Driving - Metformin x 2 a day . 1x Levemir on waking - Urgent

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Proud to be erratic said:
Yes, I don't disagree.

But we're tangled up in a bit of DVLA nonsense where 4 is quoted as if its the absolute bottom limit, yet without the necessary understanding about how these things actually happen. Once a Parliamentary Committee gets hold of possible legislation they try to define everything in fine detail and leave no room for sense or judgement. We have Courts of Law which could hear the evidence and make a ruling on the facts from the event - but aren't allowed to do that and it all ends up as hopelessly confusing words. Each word makes some sense, but all too often when placed in one sentence they leave great ambiguities! The only consolation is that this isn't new, been happening since forever - but that isn't really any consolation.
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Yes totally agree. When i drive which isn't often my hubby is with me. He says he hasn't noticed one change in my driving since diagnosed diabetic 2 years ago. Nor since insulin about 3m ago.
I had another issue 30yrs ago. 20 yrs ago a consultant suggested a theoretical medication regime. Its not the same dose everyday. Ive never had an episode at anytime since then. But medical insurers dont buy it.
I have hypothyroid , again not the same dose every day. No effects . I seem to be that type of person.
 
If you’re on Levemir, you should be able to get a half unit pen @Jenny105 Then you could try 17 and 1/2 units.

Basal insulin like Levemir is supposed to work away in the background keeping your blood sugar down in the absence of food. This is because even if we don’t eat, our bodies will produce their own glucose.

Bolus (fast, meal) insulin is a faster-acting shot of a different type of insulin to deal with the glucose rise from the carbs we eat.

A basal/bolus regime means taking both basal and bolus insulin. Apart from using a pump, this is the closest to what your body would naturally do if you weren’t diabetic.

The insulins we inject don’t stimulate our own production of insulin, they replace or add to the insulin we can’t make or can’t use properly.
 
Jenny105 said:
started as one turned into definite at 11 ish. Im retired. I volunteer at foodbank - coffee and cake available. Church has coffee and biscuits. at home & retired so coffee and something around 11. I have a BIG bag for my assistance dog so theres room for all manner of things in there. Hubby usually drives and the glove compartment has biscuits, drink and dry stuff foer when we dog walk in the fields everyday. So got it covered

@Inka Hi Inka , on the ball as ever. What I tried was 18 , 17 , on alternate days . I noticed 17 had a better effect. So I tried a week of 17. This went well, I had one day of highs (not very high ) I took one 18 but this tended to go low. This week Im going back to 17. If that works well I'll contact GP.
My Diabetic nurse is the only person in the Practice I just cant get on with , nor understand. I'll also contact the private dietician I contacted i can understand her ans she answers my questions . My DN says eat normally - what is normal ?

Re insulin - is it supposed to stimulate the production of insulin rather than deal with meals.....
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I think you are getting confused with the oral medication gliclazide which encourages the pancreas to produce more insulin if it is able but injected insulin replaces insulin you are not producing or supplements what you are producing to enable you to metabolise carbohydrates or deal with glucose released by the liver. The once a day insulin is usually a long acting insulin to deal with the latter but does not really deal with carbs in meals for which people have a second type of insulin rapid acting to deal with that.
 
Inka said:
If you’re on Levemir, you should be able to get a half unit pen @Jenny105 Then you could try 17 and 1/2 units.

Basal insulin like Levemir is supposed to work away in the background keeping your blood sugar down in the absence of food. This is because even if we don’t eat, our bodies will produce their own glucose.

Bolus (fast, meal) insulin is a faster-acting shot of a different type of insulin to deal with the glucose rise from the carbs we eat.

A basal/bolus regime means taking both basal and bolus insulin. Apart from using a pump, this is the closest to what your body would naturally do if you weren’t diabetic.

The insulins we inject don’t stimulate our own production of insulin, they replace or add to the insulin we can’t make or can’t use properly.
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Brilliant - is there somewhere I can read up about this. Im wondering if i should write anonymously to our Patients Forum re the lack of knowledge I have surrounding the differing types of diabetes Im supposed to have had had. AAh well onward and upward. 🙂
 
Possibly sorted . I have a new finger prick monitor.
The main on off switch failed on the old one ,some weeks / months ago. Something was wrong last weekend. I changed the battery but that didnt fix it.
My GP practice only had an Accu chek instant. Since then my highest reading was 10. +, lowest 5. + . This might explain why I had low readings with no symptoms - the readings weren't correct

DVLA have been informed re diabetes and one dose insulin. I dont have a consultant or specialist so they will write to my GP. Our new car insurance company have accepted to me as things stand at present
 
Jenny105 said:
Re insulin - is it supposed to stimulate the production of insulin rather than deal with meals.....
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No. It’s to provide a little extra circulating insulin to ‘help out’ your pancreas.

There are oral meds which encourage the pancreas to produce more insulin that it naturally would, but insulin won’t do that. 🙂
 
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