Thats interesting .... good to know there are different approaches. Waiting to see how thigs pan out might be the best option. 😎I was initially put on humulin i once a day 🙂
its designed to give you some background support letting your own body cope with food.
It wasn't enough to keep me in range so switched to basal bolus after a few months.
Another interesting post. There are certainly a range of approaches and not always the expected one .I'm on 9u Semglee (glargine), 2g Metformin & 25mg Empagliflozin. Last HbA1c in March was 38.
Hi Jamie thanks for sharing this. Diabetes isn't necessarily straight forward,Jamie. How long ago did you start out on this ? Im on my 2nd week. with insulin but diagnosed 18m ago. Im taking one day at a time on insulin until I speak to the Nurse. I have a theory BUT its no good testing it until the insulin experiment is over.Hi I am now on 1,500 mg Metformin plus between 12-20 Novarapid and 9 Lantus once a day. I have had a negative GAD antibody test but fit the profile for T1 at onset. My DSN has put me on the Metformin recently which I am increasing over a 4 week period in an effort to decrease Novarapid. I have found there is some effect but not much in the morning. If I eat carbs it will go well into double figures without Novarapid. Yet in the evening the Metformin seems to have an effect. My time in range has improved overall however, that is the range of 4-10 mmol. Next week my Metformin will be increased again to 1000 in the morning and same at night. I believe that is the maximum?
I am not confident that I will be off Insulin though even at that level. What type I am is still a mystery to me but my DSN is leaning toward T2 as Metformin does appear to have an effect. One thing that has helped me has been participating in a Freestyle Libre trial for free. Without a monitor I would have struggled to get the results I have. In my interpretation of NICE guidelines I should be prescribed but my hospital takes a different view.
If it helps, I was put on basal/bolus after Covid sent my levels sky high (HbA1c 117 & DKA) in May last year. I'd previously managed on 1g of Metformin for 12 years with HbA1c in the mid 40s. I firstly titrated insulin upwards until levels were stable, then Metformin was re-introduced, also titrating up to 2g. Then Empagliflozin was added.I am not confident that I will be off Insulin though even at that level.
I should have added as Metformin is increased the theory is decrease Novarapid.
Hi Write to your MP about your story o fthe Freesyle Libre, how its helped and that you cant get it locally, Ask why. My MP went to a Diabetes UK Conference. I wrote my story and she has become very interested even writing to the Dept of Health about a query I raised re food labelling -carbs and sugars.Hi I am now on 1,500 mg Metformin plus between 12-20 Novarapid and 9 Lantus once a day. I have had a negative GAD antibody test but fit the profile for T1 at onset. My DSN has put me on the Metformin recently which I am increasing over a 4 week period in an effort to decrease Novarapid. I have found there is some effect but not much in the morning. If I eat carbs it will go well into double figures without Novarapid. Yet in the evening the Metformin seems to have an effect. My time in range has improved overall however, that is the range of 4-10 mmol. Next week my Metformin will be increased again to 1000 in the morning and same at night. I believe that is the maximum?
I am not confident that I will be off Insulin though even at that level. What type I am is still a mystery to me but my DSN is leaning toward T2 as Metformin does appear to have an effect. One thing that has helped me has been participating in a Freestyle Libre trial for free. Without a monitor I would have struggled to get the results I have. In my interpretation of NICE guidelines I should be prescribed but my hospital takes a different view.
Been on basal insulin since December but with gliclazide along side dapagliflozin as I can’t take metformin as has pushed me in hospital twice previously with my GI disorders and rapid dehydration. Still trying to get the dose right and balance with my GI disorders but getting there slowly.2 weeks ago 1 insulin injection a day was added to my regime, along with 500 metformin x2. Unusual - is anyone else out there using this treatment
Interesting. Glad to here you are progressing. Its certainly a challengeBeen on basal insulin since December but with gliclazide along side dapagliflozin as I can’t take metformin as has pushed me in hospital twice previously with my GI disorders and rapid dehydration. Still trying to get the dose right and balance with my GI disorders but getting there slowly.
Thank you, hope you’re not having too many side affects?@Leadinglights. OK point taken....... As I had a reading of 6.6 pre lunch and 4.7 pre supper. I reckon I'm doing OK. Those readings were in the 20s a month ago.
I'm afraid I don't always use the correct terminology, nor explain myself well as a result. so let's try this. For 3 months I've used the D UK 1800 meal plan as a Base ( not rigidly). A good guide to carbs and sugar, protein etc, tasty recipes easy to prepare. I want to branch off a bit and anyway it's a diet former losing weight. So
Interesting. Glad to here you are progressing. Its certainly a challenge