ok, rant over. Sorry for shouting
 
Are nurses supposedly told the same things when they're trained? Getting completely different advice from different nurses now.

Nurse 1: eat how you normally would, but just cut out most sugar
Nurse 2: eat the same amount if carbs in every meal. Definitely cut down on carbs for now.

Nurse 1: inject and then wait no longer than 5-10 minutes before eating
Nurse 2: definitely wait 20 minutes after injecting before you eat

Nurse 1: you'll have to wait 6-12 months before you start carb counting
Nurse 2: no reason why you cant start carb counting as soon as possible, as you seem keen

Argghhh!!!

Ok, rant over. Sorry for shouting
@Jazz97 OK to shout and I feel exactly the same. When I was diagnosed, I read like mad and carb counting was one of the first things I learnt. I asked the DSN about this and was told that it was too early to be thinking about that!!!!!!!!! How is that possible???? Just keep injecting the insulin I was told regardless. The Da-***** course I went on over a year later taught me nothing new. I learnt more from reading and from the kind words and advice from everyone here
On treating hypos... I eat fruit pastilles but am going to have to find something less tempting
 
That's an amusing mix :-) Re cutting out sugar - you're T1, you can inject for it, but that doesn't avoid the other problems sugar has. Same amount of carbs per meal will make management a bit easier, but isn't mandatory. Novorapid - can even be more than 30 minutes sometimes, depending on how high you are - experiment (carefully...). At least you're allowed to carb count now - I did think that waiting was not a great plan if you're up to it.
 
Are nurses supposedly told the same things when they're trained? Getting completely different advice from different nurses now.

Nurse 1: eat how you normally would, but just cut out most sugar
Nurse 2: eat the same amount if carbs in every meal. Definitely cut down on carbs for now.

Nurse 1: inject and then wait no longer than 5-10 minutes before eating
Nurse 2: definitely wait 20 minutes after injecting before you eat

Nurse 1: you'll have to wait 6-12 months before you start carb counting
Nurse 2: no reason why you cant start carb counting as soon as possible, as you seem keen

Argghhh!!!

Ok, rant over. Sorry for shouting
Mate, you’ll find this happens an awful lot over the course of your T1 career. But because it’s YOUR body and YOUR diabetes, you’ll end up starting by following the guidelines, and then sticking with the bits which work, and binning the bits that don’t. It’s you that will be deciding when and how much insulin to inject, and you that has to correct it if your levels aren’t what you want. We have to be really pro-active as patients, I can’t think of another condition that demands as much legwork as this one. For every other illness (correct me if I’m wrong, chaps) your doctor/nurse/HCP decides your dose, what time to take it, or does any injections or blood tests that need doing. We have to do all that ourselves, and with no notice or training. I think your keen-ness to get things moving is brilliant, and we’ll help wherever we can. Do check out the online carb counting courses, and in the meantime log your doses, how many carbs you’re eating (from the label or by looking on a British supermarket like Sainsburys website for nutritional info for fresh produce) and your levels before and two hours after eating - so you can gauge the effect your food and insulin is having on you.
 
Hypos are a pest. Unfortunately, I don't think you'll ever get used to them. But ...
If you have fast acting carbs with you at all times, you can get over them reasonably quickly.
In all the discussions you have been involved with, I don't think hypo treatments have been discussed. These are very important.
We all have our favourite treatments. I use GlucoTabs because they are easy to carry, easy to measure, don't look like sweets (so don't get pinched) but the raspberry ones taste ok. Other people use jelly babies or lucozade, for example,
My GlucoTabs stay with me all the time - when I am at my desk, when I am at the gym, next to the bed, when I am out for a drink, ... as a hypo can come at any time.

Typically, we would treat anything below 4.0 with these hypo treatments. However, as your body has got used to the higher BG and you are experiencing false hypos, you could ease the symptoms with a jelly baby or dextrose or whatever your treatment of choice.
These should work fast. If you are hypo just before a meal, treat the hypo first because the carbs in your meal will not work fast enough.

wise words!

BTW I ordered a load of Lemon and Lime flavoured glucotabs..........bad mistake!

They're blinking lovely, too lovely really for a hypo treatment. I've not tried the raspberry ones, well I might have done in the long and distant past and didn't like them, orange are just about acceptable, not horrible but also not that nice you'd want to eat them in a non-hypo state.
 
wise words!

BTW I ordered a load of Lemon and Lime flavoured glucotabs..........bad mistake!

They're blinking lovely, too lovely really for a hypo treatment. I've not tried the raspberry ones, well I might have done in the long and distant past and didn't like them, orange are just about acceptable, not horrible but also not that nice you'd want to eat them in a non-hypo state.
I've got jelly babies ready with me for when I have hypos. My favourite sweets!
On the one hand I dont want to get too low, but on the other hand...
 
Mate, you’ll find this happens an awful lot over the course of your T1 career. But because it’s YOUR body and YOUR diabetes, you’ll end up starting by following the guidelines, and then sticking with the bits which work, and binning the bits that don’t. It’s you that will be deciding when and how much insulin to inject, and you that has to correct it if your levels aren’t what you want. We have to be really pro-active as patients, I can’t think of another condition that demands as much legwork as this one. For every other illness (correct me if I’m wrong, chaps) your doctor/nurse/HCP decides your dose, what time to take it, or does any injections or blood tests that need doing. We have to do all that ourselves, and with no notice or training. I think your keen-ness to get things moving is brilliant, and we’ll help wherever we can. Do check out the online carb counting courses, and in the meantime log your doses, how many carbs you’re eating (from the label or by looking on a British supermarket like Sainsburys website for nutritional info for fresh produce) and your levels before and two hours after eating - so you can gauge the effect your food and insulin is having on you.

I don't think I really got this mindset and accepted it fully - even though I pushed to start carb counting and work out the basics of dose adjustment straight away - until I sat myself down and read Think Like a Pancreas. My DSN has referred to stuff inside it once or twice since. It's not up to date technology wise but for the nuts and bolts of type 1 management it really makes sense when the content clicks.

As an aside, Tesco used to be really good with nutritional information for fresh produce including loose vegetables but they've slowly been removing it in recent months :(
 
by looking on a British supermarket like Sainsburys website for nutritional info for fresh produce

To add to that : different countries count carbs in their nutritional information differently. EU/UK has carbs in nutritional information = the ones we're interested in. US and possibly other places includes fibre in the carbs, which means you need to subtract that. So best to stick to UK sources.

(chemically fibre is of course a carbohydrate, but the body treats it differently and it doesn't need insulin, so I think I prefer the UK approach of putting it in a separate category)
 
I don't think I really got this mindset and accepted it fully - even though I pushed to start carb counting and work out the basics of dose adjustment straight away - until I sat myself down and read Think Like a Pancreas. My DSN has referred to stuff inside it once or twice since. It's not up to date technology wise but for the nuts and bolts of type 1 management it really makes sense when the content clicks.

As an aside, Tesco used to be really good with nutritional information for fresh produce including loose vegetables but they've slowly been removing it in recent months :(
I've just ordered a fee books on T1, but Think Like a Pancreas wasnt one if them... I kept seeing reviews saying it was more targeted towards an American audience. Is it general enough to be relevant to a UK reader?
 
I've just ordered a fee books on T1, but Think Like a Pancreas wasnt one if them... I kept seeing reviews saying it was more targeted towards an American audience. Is it general enough to be relevant to a UK reader?

There is some American things in there and sometimes units like mg/dl might be used instead of mmol/l but the concepts themselves are fairly universal. I find it great reference material even now occasionally a few years down the line.
 
Have a couple to get the levels up, then inject and scoff the rest of the packet?

Jelly babies are my preferred immediate hypo treatment (for when I need something quickly), and I transfer them from the big bags into little ones - currently 5 in a bag. It helps with not having a tempting open bag around, not worrying about opening a bag because that might leave an open bag around, and providing a limit to stop me succumbing to THE HUNGER.

BTW easter jelly baby chicks - 2 quid for a container of about 490 grams, easter leftovers :-)
 
Jelly babies are my preferred immediate hypo treatment (for when I need something quickly), and I transfer them from the big bags into little ones - currently 5 in a bag. It helps with not having a tempting open bag around, not worrying about opening a bag because that might leave an open bag around, and providing a limit to stop me succumbing to THE HUNGER.

BTW easter jelly baby chicks - 2 quid for a container of about 490 grams, easter leftovers :-)
Yes! I have little bags of four, which is probably for the best!
 
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