Lie in!

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gillrogers said:
Wow that's alot. I'm only cleaning and in the garden. I'm not doing like intense excercise.
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No I'm not doing intense exercise either. I stopped that 15+ yrs ago! On a full day I'm gardening, with perhaps a walk (normal pace) to the shops which could take an hour. The walk helps stretch off the inevitable garden kneeling and bending down. I know one can have raised beds in a garden, but at waist height??

If I'm not gardening I'll do the other necessary jobs around the house, it's not my way to sit and watch daytime TV. Although I did some of that post op and during chemo, but even I allowed myself to doze during that phase.

Did you see my first post this am, or has it got swallowed by the successive posts?:confused:
 
Activity and exercise: these are more or less the same thing for me. I haven't put on sports kit and gone for a run or to the gym for at least 15 years, which is what my brain classifies as exercise.

But I do walk whenever it's practical, it's my main way of deliberately working down my BG rather than stacking insulin. And I'm generally active all day, unless we have a visitor or long phone calls (!), when I'm static and chatting (or listening to b..**y messages and dreadful noise that's apparently soothing music).

I consider adjusting for activity is the hardest part of my D management. Counting carbs and estimating doses is tiresome, but workable. Managing an incoming illness or infection is a real nuisance, but increased doses are the only option, so I just do it and monitor. But activity is so variable. I'm retired; no 2 successive days are the same; even when I've planned my day, things intervene and change the plan. [That's why one makes a plan - with a plan you can adjust, without it you can only react, which is too close to anarchy!]

So managing activity is a daily challenge, yet activity is good for us and activity can include inactivity ... planned or a consequence. Complicated, methinks.😉
 
Proud to be erratic said:
Your Dbn who you think isn't listening .... is that a Diabetes Specialist Nurse at a Hospital or your Surgery nurse who has an overview on behalf of the Practice for their D patients? My DSN used to tell me I was doing all right, even though the evidence was clearly to the contrary. I realised she was trying to reassure me (but deep down I couldn't help thinking she was deflecting a problem) and to stop me stressing - which is, as we know, bad for DM anyway.

Yes, I recognise that dilemma all too well. And, although my DM has entirely different origins it has got better, as I've learnt more and started to hear and understand better the signals my body sends me.

I agree with @rebrascora that this is exactly why this forum is so useful and whether it's a rant or a deep technical question someone will offer a thought or well-founded response.
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Thank you lovely yes my DSN and you're hitting it right o the nail. Overall she has been very good. And my over worrying is probably getting a bit much. I think it's her way of saying " "go forth! You'll be ok! " And you know what, this morning I have been. Lunch will be interesting as I'm gathering that if I do high protein then chances are I won't need any bolus. So scrambled egg and cheese and my 9g carb protein bar I was thinking.
 
It may have been there for ages, and my dimming sight has missed it, but I really hope you get your T1 diagnosis long before 2029.
 
Yes Gill.... you might want to amend your signature as regards your LADA diagnosis date!
Well spotted @silentsquirrel
 
Proud to be erratic said:
Been mulling over this; your latest reply to Lucy reminded me to read it again.

As I understand the above you are adjusting for your evening shift activity by both reducing your evening meal bolus and by reducing your bedtime basal.

How do you know what ratio applies for the basal? If you arrive at a 1 unit of basal, by how much are you anticipating your BG to lower? What % reduction are you using for your evening bolus?

Different point. In the blob of insulin post, you mention not liking to inject in your stomach (abdomen) and only use your thighs. Because the advice on injection technique talks about varied speed of responses from different injection sites and the abdomen is the preferred option, I wonder if you are giving the D fairy further opportunity to cause mischief? It's possible that bolus into your thighs before your evening shift and standing for the next few hours is accelerating your bolus and its dissipated in much less than the normal +/- 4 hrs, whereas your basal as you go to bed is slowed down because you are lying rather than walking. I'm speculating here, not from a position of good knowledge. I inject my 1x long lasting basal into my thighs, because I know that it's inflexible and last up to 40 hrs, so once my basal routine is established it doesn't matter if it gets delayed by starting in my thigh. But I put my bolus into my abdomen to give it the best chance of arriving promptly, yet not being pushed by exercise. I don't do sit-ups!!
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I only know from the starting point from the DsN and my experiences . It became pretty clear when I spent one night with the alarm going off every half hour because I'd gone low and I had my glucose tab and it go off again. Did that two or 3 nights after doing bars so it was pretty clear I needed to drop a unit on the basal and it solved the problem. I've been told I have high insulin resistance but sensitive at the same time.
 
rebrascora said:
Yes Gill.... you might want to amend your signature as regards your LADA diagnosis date!
Well spotted @silentsquirrel
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Thank goodness it's a typo, I misread as T2 2020 and extreme pessimism not expecting T1 until 2029....... ooooops!!
 
silentsquirrel said:
Thank goodness it's a typo, I misread as T2 2020 and extreme pessimism not expecting T1 until 2029....... ooooops!!
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It's been on there for over a year!
 
Ya know what, this tread started cos I wanted a lie in! Who wants a lie in in such glorious weather! It's sunny and warm!
 
gillrogers said:
I only know from the starting point from the DsN and my experiences
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Yes, although in hindsight that is fairly obvious, I suspect the vast majority of us start from whoever last gave us what seemed to be the definitive advice .... Then we adjust as we gain experience.
gillrogers said:
. It became pretty clear when I spent one night with the alarm going off every half hour because I'd gone low and I had my glucose tab and it go off again. Did that two or 3 nights after doing bars so it was pretty clear I needed to drop a unit on the basal and it solved the problem. I've been told I have high insulin resistance but sensitive at the same time.
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So, I could be completely wrong, but my understanding is that insulin resistance and insulin sensitivity are the same thing - just each expressed from the reverse viewpoint. High resistance means low sensitivity. Fundamentally everyone, including non-Ds, have a degree of resistance to insulin. T2s, as you will already know, have so much resistance that they need help to overcome the insulin they are producing - hence oral meds and sometimes eventually insulin.

But it would be plausible to have both high resistance and high sensitivity resulting in what I understand as brittle D - effectively relatively erratic and less predictable BG behaviour.

I'm brittle, 'cos no panc'y means I have to initiate all the missing panc'y hormones to make my metabolism work; and if I don't get the delivery just right, ie right amount and at the right time, then my metabolism is badly affected and my BG follows suit! But really my brittleness is because sometimes (often) I don't get it all right - eg when I've put the insulin in but my resistance is high (perhaps because I've been very inactive). Then, for whatever reason, the insulin finally makes headway and I plummet. But if I had a panc'y doing even some of what it might do, then on starting to fall there would be a release of glucagon, the liver would get the message and open its glucose store and BG control would occur. There is also a panc'y hormone that is managing glucose against insulin (or vice versa).

Activity, any sort, reduces insulin resistance and thus the insulin gets to work more quickly. Therein lies further challenges.
 
gillrogers said:
Thank you lovely yes my DSN and you're hitting it right o the nail. Overall she has been very good. And my over worrying is probably getting a bit much. I think it's her way of saying " "go forth! You'll be ok! " And you know what, this morning I have been. Lunch will be interesting as I'm gathering that if I do high protein then chances are I won't need any bolus. So scrambled egg and cheese and my 9g carb protein bar I was thinking.
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Yes, enjoy your lunch.
Trial and error is how we all learn from infancy onwards! The worst that can come from no bolus is a bit higher and that can be corrected by a post-bolus fix. But the warm weather and any moderate activity will greatly improve your sensitivity and if you are creating any natural insulin it has a good chance of helping along with any residual basal.
 
silentsquirrel said:
Thank goodness it's a typo, I misread as T2 2020 and extreme pessimism not expecting T1 until 2029....... ooooops!!
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I know GAD tests take a while to come back but 9 years is a bit desperate even in Covid times!! 😱
 
Proud to be erratic said:
Yes, enjoy your lunch.
Trial and error is how we all learn from infancy onwards! The worst that can come from no bolus is a bit higher and that can be corrected by a post-bolus fix. But the warm weather and any moderate activity will greatly improve your sensitivity and if you are creating any natural insulin it has a good chance of helping along with any residual basal.
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I had my low carb lunch and it worked a treat, only rose 2 points, stayed in my range and I'm not hungry!! Not been so active this afternoon and slowly coming down. Thanks so much for your experience. It's made things more clearer now. I've been able to walk round my garden centre without worrying this afternoon!
 
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