Newly diagnosed T1 age 28 needing education?

[Bettis]

Nice tats btw 🙂 x

Thanks think I'm pretty mutch covered now haha x

 

[Grannylorraine]

Welcome

 

[Kaylz]

Thanks think I'm pretty mutch covered now haha x

Awesome 🙂 I'm jealous, I've only got 3 x would you mind if I sent you a message? x

 

[Stitch147]

Thanks think I'm pretty mutch covered now haha x

Same here, I had my 33rd one last week.

 

[Mini-Vicki]

Welcome to the forum Bettis.
There's quite a few of us adult onset type 1s here, 🙂
It sounds like you're doing really well at the moment. Have you been offered a diabetes education course by your diabetes team? They are really helpful, and connect you with other people wth diabetes, in your area. If they haven't been discussed with ou, it's definitely worth asking about.
As for breakfast, many people find they need a higher ratio of insulin at breakfast time. I definitely do, and I also have 'dawn phenomonen' which means my BG rises as my liver dumps glucose in my system to got ready for the days ahead! So, personally I don't have carbohydrates at breakfast time, ive trialled different foods, and found carbohydrates were more unpredictable for me, plus I have to leave the house very early every day, so it's easier for me just to avoid carbs. But, everyone is different, and you will find your ratio 🙂

 

[trophywench]

You do usually have to wait a few months before you get offered an education course, since you have to be able to interpret stuff PDQ as you go along - so you need to be used to dealing with your diabetes and appreciating the tweaks and snags of doing various things with your basal or your bolus or you corrections.

 

[Bettis]

Awesome 🙂 I'm jealous, I've only got 3 x would you mind if I sent you a message? x

Yes that's fine send away x

 

[Bettis]

Welcome to the forum Bettis.
There's quite a few of us adult onset type 1s here, 🙂
It sounds like you're doing really well at the moment. Have you been offered a diabetes education course by your diabetes team? They are really helpful, and connect you with other people wth diabetes, in your area. If they haven't been discussed with ou, it's definitely worth asking about.
As for breakfast, many people find they need a higher ratio of insulin at breakfast time. I definitely do, and I also have 'dawn phenomonen' which means my BG rises as my liver dumps glucose in my system to got ready for the days ahead! So, personally I don't have carbohydrates at breakfast time, ive trialled different foods, and found carbohydrates were more unpredictable for me, plus I have to leave the house very early every day, so it's easier for me just to avoid carbs. But, everyone is different, and you will find your ratio 🙂

Well I'm having to learn quickly as you know it's a massive change to life..I am managing OK it's just somethings I tend to find contradictory info on so I'm left scratching My head ye I think it could be I just can't tolerate cards in the morning..any alternative ideas? And that means no rapid right? Well I've been accepted onto a 3 day course so that should be enlightening it's sometimes hard not to feel burnt out with it all but onwards and upwards! Also cereal doesn't effect me that bad when eaten later in the day??

 

[grovesy]

it is common for tolerance to carbs to vary according to the time of day.

 

[Kaylz]

Generally people who can't manage too many carbs in the morning I believe just have things like bacon and eggs etc x

 

[Mini-Vicki]

I have 2 eggs every day for breakfast. Others have bacon etc, but I find 2 eggs enough. I still have to take some bolus insulin, between 1-3 units depending on what my waking level is etc. I have to take a unit for the eggs as they do send my BGs higher, although in many people they don't, and I have to take one unit to combat dawn phenomenon and another unit if I've woken up above 7mmol to bring it to a lower level for the morning. However I've learnt this over many months of trial and error, my current job means I have to leave very early, so I stick with what I know works!

 

[Bloden]

Also cereal doesn't effect me that bad when eaten later in the day??

Hiya Bettis and welcome.🙂 I'm insulin resistant and carb sensitive in the morning (like a lot of us T1s) so I have the lowest of the low-GI breakfast - it's high-fibre fruit, oats, nuts n seeds, plus a small amount of fat - to slow down digestion and I jab 15 minutes before eating. I also do 20 mins on my exercise bike to help the insulin along.🙄 Then at lunch I'm the other way round - carb sensitive and insulin resistant - what a larf, so my carbs need a head-start, not my insulin. Phew! And in the evening it can go either way...😱😛 Good luck finding out what your particular needs are.🙂

 

[Bettis]

Hiya Bettis and welcome.🙂 I'm insulin resistant and carb sensitive in the morning (like a lot of us T1s) so I have the lowest of the low-GI breakfast - it's high-fibre fruit, oats, nuts n seeds, plus a small amount of fat - to slow down digestion and I jab 15 minutes before eating. I also do 20 mins on my exercise bike to help the insulin along.🙄 Then at lunch I'm the other way round - carb sensitive and insulin resistant - what a larf, so my carbs need a head-start, not my insulin. Phew! And in the evening it can go either way...😱😛 Good luck finding out what your particular needs are.🙂

Great info seems like I'm just guna knuckle down and see what suits me maybe little amounts of different foods for breakfast for a week and see what happens from their and start tweaking slightly xx

 

[Bloden]

Great info seems like I'm just guna knuckle down and see what suits me maybe little amounts of different foods for breakfast for a week and see what happens from their and start tweaking slightly xx

Bloomin eck, Bettis, you're a quick learner.😛 Let us know how you get on.🙂

 

[zx10pilot]

Welcome to the forum Bettis.
Yep it's a continual learning curve isn't it... I've found I simply can't do cereals in the morning any more as it sends my levels crazy high and I am seemingly very resistant in the morning
Toast (using either Nimble or Burgen bread as they are lower carb) is easier to manage for me but is still messy to bolus for.
I have found the best way is simply to not eat carbs until 10ish, and by then my ratio of 1u:20g seems to work... my BG seems to sit at about 7 until then. Unfortunately if I increase my Lantus to reduce my waking level I go too low later in the day so I just live with it. If I try and do a correction then I'm likely to go too low as well as I don't know how resistant I am day to day, and typically 1u will drop my BG by anything from 2 to 5!

Do you have a half unit pen? With the 1:20 ratio I found I often need 1.5 or 2.5 units for a typical meal. It makes control just that little bit easier

 

[Bettis]

Bloomin eck, Bettis, you're a quick learner.😛 Let us know how you get on.🙂

Well it seems like cereal is just not for me and through the day I eat pretty much anything and really don't need to bolus for it even with 60g of basmati rice my level returns to below 7mmol really quickly with just the 12 units of basal that's in my system or drops to quickly if I'm taking bolus and get low quickly even reduced dose bolus..it's certainly a challenging job being my own pancreas

 

[Kaylz]

Hmmm it might be a honeymoon phase but it may also suggest that your basal dose is too high, have you ever done basal testing sorry I can't remember if it's been mentioned in the thread already xx

 

[Bettis]

Welcome to the forum Bettis.
Yep it's a continual learning curve isn't it... I've found I simply can't do cereals in the morning any more as it sends my levels crazy high and I am seemingly very resistant in the morning
Toast (using either Nimble or Burgen bread as they are lower carb) is easier to manage for me but is still messy to bolus for.
I have found the best way is simply to not eat carbs until 10ish, and by then my ratio of 1u:20g seems to work... my BG seems to sit at about 7 until then. Unfortunately if I increase my Lantus to reduce my waking level I go too low later in the day so I just live with it. If I try and do a correction then I'm likely to go too low as well as I don't know how resistant I am day to day, and typically 1u will drop my BG by anything from 2 to 5!

Do you have a half unit pen? With the 1:20 ratio I found I often need 1.5 or 2.5 units for a typical meal. It makes control just that little bit easier

Na I only got the 1unit minimum pen but has my stress levels have gone down (diagnosed at really stressful point in my life) was running on adrenaline lol my bg seems to be running at between 5-10 mmol consistently my body seems to like 6.2 tho it seems to run at that most the time tho

 

[Bettis]

Hmmm it might be a honeymoon phase but it may also suggest that your basal dose is too high, have you ever done basal testing sorry I can't remember if it's been mentioned in the thread already xx

No Kaylz I have been using the freestyle libre and I don't see any dips or spikes in my bg so that gives me a good picture of how my basal is working and meant 6 units of basal not 12..don't know where I got 12 from lol xx

 

[mikeyB]

That's the true value of the Libre, Bettis, knowing what's happening all the time, not just in snapshots. If your basal is keeping you nice and level, you're getting most things right. This will change, mind, because it almost always does in the first year or so, but I think you're equipped to handle that. Congratulations, you're not a newbie any more.🙂

You will still need questions answered, though. Things always jump out to bite you occasionally, so keep up with the questions and queries, and wander the forum. You might even to be able to help someone else using your experience- that's how all this works 🙂