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Originally Posted by Brian23  Even though I am trying to gain weight, am I running risk of heart and kidney problems eating this way? Why do diebetics (type 1) have to eat any differently than people with out diabetes if you are giving yourself correction insulin? I am very frustrated and hate this disease! |
Using insulin, as far as I'm concerned, is all about matching the insulin profile with the food you eat as closely as you can whilst still enjoying life.
The pancreas of someone without diabetes is able to react very quickly by squirting insulin where it is needed - straight into the blood stream - at a rate that is taylored to match the rise in blood glucose given by food. We cannot do this. Our insulin is squirted in once under the skin as opposed to in the bloodstream and has a reaction curve that is 'set'. Yes, it varies between individuals but that bell curve is loosely what you are stuck with. This reaction curve is useful as you don't want all 10 units to get in at once. You want it to drip in to match the food. Of course, it rarely plays this nicely.
Some T1's find it easier to control their BG by eating a reduced carb diet. Large amounts of carbs do tend to spike the old blood a bit more than lower amounts. I personally use Apidra, which is very quick. I eat lots of carbs (compared to some here) and mostly get away with it, though of course not always. I find that Apidra matches many carby meals pretty well. What it doesn't cope with as well is lots of fat / protein which slow down the carbs you eat them with. With this, Apidra can need 2 (or more) smaller doses.
I know it's hard, but you can find a way with this to eat more or less what you like and cope with it via the meds. You'll get there
If you can ensure your basal is set correctly (via fasting tests) then carb counting has a good chance of coming right for you and allowing you to eat what you like and cover it accurately with the meds.
Gary
