alanG
DAFNE Graduate
The Rotherham NHS Foundation Trust
11 posts
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[Shared diary only visible when logged in]
I attach a few days recent diary, which are fairly typical of my lifestyle pattern. I have had diabetes for 18 months, and went on a DAFNE course about 6 months ago. Using the tools from that, I have ended up taking 2 BI units in the morning, 10 units in the evening. As I am reasonably active, golf, garden, exercise bike, and proper bike - weather acceptable, and I am trying to lose some weight, I have determined that if I have low carb breakfast and lunch, I can maintain good blood glucose levels without any QA insulin at all. If I do have a more substantial breakfast or lunch, I take QA insulin at a ratio of 0.5:1. We eat our main meal around 5 - 6 pm. I have been using a ratio of 0.75:1, which compensates for "grazing" in the evening. As winter is now setting in I have been on the exercise bike in the evening rather than watching crummy tv, and have now dropped the evening ratio to 0.5. My blood glucose levels are good, including a long-term level around 42-44 over the last 12 months. I have had occasion where I am out and about, and may have some reasonable carb intake without insulin correction - bacon sandwich while out shopping, couple of beers and a few crisps after a meeting, but when I check my sugar levels later there is no significant impact. I am clearly confused (but happy) at my low insulin requirements, and wonder if other members have a similar experience, which would settle me down a little. I also wonder if I am still producing some insulin that is supplementing my injections, although I recognise that any "honeymoon" period should have ended by now.
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Vickyp
DAFNE Graduate
County Durham and Darlington NHS Foundation Trust
137 posts
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I am 2.5 years after diagnosis and use tiny amounts of insulin. I have had a pump for a year due to sensitivity. On MDI QA+BI I averaged 15units/day! On the pump (after a very recent increase in insulin need) I now average 4.5units/day total insulin...tiny amounts. I've had tests that show I do still produce some insulin but small amounts which are sporadically released. Am not classed as honeymooning as have a relatively rare form and not your 'typical' diabetes. My endo said that honeymooning would last a year at the most.
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