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Diabetes Discussion
Type 1.5/LADA Diabetes
When is the right time for insulin
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<blockquote data-quote="ert" data-source="post: 2392091" data-attributes="member: 504712"><p>I refused to start insulin for 2 years after diagnosis as type 1. In the end, when I could no longer physically run my blood sugars down, I had to accept insulin.</p><p></p><p>You are most likely to be started on long-acting insulin. I started with just 2 units of Levemir insulin in the morning and 1 unit at night. (Even though the standard recommendation is that I start with 7 units morning and night, my consultant agreed for the small doses as I was very active as a runner and was still eating low carbohydrate <30 grams a day following Bernstein and lightweight with a BMI of 19.) Ask about starting on smaller doses initially as you can always increase them when needed.</p><p></p><p>You can exercise without worrying on long-acting, as you will not need to snack to keep your blood sugars above 4 mmol/l. I've been walking 20 km a day on the SW coastal path this week. I complete the walk only on long-acting and coffee, before breakfast (which I have been having at 3 pm) and I haven't needed to eat anything.</p><p></p><p>It's the short-acting with meals which is tricky to manage with exercise within a window of 5 hours after taking it without snacking.</p><p></p><p>If I had known this information, I would have started insulin straight away.</p></blockquote><p></p>
[QUOTE="ert, post: 2392091, member: 504712"] I refused to start insulin for 2 years after diagnosis as type 1. In the end, when I could no longer physically run my blood sugars down, I had to accept insulin. You are most likely to be started on long-acting insulin. I started with just 2 units of Levemir insulin in the morning and 1 unit at night. (Even though the standard recommendation is that I start with 7 units morning and night, my consultant agreed for the small doses as I was very active as a runner and was still eating low carbohydrate <30 grams a day following Bernstein and lightweight with a BMI of 19.) Ask about starting on smaller doses initially as you can always increase them when needed. You can exercise without worrying on long-acting, as you will not need to snack to keep your blood sugars above 4 mmol/l. I've been walking 20 km a day on the SW coastal path this week. I complete the walk only on long-acting and coffee, before breakfast (which I have been having at 3 pm) and I haven't needed to eat anything. It's the short-acting with meals which is tricky to manage with exercise within a window of 5 hours after taking it without snacking. If I had known this information, I would have started insulin straight away. [/QUOTE]
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Type 1.5/LADA Diabetes
When is the right time for insulin
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