Hi, forum newbie here

[Ian86]

Hi guys newbie here,

Type 1 for around 22 years, currently carb counting and on Toujeo with injections at meal times.

Have a HBA1C around high 40's but have recently brought it up to low 50's

Can have a battle at times fighting low's and can yoyo throughout the day although its much better recently.

Ian

 

[SB2015]

Welcome to the forum @Ian86

Good to have you on here with all that experience.

I have found that I have learnt more from others on here than anyone else. It is also great to keep on top of recent changes in management strategies. I first found out about the Libre from here.
What a game changer.

 

[everydayupsanddowns]

Welcome to the forum @Ian86

Are there any particular things (meals or activities) that you find especially challenging?

Sounds like you are doing well, but perhaps things are just drifting a little? My own experience of hypos is that they often cause the yo-yo you are describing, and (perhaps surprisingly) often raise my average BG and by extension my HbA1c because of post-hypo bounces.

One of the most effective things I have used for hypo-busting was first a ‘smart meter’ which calculated doses far more accurately (the insulinx is still available, or there are smartphone apps). And subsequently the really big shift for me was moving to an insulin pump, especially when supported by continuous sensors like Libre or Medtronic Guardian. that way I can head off hypos when my BG is starting to drift down with a smaller treatment, rather than waiting until the hypo is in full swing.

Have you ever considered any of those options?

 

[Ian86]

@SB2015 @everydayupsanddowns

Currently on a Libre sensor for around 18 months and carb counting, has helped massively. Mainly during work i have lows which can be variable how busy i am so not adjusting carb ratio enough then causing a low mid morning/mid afternoon or not being as busy as predicted causing to run slightly higher. Bit of a balancing act.

Not really considered a pump as its not something i want to be honest - although i have been offered it if wanted by my consultant.

 

[SB2015]

Good morning Ian

It was the inconsistency in my days that led me to wanting a pump. It gave me the ability to turn down my background insulin when I was going to be more active, and to turn it up if I was ‘being a slob’. If you look the Pumping thread there are various discussions of the pros and cons generally and for specific pumps.

On MDI (before I switched to the pump) I found switching to Levemir as my background insulin, which I was then able to split this so that I was able to make adjustments to the day time dose, without mucking up the night time dose. It improved things for me.