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Very varying insulin requirement
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<blockquote data-quote="LittleSue" data-source="post: 81713" data-attributes="member: 6295"><p>Saw the consultant in diabetic clinic today. He confirmed that they see quite a few diabetic ladies with this problem. Sometimes they resort to continuous hormone tablets, like I was on, to stop the periods completely. Fortunately he wasn't suggesting we even consider doing that. He agreed this hormonal variation has probably been a factor in my lack of control over the years and that DAFNE helped unmask it. </p><p></p><p>The plan is see him in 3 months and probably do another 72-hour monitor then if things haven't improved, because at present things may not have settled after stopping the tablets. He'll see me at short notice if I'm really struggling. Meanwhile I'm going to concentrate on upping the ratios more in appropriate weeks, to try to get bs back to baseline sooner after breakfast. He suggested the hormone variations make one more insulin resistant, so logically I'd need more basal rather than more bolus, but the monitor and the tablets showed that when I'm premenstrual I need higher meal ratios. Also in the past year my basal has gradually gone up anyway so I've probably done that bit already.</p><p></p><p>Amazingly, my HbA1c has come down from 7.2 to 6.6 <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" /> despite covering the time taking those horrid tablets! Guess that shows that a good average can mask problems.</p></blockquote><p></p>
[QUOTE="LittleSue, post: 81713, member: 6295"] Saw the consultant in diabetic clinic today. He confirmed that they see quite a few diabetic ladies with this problem. Sometimes they resort to continuous hormone tablets, like I was on, to stop the periods completely. Fortunately he wasn't suggesting we even consider doing that. He agreed this hormonal variation has probably been a factor in my lack of control over the years and that DAFNE helped unmask it. The plan is see him in 3 months and probably do another 72-hour monitor then if things haven't improved, because at present things may not have settled after stopping the tablets. He'll see me at short notice if I'm really struggling. Meanwhile I'm going to concentrate on upping the ratios more in appropriate weeks, to try to get bs back to baseline sooner after breakfast. He suggested the hormone variations make one more insulin resistant, so logically I'd need more basal rather than more bolus, but the monitor and the tablets showed that when I'm premenstrual I need higher meal ratios. Also in the past year my basal has gradually gone up anyway so I've probably done that bit already. Amazingly, my HbA1c has come down from 7.2 to 6.6 :D despite covering the time taking those horrid tablets! Guess that shows that a good average can mask problems. [/QUOTE]
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