[domsko67]

Since developing diabetes I think I now know more acronyms than there are in the oxford english. Anyway the latest to cross my path is DAFNE. A long-term T1 suggested to me that this was the way to go diet-wise, you basically eat what you want with the exception of sugary drinks, and just cover it with insulin. That seems like madness to me because:

1) I recently bought Dr Richard Bernstein's book on how to manage blood sugars, and the central argument is that we T1 diabetics MUST limit the carbs in our diet to achieve better control, less swings, avoid spikes etc.

I must say that this approach has revolutionised my control. I am in the normal range nearly all the time now, when I stick to the low carb diet he recommends. I cheat every now and then but we're all human, right? I'm feeling much more energetic and I've been 200% more productive at work, the difference in me is tangible, even my family has noticed and said so.

2) Surely a diet where you just eat anything would lead to potentially hundreds of spikes, as even the fastest acting insulin would still struggle to cope with the food intake?

Which leads me to my next question - Glycomark testing. Anyone know anything about this and whether it is available on the NHS in the UK?

Apparently if you want to know whether your blood glucose is behaving itself after meals, the GlycoMark Blood Test is the way to go. It allegedly measures a unique sugar (called 1,5-AG, short for 1,5- anhydroglucitol) which enables doctors to separate patients whose higher A1cs stem predominately from post-meal spikes from those patients whose problem is basal glycemic control.The test is likely to be useful if your A1cs are moderately good, but not quite there. It could reveal post-meal spikes that you weren’t aware of, giving you and your doctor the ability to make necessary adjustments to your medication.

any advice on this appreciated folks