How do I keep REGULAR.......now I dont eat porridge , bran and jacket potatoes ?

[rebrascora]

@DiabeetusDad does want porridge though. As do I.

I accept that and it was the whole purpose of my post which was why the comment below was my penultimate sentence on that post.

Of course eggs are a great way to start the day but just thought, if you love porridge, you might want to find a way to make it work for you

 

[DiabeetusDad]

Have you experimented with pre-bolusing longer for your breakfast. I need 45 mins with Fiasp and 75 mins with Novo (notso)Rapid which is quite extreme, but I am not the only one. If you love porridge then it might be worth some more experimentation with prebolus timing. I now inject for breakfast as soon as I wake up and before I get out of bed and then go through my morning routine until Libre shows the insulin is kicking in and I usually start eating mid 5s and even with creamy Greek natural yoghurt with berries and seeds there is still time for my levels to come up before I hit the red line.
I don't time it anymore but just keep an eye on my Libre and the 45 mins advance insulin is remarkable consistent for me.

Not suggesting you (or anyone else) should prebolus so far in advance without careful experimentation or close monitoring of Libre but just saying that 20 mins at breakfast is not long enough for many people so maybe try increasing it by a few mins each day until you find the sweet spot timing for your body, but don't feel limited by the 20 min advice from health care professionals or pharmaceutical advice. Other meals need much less prebolus time but we can be quite insulin resistant in the morning due to Foot on the Floor/Dawn Phenomenon so the insulin often needs a bigger head start.

Of course eggs are a great way to start the day but just thought, if you love porridge, you might want to find a way to make it work for you. Best to experiment on a non-work day so you have time to keep a close eye on things.

No It didn’t cross my mind to be honest. I‘m going to try this tomorrow as I am always looking for different ways to manage my diabetes. I’m using NovoRapid. I’ll take it 60 mins earlier and monitor the situation. Cheers

 

[rebrascora]

No It didn’t cross my mind to be honest. I‘m going to try this tomorrow as I am always looking for different ways to manage my diabetes. I’m using NovoRapid. I’ll take it 60 mins earlier and monitor the situation. Cheers

60 mins is too long for a first experiment in my opinion and COULD BE DANGEROUS .

If you have only tried 20 before, maybe try 30mins in the morning and then 35mins the next day and keep adding 5 mins until you find the right timing for you.
You may well go hypo if you leave it 60 mins straight off. Most people would probably hypo in that time. It is very much an individual thing, so please experiment cautiously rather than jump in with both feet! It took me a couple of weeks to find out what worked for me.... granted, I was initially just finger pricking and didn't have Libre, so I had to be much more cautious and I did A LOT of finger pricking but I would hate for you to end up hypo because you assumed you would be safe on 60 mins, just because I am.
Your BG reading in the morning will also have a bearing on how long the insulin will need. If you wake up in the 4s you will almost certainly need less prebolus time than if you wake up in the 7s or 8s.

 

[DiabeetusDad]

60 mins is too long for a first experiment in my opinion and COULD BE DANGEROUS .

If you have only tried 20 before, maybe try 30mins in the morning and then 35mins the next day and keep adding 5 mins until you find the right timing for you.
You may well go hypo if you leave it 60 mins straight off. Most people would probably hypo in that time. It is very much an individual thing, so please experiment cautiously rather than jump in with both feet! It took me a couple of weeks to find out what worked for me.... granted, I was initially just finger pricking and didn't have Libre, so I had to be much more cautious and I did A LOT of finger pricking but I would hate for you to end up hypo because you assumed you would be safe on 60 mins, just because I am.
Your BG reading in the morning will also have a bearing on how long the insulin will need. If you wake up in the 4s you will almost certainly need less prebolus time than if you wake up in the 7s or 8s.

Thanks for your concern and your advice is duly noted.. I’ve been a type 1 for 19 years and amazingly, I’m still alive :O) - I have gone through so many different periods of caring and not caring, depression, feeling sorry for myself, etc. I see a diabetic nurse once a year to get my feet checked and urine analysed and that’s it - the rest is up to me to figure out.

I have dealt with many Hypo and Hyper situations other the years. Please don’t worry, I am very cautious when trying out different procedures, and have glucose at the ready should my BS drop.

I started self funding a Dexcom one in August 22 and this has change my life considerably. No more having to prick fingers and deal with the disappointment of a Hi BS and then trying to correct, etc. and doing this on a monthly allocation of 50 strips. Although, these devices do have there disadvantages as I have discovered, such as knocking them off when walking through a doorway or catching them when removing clothing, etc. but I’m becoming less clumsy now. I do also compare the Dexcom readings with a conventional finger prick on a daily basis just to be sure all is well.

I have a first ever appointment with a diabetic consultant in Nov to talk tech, so I am hoping to get funding for a Dexcom one, which will give me the motivation to start taking back control.

Best wishes,

John

 

[rebrascora]

@DiabeetusDad Phew! Thanks for clarifying that you will be cautious. I would hate to think that any advice I offered encouraged anyone to end up hypo and the possible consequences of that even if it is just ending up late for work. I can just imagine you muttering about a stupid keyboard warrior giving you duff advice as you explained to the boss why you were late.... or at least thinking it 🙄.

My consultant was horrified to learn that I needed to pre bolus so far in advance for breakfast (but he couldn't argue with my evidence) and it was the main reason why I changed to Fiasp which is a little quicker. CGMs enable us and health care professionals to see our response to carbs and insulin in so much more detail and whilst they previously had to be very cautious about advising people on prebolus times based on an average person, CGMs enable us to tailor our diabetes management to our individual bodies (if we are engaged enough to do so) and that can make a huge difference to the stability of our BG levels, enabling much more time in range and less rollercoaster which in turn improves mental health. I tend to treat my diabetes management more like a very long running computer game now with Libre than a health condition. That mental shift alone lifts a lot of the pressure of it, so I wish you luck getting the Dexcom one on prescription but if all else fails, don't come away without an alternative like Libre which may be slightly easier to acquire than the Dexcom just because it has been prescribed longer and should now be standard supply for Type 1s.