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Hypos
- Thread starter keith2904
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Incretins are hormones released when you eat and which, amongst other functions, tells the pancreas to release more insulin. Ozemic is an incretin mimetic and acts like GLP-1, a type of incretin, to trigger this response. But obviously it will not have this effect if your pancreas is unable to produce any more insulin.
As rebrascora said the normal insulin regimen for type 1 and 2 is different, and two injections per day is for type 2, so the nurse is definitely wrong on that. Though I can understand you just wanting to get your levels down as a first priority then worry about the details afterwards.
Have you been tested for ketones? This is a simple urine test the nurse should be able to do in the surgery, assuming you are attending in person, but if not I would go to a chemist to buy some test strips and do it yourself. If you are producing as little insulin as it sounds and currently untreated then is something you need to monitor. And if the result is positive then the nurse will have to take your concerns seriously.
As rebrascora said the normal insulin regimen for type 1 and 2 is different, and two injections per day is for type 2, so the nurse is definitely wrong on that. Though I can understand you just wanting to get your levels down as a first priority then worry about the details afterwards.
Have you been tested for ketones? This is a simple urine test the nurse should be able to do in the surgery, assuming you are attending in person, but if not I would go to a chemist to buy some test strips and do it yourself. If you are producing as little insulin as it sounds and currently untreated then is something you need to monitor. And if the result is positive then the nurse will have to take your concerns seriously.
grovesy
Well-Known Member
- Relationship to Diabetes
- Type 2
Not total true about Types2 only been on Insulin twice a day , some are Basal /Bolus , though they don't usally get formal carb counting courses.
Hi If it helps,
I generally get two different feelings when I get a hypo, one which comes on really quickly. I take this to means I need to treat this NOW...... the other feeling kinda creeps up on me but I take this one to mean I need to do something soon but I can finish what I'm doing.
As a type 1 for over 40 years I look at them as being a hazard that comes with the condition and to be dealt with as and when they occur. nothing to worry about as long as you are aware of your warning signs. I know im in trouble when my eyes loose focus and everything goes white.
I generally get two different feelings when I get a hypo, one which comes on really quickly. I take this to means I need to treat this NOW...... the other feeling kinda creeps up on me but I take this one to mean I need to do something soon but I can finish what I'm doing.
As a type 1 for over 40 years I look at them as being a hazard that comes with the condition and to be dealt with as and when they occur. nothing to worry about as long as you are aware of your warning signs. I know im in trouble when my eyes loose focus and everything goes white.
That is why I said it was the normal regimen. Twice daily mixed insulin is sometimes given for those with type 1 as well. But in both cases they are the exceptions. With the nurse refusing to investigate, and nothing else in what keith2904 said to suggest otherwise, it seems reasonable to assume they are simply following the type 2 pathway rather than tailoring it to personal circumstances.
Back to the original point of the topic though, given a choice I would not hesitate to go have regular hypos again in return for more normal levels over the current situation of elevated ones.
rebrascora
Well-Known Member
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- Type 1
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Ketostix are the product you need to ask for Keith and with your BG levels being so high the surgery should have provided you with a means of testing for ketones. The presence of ketones themselves are not an issue particularly if you are following a low carb diet but combined with high BG levels they then become acidic and toxic. It is generally recommended for diabetics to test for ketones when their BG levels are mid teens or above.
Many people who follow a keto diet for weight loss buy Ketostix to see if they have reached ketosis as it is a desirable state for them because it tells them that their body is burning fat.
As I mentioned though, it is the combination of high BG levels and ketones which becomes toxic and dangerous.
Many people who follow a keto diet for weight loss buy Ketostix to see if they have reached ketosis as it is a desirable state for them because it tells them that their body is burning fat.
As I mentioned though, it is the combination of high BG levels and ketones which becomes toxic and dangerous.
keith2904
Active Member
keith2904
Active Member
Thanks. Unofrtunately I have not had chance to discuss this further with the nurse. She has gone on sick leave and the surgery tell me there is nobody else who can advis due to the Pandemic.. So I have not yet started isulin which I am a bit worried about now. Hopefully she will return this week sometime. Last time we spoke she said life expectancy was a lot lower with people who are diabetic. Given the timescales she talked about I have about one month left to live!!
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Hope you manage to get seen soon @keith2904 - must be very worrying for you 
- Relationship to Diabetes
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