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Quick question

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.

Tally

Active Member
Relationship to Diabetes
Type 1
Did anyone else struggle with eating when first diagnosed?

I know I have to eat regularly and the right things, and my body is telling me I'm hungry, but when I try and eat I don't want it. It's very frustrating and I just wondered if anyone else had experienced something similar?

Any tips on how to overcome this would be appreciated 🙂
 
Hi Tally, I'm not sure if you are on a basal bolus system if so then you do not have to eat if you don't want to. All you do is skip taking your meal bolus 🙂 Yes everyone is meant to eat healthily as a type 1 though you can basically eat what you want just as long as you cover the food with insulin, obviously making sure not to much sugary stuff is consumed as it will spike your blood sugars 🙂

I was diagnosed more than 52 years ago so can't remember what I felt like food wise so can't help you in that dept.
 
Hiya Tally.🙂

I've never struggled with eating...haha...but when I was first dx, I found the idea of three meals a day and a rigid routine was difficult to adjust to. Also, I was so thin, my endo put me on a high-carb regime, which meant that all I could finish on my plate was the Mount Everest portion of rice or chips or whatever - I've always loved my food, but it took all the joy out of eating, tbh.:confused:

However, once the initial 'intro to diabetes' phase was over and I'd started reading about diabetes, diet, etc. (and ignoring my DSN's boring old dietary advice) and trying things out for myself, my eating got back to normal. 😛

Maybe you're just feeling a bit down after being diagnosed - I certainly did - and it's putting you off eating? How long have you been diabetic, btw?🙂
 
Just seen you were dx on Friday - welcome!🙂
 
Did anyone else struggle with eating when first diagnosed?

I know I have to eat regularly and the right things, and my body is telling me I'm hungry, but when I try and eat I don't want it. It's very frustrating and I just wondered if anyone else had experienced something similar?

Any tips on how to overcome this would be appreciated 🙂
Assuming you're on basal bolus insulin regime (long acting once or twice a day, plus short acting with each meal), there's no need to eat regularly, just when you want to eat, as long as you match your insulin to carbohydrate intake. If you're having trouble eating, then you could inject after eating, but insulins work better if you inject at least a few minutes before eating.
 
Thanks everyone, you've given me some things to consider and I think part of the problem is as you say @Bloden I'm a little down after diagnosis and I had a rough day yesterday so it's all having an impact.

I think I'll maybe find it easier once I learn how to balance my dosage to my intake as at the moment I'm on a fixed dose before food (16 units NovoRapid) and after speaking to the nurse I'm not having enough carbs for that dose and I'm slumping about 2-3 hours after eating and then feeling really awful
 
I think I'll maybe find it easier once I learn how to balance my dosage to my intake as at the moment I'm on a fixed dose before food (16 units NovoRapid) and after speaking to the nurse I'm not having enough carbs for that dose and I'm slumping about 2-3 hours after eating and then feeling really awful
😱is all I can say for that amount of insulin for a meal. That would last me 4 or 5 meals.

Back to you though as it's to much food for you to eat then perhaps look at halving the amount of food and then halving the amount of insulin thus you are still on the same wave length then if it's still far to much insulin then reduce it off your own back.
 
I was on a fixed dose of NovoRapid (I'm also newly diagnosed) for my first week of diabetes - 3 units at breakfast, 4 for my minor meal and 6 for my main meal.

I'm not surprised you are slumping and feeling awful if you are not feeling like eating and taking that dose. I'd speak to the nurse tomorrow and ask about changing the dose, maybe ask about carb counting and get a quick run down as to how that works from her (and have a read of this free ebook https://shop.diabetes.org.uk/store/...ion/information-books/carbs-count-e-book.aspx ) I think if you can match your insulin to your food intake rather than the other way around you will feel better and more in control.

I hope you can speak to your nurse and get this sorted, feeling grotty isn't fun and you don't want to be dealing with it whilst getting started on this diabetes journey. Feel better.
 
Thanks everyone, you've given me some things to consider and I think part of the problem is as you say @Bloden I'm a little down after diagnosis and I had a rough day yesterday so it's all having an impact.

I think I'll maybe find it easier once I learn how to balance my dosage to my intake as at the moment I'm on a fixed dose before food (16 units NovoRapid) and after speaking to the nurse I'm not having enough carbs for that dose and I'm slumping about 2-3 hours after eating and then feeling really awful
You are bound to be a bit low, from what I have read on here , you've probably had to learn lots quickly, where most of us who have T2 have some time to come to term with things and as you're slumping (hypo's ? ) after meals it certainly won't be helping you. I've found that Novorapid does tend to have a bit of a sting in its tail too.

Wow 16 units, for T1 that seems a lot to me, how many carbs is that for.

If I were you I'd contact the team you're under tomorrow (I assume they've given you a contact number) for some advise .
The sooner they get you on carb counting the better, it's actually easy once you've discovered your ratio because in that we are all different.
 
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Thanks everyone, you've given me some things to consider and I think part of the problem is as you say @Bloden I'm a little down after diagnosis and I had a rough day yesterday so it's all having an impact.

I think I'll maybe find it easier once I learn how to balance my dosage to my intake as at the moment I'm on a fixed dose before food (16 units NovoRapid) and after speaking to the nurse I'm not having enough carbs for that dose and I'm slumping about 2-3 hours after eating and then feeling really awful
Hi @Tally, I was on similar amounts of insulin for my meals when diagnosed, but I had to report my levels each day once I was home from hospital and they gave me an idea about adjusting the doses of novorapid. Initially, I didn't have any problems with my appetite, although I suspect that is largely due to the manner of my diagnosis, which was markedly different to yours. I contracted a virus and whilst I thought it was just a sickness bug that I would get over in two or three days it just kept getting worse - I couldn't eat and lost 17 pounds in 3 days - basically because my pancreas had been overwhelmed and I wasn't getting any energy from food, so my body fat and muscle protein were being used. This resulted in very high ketones and DKA (Diabetic Ketoacidosis) and I ended up in hospital. However, once they gave me insulin I became RAVENOUS 😱 I could easily eat a horse between two bread vans 😱 🙂 This continued for about 3 weeks after leaving hospital, then things settled down.

Very early days for you. I suspect the fixed doses have been arrived at using some general calculation based on your body weight etc. I started on 65 total daily units (20 long acting lantus and 45 novorapid). Within a month these doses had reduced to around 35-40 total daily units, and a more logical split of novorapid according to the meals about to be consumed. Get in touch with your team and get them to suggest a reduction so you don't feel that you are having to 'feed the insulin' to avoid hypos. At this stage your are probably better with slightly elevated levels. Try not to worry about hypos though, you know the symptoms, how to treat them and what planning you need to make if they are unexpected, like keeping jelly babies in every room 😉)

Not sure if anyone has suggested it, but I would really recommend getting a copy of Type 1 Diabetes in Children Adolescents and Young People by Ragnar Hanas - you will learn a lot from it and it covers all aspects of living with Type 1 in a very accessible way. It's not cheap, but worth every penny - I think the NHS should give a copy to every newly-diagnosed Type 1! 🙂

My tip would be to test, test, test and record so you can learn to associate what you eat with how your levels react - before eating, an hour, two hours, four hours after eating - and keep a food diary with carb details alongside the numbers 🙂 What may be happening also is that your levels are spiking up after eating then dropping back down again as the insulin begins to peak - testing at regular intervals after eating will help inform you about this.

If you want a quick guide to carb counting, get a copy of the free 'Carbs Count' booklet from Diabetes UK - there's some more information on the following link:

https://www.diabetes.org.uk/Guide-t...and-diabetes/nuts-and-bolts-of-carb-counting/

There's a lot to take in at first, but keep asking questions and you will get there! 🙂
 
Those fixed doses sound about the same as I was on. I found I was having to have two breakfasts and various other snacks to stay levelish. I had to stick with that for a couple of weeks as well as keeping a food diary and then onto carb counting.
 
Been in touch with the nurse this morning and just waiting on a call back. I managed breakfast and took my full dose but about half an hour later I felt really sick. Hoping they will be able to suggest the best course of action for me.

*heard from the nurse, I've to drop my Novorapid with my food and if I'm not having carbs not to take it all.

Thanks for all the reading suggestions I'm going to order/download and have a good read
 
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Hi @Tally, I was on similar amounts of insulin for my meals when diagnosed, but I had to report my levels each day once I was home from hospital and they gave me an idea about adjusting the doses of novorapid. Initially, I didn't have any problems with my appetite, although I suspect that is largely due to the manner of my diagnosis, which was markedly different to yours. I contracted a virus and whilst I thought it was just a sickness bug that I would get over in two or three days it just kept getting worse - I couldn't eat and lost 17 pounds in 3 days - basically because my pancreas had been overwhelmed and I wasn't getting any energy from food, so my body fat and muscle protein were being used. This resulted in very high ketones and DKA (Diabetic Ketoacidosis) and I ended up in hospital. However, once they gave me insulin I became RAVENOUS 😱 I could easily eat a horse between two bread vans 😱 🙂 This continued for about 3 weeks after leaving hospital, then things settled down.

Very early days for you. I suspect the fixed doses have been arrived at using some general calculation based on your body weight etc. I started on 65 total daily units (20 long acting lantus and 45 novorapid). Within a month these doses had reduced to around 35-40 total daily units, and a more logical split of novorapid according to the meals about to be consumed. Get in touch with your team and get them to suggest a reduction so you don't feel that you are having to 'feed the insulin' to avoid hypos. At this stage your are probably better with slightly elevated levels. Try not to worry about hypos though, you know the symptoms, how to treat them and what planning you need to make if they are unexpected, like keeping jelly babies in every room 😉)

Not sure if anyone has suggested it, but I would really recommend getting a copy of Type 1 Diabetes in Children Adolescents and Young People by Ragnar Hanas - you will learn a lot from it and it covers all aspects of living with Type 1 in a very accessible way. It's not cheap, but worth every penny - I think the NHS should give a copy to every newly-diagnosed Type 1! 🙂

My tip would be to test, test, test and record so you can learn to associate what you eat with how your levels react - before eating, an hour, two hours, four hours after eating - and keep a food diary with carb details alongside the numbers 🙂 What may be happening also is that your levels are spiking up after eating then dropping back down again as the insulin begins to peak - testing at regular intervals after eating will help inform you about this.

If you want a quick guide to carb counting, get a copy of the free 'Carbs Count' booklet from Diabetes UK - there's some more information on the following link:

https://www.diabetes.org.uk/Guide-t...and-diabetes/nuts-and-bolts-of-carb-counting/

There's a lot to take in at first, but keep asking questions and you will get there! 🙂

Thanks Northerner you gave me a chuckle with the visual of a horse between to bread vans. I'm hoping once I get more settled with the change I'll get my appetite back, it's also weird to have 3 meals as I'm used to having breakfast then nothing until dinner in the evening. Thanks for the reading suggestions as well 🙂
 
Thanks Northerner you gave me a chuckle with the visual of a horse between to bread vans. I'm hoping once I get more settled with the change I'll get my appetite back, it's also weird to have 3 meals as I'm used to having breakfast then nothing until dinner in the evening. Thanks for the reading suggestions as well 🙂
There's nothing to stop you only having two meals a day. I don't eat breakfast, just lunch and evening meal.
 
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