rebrascora
Well-Known Member
- Relationship to Diabetes
- Type 1
- Pronouns
- She/Her
@duncan Lord
Unfortunately those readings are unlikely to help your case very much. The before bed and waking readings of 8.5 and 7 are within range and the pre lunch reading is really good at 5.6. Your DSNs will not really be interested in the 2 hrs after eating numbers just the premeal readings, waking and bedtime. I don't see much there to warrant an increase in insulin with those readings. You don't itemize exercise in your log but I am guessing that the exercise is probably bringing the levels down for premeal readings and bedtime. Is your level of exercise sustainable when you start driving again? If not, then your levels will likely shoot up when you start driving and you may lose the tight control you are currently aiming for, especially as you will likely have more stress with timetables and traffic problems to contend with.
When you speak to your DSN I think it is important for her to know how much exercise you are doing to keep a lid on things. I just pick up snippets from your comments, so I don't know the whole story but you should not need to exercise daily to keep control, but they are unlikely to authorize increasing your insulin with your levels as good as they are, even if you don't like them.
I have said before that I think you are trying to manage things too closely. I understand that you are worried about your license but the powers that be and certainly the consultant, understand that perfect diabetes control isn't possible and in the early days even moderate control can be very difficult. I think it is your perception of good control which may be awry and I am worried that you are setting yourself up with an unsustainable regime and that sooner or later you will be unable to continue it or the honeymoon phase will come to an end and your insulin needs will dramatically increase and I worry how you will cope with that.
I think part of the problem is the very slow onset nature of your diabetes because with managing on such tiny insulin doses they are reluctant to start you on a basal/bolus insulin regime. I really am quite surprised that it has remained as stable as it has for so long. You might be best relaxing your efforts to manage with diet and exercise for a while, which I believe would mean you would need more insulin, in order to try to get onto a basal/bolus system and then you will be able to inject insulin for as much or as little as you want to eat and be able to inject correction doses of quick acting insulin if you need to. You will also need half unit pens since you are very insulin sensitive. When you are driving will you be able to maintain regular meal times and exercise as you do now? If not, then how do you expect to manage things?
It takes time to learn this new regime and how your body responds and you will find it more difficult to do that once you go back to work so it might be best relaxing your restrictive regime now in order to get better control for later. You can't be criticized for poor control when you are going "above and beyond" what is reasonable (like a midnight run) to control your levels because you don't have the right insulins and support.
Hope some of that makes sense.
Unfortunately those readings are unlikely to help your case very much. The before bed and waking readings of 8.5 and 7 are within range and the pre lunch reading is really good at 5.6. Your DSNs will not really be interested in the 2 hrs after eating numbers just the premeal readings, waking and bedtime. I don't see much there to warrant an increase in insulin with those readings. You don't itemize exercise in your log but I am guessing that the exercise is probably bringing the levels down for premeal readings and bedtime. Is your level of exercise sustainable when you start driving again? If not, then your levels will likely shoot up when you start driving and you may lose the tight control you are currently aiming for, especially as you will likely have more stress with timetables and traffic problems to contend with.
When you speak to your DSN I think it is important for her to know how much exercise you are doing to keep a lid on things. I just pick up snippets from your comments, so I don't know the whole story but you should not need to exercise daily to keep control, but they are unlikely to authorize increasing your insulin with your levels as good as they are, even if you don't like them.
I have said before that I think you are trying to manage things too closely. I understand that you are worried about your license but the powers that be and certainly the consultant, understand that perfect diabetes control isn't possible and in the early days even moderate control can be very difficult. I think it is your perception of good control which may be awry and I am worried that you are setting yourself up with an unsustainable regime and that sooner or later you will be unable to continue it or the honeymoon phase will come to an end and your insulin needs will dramatically increase and I worry how you will cope with that.
I think part of the problem is the very slow onset nature of your diabetes because with managing on such tiny insulin doses they are reluctant to start you on a basal/bolus insulin regime. I really am quite surprised that it has remained as stable as it has for so long. You might be best relaxing your efforts to manage with diet and exercise for a while, which I believe would mean you would need more insulin, in order to try to get onto a basal/bolus system and then you will be able to inject insulin for as much or as little as you want to eat and be able to inject correction doses of quick acting insulin if you need to. You will also need half unit pens since you are very insulin sensitive. When you are driving will you be able to maintain regular meal times and exercise as you do now? If not, then how do you expect to manage things?
It takes time to learn this new regime and how your body responds and you will find it more difficult to do that once you go back to work so it might be best relaxing your restrictive regime now in order to get better control for later. You can't be criticized for poor control when you are going "above and beyond" what is reasonable (like a midnight run) to control your levels because you don't have the right insulins and support.
Hope some of that makes sense.
really getting fed up with them now xx
