Doghouse
Active Member
- Relationship to Diabetes
- Type 1
Here is something else would welcome comments on. I will be seeing my hospital D consultant at the end of this month, and I am expecting some persuasion down a path I am not keen to follow.
I saw him 6 months ago. His main comment was that I was underweight, my BMI is 21. He thinks that I need a bit more body weight to “buffer glucose decline during sleep” I have not heard of this before, and never thought I would ever be told by a Dr to eat more. Perhaps I could get a prescription to go out and have a bit meal now and again? I think actually he had just lost a patient due to a night hypo, and was a bit on edge. I have absolutely no criticism of the guy, and am glad of all the help he gives.
I was sent to see a D dietitian. She reviewed my case – late onset type 1 for 9 years, I am now 66. For the HbA1c she said I “should not be able to that”, approx. 44 for 8 of the 9 years. We discussed residual B-cell function, and she organised a GABA test, which I thought rather pointless, obviously I am type 1, and a c-peptide test would have established whether my B-cells were still doing something. My insulin sensitivity is 1U to 20g carbs. But basal is very low. I usually have 2U Lantus, but have now found that zero Lantus is workable, giving 5.5 – 7 mMol/l in the morning.
My question is whether other people have had the same experience, and how many type 1 people have dropped the basal and still got good blood glucose readings in the morning? I would be keen to drop the basal because it would make night hypos very unlikely. Also it would probably make the consultant happy
I saw him 6 months ago. His main comment was that I was underweight, my BMI is 21. He thinks that I need a bit more body weight to “buffer glucose decline during sleep” I have not heard of this before, and never thought I would ever be told by a Dr to eat more. Perhaps I could get a prescription to go out and have a bit meal now and again? I think actually he had just lost a patient due to a night hypo, and was a bit on edge. I have absolutely no criticism of the guy, and am glad of all the help he gives.
I was sent to see a D dietitian. She reviewed my case – late onset type 1 for 9 years, I am now 66. For the HbA1c she said I “should not be able to that”, approx. 44 for 8 of the 9 years. We discussed residual B-cell function, and she organised a GABA test, which I thought rather pointless, obviously I am type 1, and a c-peptide test would have established whether my B-cells were still doing something. My insulin sensitivity is 1U to 20g carbs. But basal is very low. I usually have 2U Lantus, but have now found that zero Lantus is workable, giving 5.5 – 7 mMol/l in the morning.
My question is whether other people have had the same experience, and how many type 1 people have dropped the basal and still got good blood glucose readings in the morning? I would be keen to drop the basal because it would make night hypos very unlikely. Also it would probably make the consultant happy
