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Type 1'stars R Us

Love the hair @Antje77, it looks very cool. Did your neighbour’s wife have a haircut too or does she just shear others?
 
Knikki said:
10.6 is not so bad and if the Levemir had been doing its job it may well have dropped you down, but that's just a guess :)

OK as an experiment, and yes you can shout at me a slap me if you want, but if you do wake at that time and test leave it alone and do nothing see what happens. :)

But its up to you.

Don't forget that in an ideal world we would sit between 4-10mmol all day, so a 10.6 is not so far out. Obviously if you wake up at that time of night and its 15mmol then yes do something, I would.

Take care :)
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@Knikki, you write sense and I'd already decided to only deal with very high stuff. Really I have to check, strips are going faster than Cadbury fingers
 
I'm becoming stupidly obsessed with the Evil D. Who coined that one? it's most appropriate.
Need to give my head a good shake, a kick up the botty and get back to the positive happy me.
On a lighter note, the sun's out and I'm going to fight nettles, stuff the Evil D, going to pretend it doesn't exist for a couple of hours. I can do this as it's come down
13.4 to 9.2 in 5 hours and that's with no help from me
 
SueJB said:
@Knikki, you write sense and I'd already decided to only deal with very high stuff. Really I have to check, strips are going faster than Cadbury fingers
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Hi, Sue, at regular stages I've re-read a few books as there are things which I was either not taught in the first place, or had forgotten or didn't pick up the first time due to lack of experience, and going back for a second or third read has made more sense the next time round.

I'd suggest having a sketch at the ones below. Although one is to do with cgm and another to do with pumps, they've all got stuff which is very applicable to non-cgm MDI, particularly the issues of getting basal set right, and the time pattern or "shape" of insulin action.

I reckon those two things are critical to management but can be very often misunderstood or overlooked - get them right and lots of other things just fall into place.

The one on pumping insulin can be quite heavy going, a lot more technical than the others but I picked up some stuff from it I hadn't really thought about before.

Think Like a Pancreas, Gary Scheiner

Sugar Surfing, Stephen Ponder

Pumping Insulin, John Walsh
 
SueJB said:
Morning all, stonking headache, feel ******, not happy.
@MeiChanski you talk about dangerous hypos and @Knikki bad ones so in your opinion and others, does last night's offering of 1.7 count?
And the consequence of panic stuffing face, not eating, 13.4 this morning
So the question is how low can you go before you phone for an ambulance?
There is no logic, the sun's just gone in and I can't be bothered to think about a holiday. Depressed
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1.7 is "a bit low", and one I'd be correcting with glucose albeit in the form of jelly babies. I'll correct less severe ones with biscuits. And yes, you will get THE HUNGER, and will over correct. But 13 from that isn't too much to worry about so long as it doesn't happen very often.

I've had the ambulance called for me three or four times for hypos while asleep. The first was when fairly freshly diagnosed, and my first proper crash - little green men gave me glucagon. Since then I've always had glucagon with me at night (unless away alone). The ambulance was called when I apparently wasn't coming round fast enough, but they didn't do very much. I've had quite a few more hypos like that, and my wife has dealt with most of them. I now have a libre/miaomiao alarm, and although my wife finds the alarm irritating, she's much happier to be woken by that than by me thrashing.

If you have an appropriate sleeping partner, then get some glucagon and show them what to do and when to do it. If you don't come round from that, ambulance time. If you're alone, that backstop isn't there and you simply can't let it go that far :-( (me on occasional work trips)

Re the "why" - probably that 1.5 novorapid. Sometimes it takes as little as that to do scary things. Libre can help - eg is that 10.6 going up or down? My HbA1C improved on getting the alarm because I can now safely do corrections like that - previously it wasn't safe for me to correct before going to sleep.
 
porl69 said:
@karen8967 Helens medtrum is a patch pump, similar to the Omnipod BUT a tad smaller (I hope :))
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ive got pump clinic on 10th of june was given the option of 3 pumps im sure medtrum was mentioned but i cant remember im getting all nervous because im going away on 2nd july and am a bit wary about going with a pump as il still be getting used to it was going to cancel appointment but dont want to that as i hummed and arred last time i was offered pump and decided to stay on mdi but levels are up and down lately mostly down if i alter my basal by half a unit levels end up sky high that was one of the resons i wanted the pump because you can set basal rates lower than 0.5 incremements which i feel might help also hoping to come off the metformin i have to take with having insulin sensitivity/resistance can never remember which ....bet your sorry you answered me now enjoy your day porl69 :happy:
 
Scott-C said:
Hi, Sue, at regular stages I've re-read a few books as there are things which I was either not taught in the first place, or had forgotten or didn't pick up the first time due to lack of experience, and going back for a second or third read has made more sense the next time round.

I'd suggest having a sketch at the ones below. Although one is to do with cgm and another to do with pumps, they've all got stuff which is very applicable to non-cgm MDI, particularly the issues of getting basal set right, and the time pattern or "shape" of insulin action.

I reckon those two things are critical to management but can be very often misunderstood or overlooked - get them right and lots of other things just fall into place.

The one on pumping insulin can be quite heavy going, a lot more technical than the others but I picked up some stuff from it I hadn't really thought about before.

Think Like a Pancreas, Gary Scheiner

Sugar Surfing, Stephen Ponder

Pumping Insulin, John Walsh
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Thanks @Scott-C that's a good idea. Which is just for prickers? don't have a pump or a CGM
 
I use

Using Insulin by John Walsh - that's for prickers - truly a good and useful book.

and the Think Like a Pancreas one

I haven't read Sugar Surfing but I might get a copy
 
evilclive said:
1.7 is "a bit low", and one I'd be correcting with glucose albeit in the form of jelly babies. I'll correct less severe ones with biscuits. And yes, you will get THE HUNGER, and will over correct. But 13 from that isn't too much to worry about so long as it doesn't happen very often.

I've had the ambulance called for me three or four times for hypos while asleep. The first was when fairly freshly diagnosed, and my first proper crash - little green men gave me glucagon. Since then I've always had glucagon with me at night (unless away alone). The ambulance was called when I apparently wasn't coming round fast enough, but they didn't do very much. I've had quite a few more hypos like that, and my wife has dealt with most of them. I now have a libre/miaomiao alarm, and although my wife finds the alarm irritating, she's much happier to be woken by that than by me thrashing.

If you have an appropriate sleeping partner, then get some glucagon and show them what to do and when to do it. If you don't come round from that, ambulance time. If you're alone, that backstop isn't there and you simply can't let it go that far :-( (me on occasional work trips)

Re the "why" - probably that 1.5 novorapid. Sometimes it takes as little as that to do scary things. Libre can help - eg is that 10.6 going up or down? My HbA1C improved on getting the alarm because I can now safely do corrections like that - previously it wasn't safe for me to correct before going to sleep.
Click to expand...
Thanks @evilclive I saw how difficult it was for a non-medic to try when I did the DAFANNY course to try and work out how to use glucogon so I wouldn't even try, I've no idea. Up to know I've been doing what I was told to do to treat a hypo, fast acting glucose followed by slow release. I wasn't hungry just knew it had to be done. The Libre sound like a partial solution along with rereading as @Scott-C says about basic basal management
 
helensaramay said:
Yep. That’s the one. It’s a Medtrum A6.
There don’t seem to be many around which is one of the risks but there was no way my ccg was going to fund the OmniPod.
After 3 years with Pumpy (my tubey Animas Vibe), I needed a replacement. Being small and vain, I hated having it on display and having to get it out whenever I bolused but I love the variable basal rated so definitely preferred pumping to injecting.
At my last review, I made an impassioned plea for a patch pump and when the CCG were offered a Medtrum trial they thought of me. The DSN argument was a patch pump would be better for the exercise I did so I didn’t tell her I usually removed it at the gym.
There are definitely pros and cons of being patched rather than tubed but at the moment I prefer the patch.
Patch cannot be removed, is in one place for 3 days and has a larger surface area in contact with my skin so there are less options to place him. But he is much smaller than Pumpy, is managed by remote control, and I don’t have to consider the tube every time I change, use the toilet, etc.
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thanks helen x
 
Also - delighted - I went and had my blood sucked for yesterday and was nattering with the phlebotomist (veggie friend of mine). We got to talking about lunch and she told me that one of her faves is raw baby courgettes. I added one to my lunch today and enjoyed it very much. Very pleased to have another raw veg to add to my lunch bowl :happy:

I do add flavoured olive oil, sunflower (or pumpkin) seeds and parmegan to the bowl. It's a delicious lunch!
 
WuTwo said:
I use

Using Insulin by John Walsh - that's for prickers - truly a good and useful book.

and the Think Like a Pancreas one

I haven't read Sugar Surfing but I might get a copy
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Thanks @WuTwo, I read Think like a p when first diagnosed and don't remember anything but I'm sure I took it on board. Rereading is the way. Not heard of the other one
 
karen8967 said:
ive got pump clinic on 10th of june was given the option of 3 pumps im sure medtrum was mentioned but i cant remember im getting all nervous because im going away on 2nd july and am a bit wary about going with a pump as il still be getting used to it was going to cancel appointment but dont want to that as i hummed and arred last time i was offered pump and decided to stay on mdi but levels are up and down lately mostly down if i alter my basal by half a unit levels end up sky high that was one of the resons i wanted the pump because you can set basal rates lower than 0.5 incremements which i feel might help also hoping to come off the metformin i have to take with having insulin sensitivity/resistance can never remember which ....bet your sorry you answered me now enjoy your day porl69 :happy:
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I would defo go to the pump clinic. It took me a while to realise I was interested in a pump but boy am I glad I took the plunge. My best A1C in 35 years said it all. Yeah they are a PITA to get set up and I am constantly altering my basal settings. I do love the small amounts of insulin they can deliver, just means you have to be pretty accurate with your carb counting. Never sorry to help out
 
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SueJB said:
Thanks @WuTwo, I read Think like a p when first diagnosed and don't remember anything but I'm sure I took it on board. Rereading is the way. Not heard of the other one
Click to expand...

Using Insulin is one I spotted on my consultant's shelf. I told I'd got a copy and had gained a lot from it. She was delighted.
 
WuTwo said:
Also - delighted - I went and had my blood sucked for yesterday and was nattering with the phlebotomist (veggie friend of mine). We got to talking about lunch and she told me that one of her faves is raw baby courgettes. I added one to my lunch today and enjoyed it very much. Very pleased to have another raw veg to add to my lunch bowl :happy:

I do add flavoured olive oil, sunflower (or pumpkin) seeds and parmegan to the bowl. It's a delicious lunch!
Click to expand...
what's parmegan @WuTwo ??
 
SueJB said:
Thanks @evilclive I saw how difficult it was for a non-medic to try when I did the DAFANNY course to try and work out how to use glucogon so I wouldn't even try, I've no idea. Up to know I've been doing what I was told to do to treat a hypo, fast acting glucose followed by slow release. I wasn't hungry just knew it had to be done. The Libre sound like a partial solution along with rereading as @Scott-C says about basic basal management
Click to expand...
@SueJB when I hypo, I take jelly babies, wait 15 mins, test, if I'm still too low, jelly babies again, 15 mins, test again, and I do that until I'm either over 4 or in the high 3s before I consider whether i want to add in any slow acting carbs. The reasoning is that if you take slower release carbs before you're back up to an acceptable level, any additional fast-acting stuff ie jelly babies/glucose tabs/whatever won't act as quickly as their absorption will be slowed down by slower acting carbs. A couple of weeks ago I was in the 2s and it took me three goes to get somewhere sensible as I had expected bg to come up more quickly in response to the normal treatment. The reason it didn't was because I was hypo immediately after eating my dinner so the jelly babies were on a go-slow, but figuring that out didn't happen till bg was back to a sensible number. Apologies if none of this is news to you :oops:
 
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