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Ni_Ex

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Type 1
Hello everyone. I was diagnosed with T1D in early 2018 at the tender age of 63. It's needed some fast learningand I am now injecting basal Levermir and bolus Novorapid.

I had a Libre for a few months, and then switched to Dexcom 1. There are pros and cons with each; I might switch back.
 
Welcome @Ni_Ex 🙂 There are a number of Type 1s here who were diagnosed later in life so you’re not alone. Presumably you’re carb counting and adjusting your Novorapid?
 
I am - generally with success. My HBA1C currently is 55, though I do struggle with ups and downs through the day. Of course, I didn't know what was happening with I was just using finger pricks!
 
Yes, the Libre/Dexcom is fabulous, isn’t it?
 
Welcome to the forum @Ni_Ex from another later starter (aged 53 at Dx)

We had no sensors available at the start so the development of the Libre gave such insights to waphat was going on between meals, and certainly helped me to develop a lot more confidence in my management of T1.

Keep coming back with any questions that arise, knowing that nothing is considered silly on here.
Just ask
 
Welcome to the forum @Ni_Ex 🙂
 
Hi and welcome from me too, another late starter at 55.

Are you using the Levemir as a split dose? ie, Two injections one morning and one evening?
With food spikes, it is the timing of the bolus insulin which usually governs the spike. Injecting a bit earlier before you eat can help to reduce how high you go after meals. I found with Novo(notso)Rapid I needed as much as 75 mins prebolus time at breakfast and about 30 mins at other times of day. I now have Fiasp which is quicker but I still need to inject before I get out of bed on a morning and then give it about 45 mins to work before I eat. This is extreme and many people would hypo during that time, but we are all different so if you are experiencing high spikes after meals which eventually come back down into range and haven't experimented with extending your prebolus timing then it is something to work on. Generally increase the time by a few minutes each dat from your current timing until the spike starts to reduce to an acceptable level. It can make a difference what your starting level is too, so if I wake up in the 4s or 5s I might only need 30 mins but if I wake up above 8 I will need over an hour before breakfast. CGM is wonderful for allowing you to see when the insulin is kicking in and helping you to time it better. I inject, get out of bred, wash and dress and make my breakfast and then sit and drink my coffee and catch up with the news until Libre shows my insulin is starting to kick in and then I eat. Hope that info helps you to fine tune things a bit more.

Have you been offered a DAFNE (Dose Adjustment For Normal Eating) or similar course? It is usually an intensive 5 day course but may be a whole week in one go or one day a week over several weeks. It is a really good course and it is great to spend time with other Type 1s and learn from each other.
 
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