very worried over type one control

kierantaylor13 said:

Hey noble head thank you for your response yeah I need to take it a lot more serious than what I have been. I have been neglecting it very much which is a silly thing to so but I intend to make some big changes now

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Listen Kieran its never too late to take control, try and work with your diabetes team so they can advise you on your insulin doses and individual bg targets, the DAFNE course is really good and gives you the foundations in which to build upon so I strongly suggest you do the course.

A good book to read on type 1 diabetes is Think Like a Pancreas by Gary Scheiner, it comes highly recommended on the forum and is a book you can return to time and time again when your having difficulties with your diabetes control, you can get it on Amazon for around £12.

The insulin regime you are on now is ideal as long as take the injections when eating your main meals, so do ignore the advise about changing to a mixed insulin, once you get into a routine injecting before meals becomes second nature.

jack412 said:

the 70/30 wasn't advice, it was to ask the dr about it, there was a lass here a while ago that was having trouble getting the 4 injections in and the dr advised the 70/30 as the solution

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The OP is on the best insulin regime, he just needs to take his insulin, this will come when he starts to take his diabetes more seriously as he has said, anyway with respect Jack your not exactly in a position to be advising type 1's on insulin when your a diet controlled type 2.

Hi Kieran, as an MDI type 1, I'd agree with noblehead on the approach to take. The most important thing is to take your insulin and check your sugar levels. Four injections a day is reasonably easy to remember as they are always with food,
and it will give you the best control.

Welcome to the forum, and you've made the right first move by seeking advice here.

When your control hasn't been good for a while then you need to bring your levels down at a reasonable rate each day. Not go for a quick fix....

Your targets need to be 6-8bg and the swings after eating need to be minimal on a longer term basis.

You should get back into the habit of using a log book and recording bloods, foods and doses....

This will also give dsn's and you a better idea of how to adjust your insulins.

Very few T1's are perfect angels all the time... I certainly haven't been and thankfully I am complication free after 30yrs T1...so honestly you aren't the only one, and most of us here that try to help others have achieved better control.. But we all are individuals so have differing ways that our bodies need insulin. One size doesn't fit all.

However, our advice is from experience only. We are not official health care persons, so its all based upon what we would do if we were in your position.

Glad to see you here (if you know what I mean)...

Hi Kieron, can't add anything too new to what's already been said but I'd certainly advise you to do two things.

1. Forget the past and start now, great time being the new year and all, and take control.

2. Don't get too bogged down straight away with carb counting - speak to your Diabetic team and start as though you've just been diagnosed. For me, that meant keeping a log of my readings, having set doses of insulin and speaking to the diabetic nurse every day for a couple of weeks to adjust doses and get things stabilised. Use your diabetic team!! It was approx. 4mths before I started carb counting and by then I had the basic tools to adjust doses based on readings alone. It helped enormously. Regular testing is the most fundamental thing you need to do, it will arm you with the knowledge you and your diabetic team need,

But seriously, wipe the slate clean and start again with a serious and motivated mindset. You will get it under control and you will eventually wonder what you were so worried about. Keep posting and keep us informed, whether good or bad, you will always get sound advise and support.