Visit to the diabetic clinic coming up..

[christophe]

Here goes for my first three month appointment.. actually four months but I guess that's pretty good..
My reaction to carbs and insulin has gone all to hell over the last couple of weeks so it will be interesting to hear what advice I get. My guess is the honeymoon period ended abruptly and I am having to learn all over again.. coincidence that it happened when the weather warmed up? The novorapid has slowed down even more, 1 1/4 to 1 1/2 hours before anything happens.. and maybe there was a little bit of natural insulin helping out but it now looks like the basal insulin is not handling anything that the Nv is missing.
What I am getting is a decent low reading first thing in the morning if I haven't eaten anything from about 7 pm previously, I put in a dose of Nv and wait as long as I can.. eat and go. Usually this gives me a rise and fall that stays in range (4-7) but when the Nv gives up, which it does quite suddenly, the rise again (hopefully not above 7) stays up there all morning and into the afternoon, unless I am particularly active, then I guess the basal does get shaken up and takes a couple of 0. something mmol out of the blood.
I need to hear what the specialists have to say first, then if the real specialists.. you!..can suggest anything I would be grateful.. my plan at the moment is make as good a calculation as I can as far as a bolus dose goes, and perhaps inject 90% of that as early as I can, then the last 10% (plus any extra) after eating..
Better get to my appointment.. pretty sure I have made an improvement over the first few months..

 

[Zillah]

🙂Good luck hope its all good news

 

[Bubbsie]

Good luck.

 

[Spireite72]

Good luck

 

[Grannylorraine]

Good luck with your appointment.

 

[trophywench]

Will wait and see what clinic say - change of fast acting sounds on the cards - some people need 20 or 30 minutes 'lead time' but 90 is ridiculous.

 

[christophe]

Thank you all Jenny, @Grannylorraine, Wayne, @Bubbsie , @Zillah (you still get to keep your ⭐️..)
Gone from 11.1% to 5.6. Or 98mmol/mol to 37.7.. not that I am relating to these numbers at all given that the day to day readings are mmol/L but whatever.. it's good, normal in fact..So, doctor and nurse were happy and couldn't wait to kick me out, spent perhaps 15 minutes in there! I did get a chance to ask some questions and the nurse got a chance to grill me a bit to see if we were both on the same page.. basically I shouldn't stress about exact numbers but look for trends ( I do, I buy libre sensors.. "oh you can't have them"...) and my insulin doesn't appear to be as efficient as it could be ("there is a different version but you can't have that..")
I am painting a slightly different picture than how it really went but essentially the tools I need aren't provided so well done and hope the money doesn't run out!
There is a good chance that things are changing soon on the prescription side, and to be fair to all concerned the support they offered is fine.. it's just that I don't need most of what is offered at "this stage.."
seems like I tick the bmi box so the doctor doesn't have anything to say, I had some questions that the nurse said were outside of her remit.. so I am back to winging it for the most part until I gather enough information about myself that I don't need to ask anyone anything..

Well that's the NHS covered.. I am being a bit misleading, I left feeling fairly upbeat but also feeling I have cheated somewhat, I got a good result but not entirely sure how..
thank you all for being here, I think that the dialogue here is going to be the most valuable contribution anyone can get. Still got my L plates for now..

 

[Bubbsie]

Well that's the NHS covered.. I am being a bit misleading, I left feeling fairly upbeat but also feeling I have cheated somewhat, I got a good result but not entirely sure how..
thank you all for being here, I think that the dialogue here is going to be the most valuable contribution anyone can get. Still got my L plates for now..

I have no idea how you did it Christophe...I'm type 2...I know so little about insulin...or Type 1 in fact...however you did it you did it well...fantastic result I'd be absolutely chuffed if I were you...amazing how they recommend different treatments...drugs...then say but they're not available...classic NHS...you obviously worked hard...it shows...well done.

 

[christophe]

I have no idea how you did it Christophe...I'm type 2...I know so little about insulin...or Type 1 in fact...however you did it you did it well...fantastic result I'd be absolutely chuffed if I were you...amazing how they recommend different treatments...drugs...then say but they're not available...classic NHS...you obviously worked hard...it shows...well done.

Thank you Bubbsie.. I guess I am doing what I think is right but I am not sure if I understand it.. there is a bit of a leap in the dark feeling every time I dial up a shot of insulin..
And you know what?.. I am a bit chuffed..

 

[stephknits]

Great results, you should be chuffed. Did they mention Fiasp as an alternative insulin? Much quicker acting than the Novorapid. Here they are offering it to people as a trial. Do they do the DAFNE course in your area?

 

[christophe]

Yes.. Fiasp was mentioned, dafne and the libre were all flagged up as being potentially useful to me. Not able to prescribe or offer any of them..!

 

[Bubbsie]

Thank you Bubbsie.. I guess I am doing what I think is right but I am not sure if I understand it.. there is a bit of a leap in the dark feeling every time I dial up a shot of insulin..
And you know what?.. I am a bit chuffed..

I have T1 friend who feels exactly the same as you christophe & she is a couple of years in...yes you should be chuffed...why not🙂

 

[Zillah]

Thank you Bubbsie.. I guess I am doing what I think is right but I am not sure if I understand it.. there is a bit of a leap in the dark feeling every time I dial up a shot of insulin..
And you know what?.. I am a bit chuffed..

Here's to winging it then Christophe, you must be doing something right....well done and an A* for you too

 

[christophe]

Thank you @Bubbsie and @Zillah
I was thinking on the way home yesterday that I should have a cake to celebrate but I realised I didn't actually want a cake..I had malbec instead which seems to have perked up my reaction to insulin! Pretty sure this doesn't go in the doing something right category.. but as a one off, I will take it..
Hope you all have good days whatever you are doing.

Chris

 

[Bubbsie]

Thank you @Bubbsie and @Zillah
I was thinking on the way home yesterday that I should have a cake to celebrate but I realised I didn't actually want a cake..I had malbec instead which seems to have perked up my reaction to insulin! Pretty sure this doesn't go in the doing something right category.. but as a one off, I will take it..
Hope you all have good days whatever you are doing.

Chris

There's nothing wrong with a little celebrating chirstophe...a well deserved treat...even a small alcoholic one?...my go to is a large Gin & Tonic...thank you don't mind if I do😉

 

[Zillah]

My go to treat would be dark chocolate and brandy- although with a fatty liver that'll be less often lol ...... 🙄

 

[Bubbsie]

My go to treat would be dark chocolate and brandy- although with a fatty liver that'll be less often lol ...... 🙄

Sounds very tempting Zilah.

 

[Zillah]

Sounds very tempting Zilah.

Is it bad that I'm sitting at work thinking how much more I would prefer to be sitting in my garden with a G&T Haha....too early ??😎

 

[Bubbsie]

Is it bad that I'm sitting at work thinking how much more I would prefer to be sitting in my garden with a G&T Haha....too early ??😎

No not at all Zilah...brilliant concept however maybe a little 'perverse' at 08:30 in the morning😉...I'm planning to do that this evening...and looking forward to it...oddly enough I always have a better morning 'score' after a couple of G & T's.

 

[christophe]

How did these girls turn it into a drinking fest..??
Shaking head emoji..

Actually good on you .. hope you get your feet up in the sun and have a Sipsmith for Bubbs if I remember right.. if Zillah can try Brockmans then all is right!