For type 1s. How do you treat your diabetes?

diabetes
(Rj Yoyo) #1

Hello all! I’m looking for some discourse on top 1 diabetes in particular, and to find it what my treatment looks like compared to others doing similar things. Here’s to testing to 1&2 with ketones!
I check my blood glucose (bg) incessantly, a minimum of every two hours.
I take Tresiba in the morning and in the evening, 2u and 3u, for basal insulin.
I also take .5u novolog for dawn phenomenon intramuscularly, and 2u regular insulin SQ for my breakfast. I never wait less than 45 minutes to eat in the morning.
Lunch is fun. Some days, I’ll take .25u regular and wait 30-45 minutes to eat my small lunch, but if I work out for an hour or more I can skip the bolus and just eat.
Dinner is funny too. I inject and then check again 10 minutes later, and then every five minutes until I observe a 5mg/dl drop in five minutes time. Then I eat. Some nights it’s 30 minutes, and others it’s 10. I’ve found this related to whether I worked out in the afternoon.
Finally, I control my range tightly, correcting with glucose when I get down to 70mg/dl to prevent hypoglycemia, and taking intermuscular injections of novolog for highs above 120mg/dl.

I hope to hear from more type 1s doing this diet and changing they’re lives.

#2

Hi RJ,
Curious to know which country you’re in please? That’s a lot of BG testing. You made me stop and think/count how often I’m testing currently. The answer is 8/day (unless any lows etc): broken down as

  1. On rising from bed (DP check)
  2. 20 mins pre breakfast (often don’t eat food just have coffee with cream)
  3. Approx 1.5 to 2 hours after breakfast (post prandial)
  4. 20mins pre lunch (mostly don’t eat lunch)
  5. Approx 1-2 hours post prandial
  6. 20 mins pre dinner (my main meal :often do OMAD)
  7. 1 hour post prandial to check for protein effect on BG
  8. Prior to going to bed

Have you got access to continuous glucose monitoring( cgm) such as Freestyle Libre(others available) in your country? This should help you reduce testing. Many T1Ds who use this type of system are very pleased with how it helps their control and reduces finger pricking .

I assume that you meant sub-cutaneous injecting rather than intramuscular. I can’t give medical advice to you but IM is not recommended for administering insulin and you should discuss this with your doctor.

I use Levemir twice daily as my basal insulin and Novorapid as bolus (Novolog in US?) Since starting keto I’ve decreased Novo by approx. 50% and basal doses of Levemir reduction of only 2 units /dose currently.

You will also find a number of T1Ds eating the keto way on www.diabetes.co.uk as an additional support forum.

Can I ask one of the administrators to move this thread to T1D please. Thank you!

(Rj Yoyo) #3

I’m actually working on getting CGM through my insurance, that’s why I check so much. Lol that and I like seeing those good numbers so much! I figure if I can show them I’m watching it that closely to gain the control I’ve gained, maybe they’ll cut me slack. I do the im injections for correcting highs according to Dr b’s recommended methods. I inject SQ when I’m taking meal insulin, and basal. I’m in the US, but I do believe you’re correct about novolog and novarapid, though I’m not 100 percent sure about that. Thank you for the forum site, I’ll go check it out ASAP! My doctor is tracking me and supportive in that she had read a few of the books I’ve given her, and keeps telling me, “do what works. When it stops working, maybe you’ll try my way.” This is very discouraging, but what can you do? I’ve seen almost every doctor in town, and the general attitude is just like hers. There is one doctor, but he only sees women, so that counts me out. That’s why I’ve read every thing I could get my hands on about keto and type 1, and continue to look places like here, where I can find more knowledge and continue to make progress in spite of not having much support from my doctor.