Quote:
Originally Posted by Lizzie G  Thanks guys for all your advice.
In answer to basal bolus ratio i generally seem to take about 10 units of lantus and maybe about 8 novorapid, both can vary by a couple of units either way but not insanely.
im very keen not to raise my basal; i do a lot of sport and most of this takes place early in the evening when i seem to need very little insulin at all and feel a 'pull' from my basal even at lower doses, this effect is quite pronounced even at 12 units. at that time of day my carb ratio is insanely low, 1:25 at the moment whereas early in the day is can be as much as 1:10. also i have worked very hard to lose a lot of weight and a higher basal stimulates my appetite noticeably as well as the physical requirement to eat more, so its an approach i would really prefer not to take unless it can be avoided!
i cant remember who it was that said they have a UK GP that will change their insulin - mine wont, which is very annoying. maybe i should change my GP; i feel no particular attachment anyway, but in the meantime i think i will call the nursing team and ask about NPH or something like that - if Blue Sky is out there and can tell me more about it that would be great. i know it sounds crazy, but i really dont want a pump. its a psychological thing really, i just cant deal with that constant reminder of diabetes. when im in the water swimming i just feel so normal, and people around me can think im good at swimming and comment on that and not know anything about the diabetes. whereas with the pump it would be visible, and people would ask and know and all that stuff and i want to be good at something in the context of normal rather than people making their very kindly meant comments about how well i do despite diabetes and all that stuff. i guess i do have some issues here about dealing with it and i want to keep the diabetes private. does anyone else wrestle with their emotions on this type of subject? or am i a freak?! (dont answer that...)
big sigh from a sad lizzie 
but thanks so much for advice everyone... |
Ye, don't feed your insulin its not worth it. I to have problems with sport, usually end up taking tiny amounts of bolus and a meal to counteract my basal. Don't forget you can disconnect a pump, novo rapid peaks at what 2 hours, that’s a long time to swim
swimming would keep your bg down anyway, so you could probably go for a lot longer. If I was you I would change GP, I will be soon, fed up with a constant argument over strip supplies. I think if you went for it and tried NPH, you could quiet easily start on a tiny does until you got comfortable with it. Would require a lot of waking up at night to ensure you don’t have any hypos though. About using NPH i found this:
Getting the most out MDI by using other insulins - Diabetes Daily Forum
I still am sensitive about diabetes, but I am not afraid to inject in public I just tend to choose who I tell or inject in front of. I don't care about friends/family but strangers I would choose not to tell them and probably not to inject in front of them. So you’re not completely weird or at least you’re not alone
Garry I am loving your poem, I can imagine getting that tube tangled on your “nees” would be a bit painful.
