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Diabetes.. routine

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
trophywench said:
Direct from the mouth of a Diabetes consultant at UHCW during my carb counting/dose adjustment adjustment course there along with the other dozen 'students' and the two DSNs/one Dietician delivering it. Why would I disbelieve him when he's been absolutely straight, to the point and spot on with everything about my diabetes ever since the day I first met him?

Ask your consultant if it's true why don't you?
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Did look online to see if owt came up but nothing.

Wasn't expecting you not to believe what was said just dont believe it myself, days weeks maybe but not up to 11 years, how would that be even possible.
 
Well I didn't do the research LOL

One of the worst hypos I've ever had, funnily enough, was after a regular D clinic visit. I'd obviously tested after lunch before I drove there - and then consumed one almost full bottle of orange Lucozade my usually hypo remedy I had with me plus 3 x 380ml bottles of Lucozade and half a packet of custard creams, from the clinic's supply cupboard, before being high enough for long enough to risk driving home.

No other explanation for it AFAI, the consultant or the DNS could suggest. Nothing whatever different about that day, by which time I was on a split dose of Levemir and had been for a few years, plus Novorapid, Hence by 4pm there really wouldn't be any 'violent' effects from either insulin left to run. Normal day, normal lunch at 12 noon, normal bolus for it, left at 3 for 3.30 appointment.
 
trophywench said:
No other explanation for it AFAI, the consultant or the DNS could suggest. Nothing whatever different about that day, by which time I was on a split dose of Levemir and had been for a few years, plus Novorapid, Hence by 4pm there really wouldn't be any 'violent' effects from either insulin left to run. Normal day, normal lunch at 12 noon, normal bolus for it, left at 3 for 3.30 appointment.
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Well, maybe. Or maybe you became inexplicably insulin sensitive for a few hours. The idea of insulin being trapped somewhere for (up to) several years seems implausible to me, but I can't think of any way it could be disproven. (Evidence could be found, in principle, by finding such a hidden reserve and testing it. But that's not something that seems likely to happen, or even to be tried.)

(Personally I'll stick to the "weird things happen with diabetes sometimes" explanation, which is more general (since it equally applies to highs which don't seem to have an actual explanation).)
 
Every single high BG and hypo I have ever had since 1972 normally has a very simple explanation the vast bulk of which have always been user error - and that is absolutely the truth. Once it was smashing my patella when for the first time in my life I had to test for ketones. Other than that the only utterly unexplained thing was that one hypo.

My belief is that working out what caused the 'surprises', is THE most important thing to do with them (once you've corrected the BG glitch and your brain is in full working order again obviously!) in order to try and avoid em if possible, for ever more.

I've never been known for an exercise regime, I have occasionally needed to rum for a bus or something, occasionally taken very long walks, but hardly ever 'energetically' as it were. More for the scenery and things like NT and other old edifices. I've never had children and always had an office based sedentary job. Although it was involving insurance and negotiation on behalf of very large organisations, some multi nationals, it was a 'people' business. You learn so much you've never had any clue about whether it happened to be tantalising timber or operating a police helicopter - very varied work. Every single job and hobby I have ever had and still have, has involved people.

What I'm trying to get over, is a very stable existence - although No Way Pedro has it ever been boring!
 
Jon-Manchester said:
Wow!!! 11 years !? Does this only apply to Lantus, if it does, then that sounds like a very strong reason to not use it?
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trophywench said:
No, it's possible with every single insulin that's ever been manufactured and used by humans. You only suspect that's what caused it, if you have one 'let go'. Because it simply doesn't happen every 5 minutes, you could just as likely never have one, as have one.
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I guess at least some of any ‘not properly absorbed’ insulin (scar tissue... lipo... etc) would most likely denature over time, since the body is quite a bit warmer than room temp with it’s 28 day rule of thumb?

Probably a good job that it does given the number of doses I have in a year that just appear to ‘go missing’ or turn to water.

And diabetes is weird, so I can perfectly well believe that trapped insulin that initially ‘didn’t work’ could release later - over whatever time scheme. And perhaps only rarely does it have any juice left in it, which is why we aren’t inexplicably keeling over right left and centre?

And I’ve also had those ‘what’s going on today‘ days @Sally71 where I have eaten for England to recover from what ought to have been a very minor wobble.
 
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Ah, i find it more likely that there might be the odd pocket of Novorapid hiding in my daughter's body from more recently, ready to spring into action at some random time, but who knows?! Diabetes is weird and just when you think you've got it all worked out it finds another way to surprise you, so I suppose anything is possible!

On the day I mentioned, having had various sugary foods shoved down her throat all day daughter suddenly developed a craving for something salty so we stopped at a chip shop on the way home. She wasn't really hungry though and only managed a battered sausage and about 6 chips before she felt sick! Had to watch her fairly closely overnight, partly to try and make sure her BG remained reasonably stable, and partly in case she was sick. Luckily she wasn't and it all sorted itself out the next day, I’m glad we don't have many days like that though! (And I’m sure she is too!)
 
trophywench said:
These pockets of insulin - which can last for up to 11 years so they say - will eventually 'let go' with no warning and be nearly as effective as it was all those years ago. Because Lantus forms crystals after it gets under our skin and it is/was commonly used, I have often thought maybe it's a prime suspect?
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WOW . I learn something new everyday. This May explain the few unexplainable ones that just wouldn’t go away and there is me blaming the DF.
 
Ljc said:
WOW . I learn something new everyday. This May explain the few unexplainable ones that just wouldn’t go away and there is me blaming the DF.
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I believe @trophywench mentioned this any times over the years . I recall seeing it discussed.
 
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