Hazel
Well-Known Member
- Relationship to Diabetes
- Type 2
Hiya, following my good news a few days ago about a significant reduction in HbA1c, I feel as though I have been brought to do earth with a bump.
With cholesterol at 3.3, blood presssure at 124/74, HbA1c 7.9 (down from 10.4), I was understandably feeling really pleased with myself.
On Friday I saw the dietician for what I thought was a mini type DAFNE thing, although he was at pains to tell me it was not a DAFNE course as they are purely for Type1 s. Hence the apology, as I had said it was a pilot scheme for Typs 2s
He wants me to half my insulin (albeit not all at one time). As I am very clinically obese, he says I will never lose weight takang so much insulin. Therefore, he recommends, I think you would say one unit of inuslin to 10 CP units (I hope I have explained that correctly) initally with the Novorapid, and to slowly bring down the Lantus. To overall at least more than half the 90-100 units I am currently taking. He also wants me to increase my Slow Release Metformin from 2 to 3 tablets at night (agreed now by my GP).
It was a huge amount of information to take in, in just over a hour - plus having had gold stars from the consultant, DSN and my own GP, on getting the HbA1c down, I feel now a bit dejected and that it is almost like starting all over again. OK, I know that he is doing his best for me but it was certainly pride coming before a fall, I came back down to earth with a bump.
I have had a couple of days to mull it over and now feel it is the right way to go, I think. I have copied, and stuck onto my fridge the carb content of a number of foods (I got on the XPERT course), a calculater and notebook at hand as I have to keep a VERY detailed food diary and explanation of insulin intake and then to revisit him in 2 weeks.
At the moment I feel as though my entire time will be taken up with calculations prior to injections, but I know it will soon become second nature.
As ever, I would value any/all comments from the diabetic family
Wish me luck
Hazel
With cholesterol at 3.3, blood presssure at 124/74, HbA1c 7.9 (down from 10.4), I was understandably feeling really pleased with myself.
On Friday I saw the dietician for what I thought was a mini type DAFNE thing, although he was at pains to tell me it was not a DAFNE course as they are purely for Type1 s. Hence the apology, as I had said it was a pilot scheme for Typs 2s
He wants me to half my insulin (albeit not all at one time). As I am very clinically obese, he says I will never lose weight takang so much insulin. Therefore, he recommends, I think you would say one unit of inuslin to 10 CP units (I hope I have explained that correctly) initally with the Novorapid, and to slowly bring down the Lantus. To overall at least more than half the 90-100 units I am currently taking. He also wants me to increase my Slow Release Metformin from 2 to 3 tablets at night (agreed now by my GP).
It was a huge amount of information to take in, in just over a hour - plus having had gold stars from the consultant, DSN and my own GP, on getting the HbA1c down, I feel now a bit dejected and that it is almost like starting all over again. OK, I know that he is doing his best for me but it was certainly pride coming before a fall, I came back down to earth with a bump.
I have had a couple of days to mull it over and now feel it is the right way to go, I think. I have copied, and stuck onto my fridge the carb content of a number of foods (I got on the XPERT course), a calculater and notebook at hand as I have to keep a VERY detailed food diary and explanation of insulin intake and then to revisit him in 2 weeks.
At the moment I feel as though my entire time will be taken up with calculations prior to injections, but I know it will soon become second nature.
As ever, I would value any/all comments from the diabetic family
Wish me luck
Hazel
