Hi,
24yo, T1D for 12 years.
I've been on the low carb diet for a couple of years and it's greatly improved my blood stability. That said, I'm having some trouble with Novorapid as a primary fast acting insulin as it seems to peak much faster than the slow rise caused by gluconeogenesis from proteins - its effects then subside too early. This leads to bloods going too low, and then too high afterwards unless I inject 3 or 4 times for one meal over the course of 3 or 4 hours, which I still haven't completely got the hang of and is inconvenient at the best of times. It also makes exercise within this window a bit inconvenient and unpredictable. At the moment I inject a quarter of the dose at the time of eating, another quarter one hour later, and then the remaining half of the full dose the hour after that. Still doesn't work perfectly and has some fluctuation.
On the Bernstein diet book he recommends using Humulin (R) for the reasons mentioned above, but this isn't readily prescribed in the UK. I was wondering if anyone was using a different type of insulin that made this more convenient? If not, how are you adjusting your insulin to make sugars more consistent?
I'm currently on between 10-12 units of Lantus a day, and I seem to have to use a lot more Novorapid than I should need for protein - some might be from short term insulin resistance. I inject Lantus in the morning because of a problem with hypos at night, but recently I've found my blood sugars rising at night as well - especially after eating later in the day. I'm also experimenting with intermittent fasting for this reason.
Thanks a lot and would greatly appreciate some help/feedback.
24yo, T1D for 12 years.
I've been on the low carb diet for a couple of years and it's greatly improved my blood stability. That said, I'm having some trouble with Novorapid as a primary fast acting insulin as it seems to peak much faster than the slow rise caused by gluconeogenesis from proteins - its effects then subside too early. This leads to bloods going too low, and then too high afterwards unless I inject 3 or 4 times for one meal over the course of 3 or 4 hours, which I still haven't completely got the hang of and is inconvenient at the best of times. It also makes exercise within this window a bit inconvenient and unpredictable. At the moment I inject a quarter of the dose at the time of eating, another quarter one hour later, and then the remaining half of the full dose the hour after that. Still doesn't work perfectly and has some fluctuation.
On the Bernstein diet book he recommends using Humulin (R) for the reasons mentioned above, but this isn't readily prescribed in the UK. I was wondering if anyone was using a different type of insulin that made this more convenient? If not, how are you adjusting your insulin to make sugars more consistent?
I'm currently on between 10-12 units of Lantus a day, and I seem to have to use a lot more Novorapid than I should need for protein - some might be from short term insulin resistance. I inject Lantus in the morning because of a problem with hypos at night, but recently I've found my blood sugars rising at night as well - especially after eating later in the day. I'm also experimenting with intermittent fasting for this reason.
Thanks a lot and would greatly appreciate some help/feedback.