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Away rom Home-Odd Numbers! LinkBack Thread Tools Display Modes
  #1 (permalink)  
Old 06-19-2009, 09:54 AM
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I am a: Type 1.5
 
Join Date: Apr 2009
Location: Berkeley, California
Posts: 352
Away rom Home-Odd Numbers!

Hi all

I thought I posted yesterday but I don't see it, so hope I'm not duplicating. So all the stress of getting my correct Type 1.5 diagnosis and adjusting to the right insulin regimen has been getting to me and I decided to go to the beach for four days. It's wonderfully relaxing, the beach is nearly deserted as it's off season and it is beautiful and low-key here. But the hard part I knew would be eating out for four days.

My experience has been very strange! I was afraid I would be going high a lot because I couldn't estimate the carbs and the food available to me would be higher carb than I usually eat. (I am a vegetarian which limits my options and I live in Guatemala, plus this is a very isolated rustic beach village). Nope, the opposite! I am eating higher carb than I'm used to, and I am having trouble maintaining my blood sugar without going too low! This morning was particularly dramatic. I woke up before 6 and I was 45! I took 2 glucose tablets which normally is enough without putting me high. I only got up to 61 and the restaurant didn't open for breakfast till 7:30 so I took one more. I still only got up to 63 before breakfast. I ate a high carb breakfast (a tortilla, frijoles, a slice of fried banana and my eggs..about 57 carbs. Normally my breakfast I:C is 1:10! ). I only did 2 units and now two hours later am at a perfect 127! All three days I've been here my post prandials have been in target or low! I'm wondering why. It is significantly warmer than I'm used to. I've done some beach walking but not tons, mostly just kicking back by the pool. The only thing I can think of is could this be the Type 1.5 insulin spurts by my pancreas I hear people talk about and not related to my trip at all? Any thoughts? I'm not worried, just curious!
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July 09: Back in the Motherland! Now eating as a vegetarian-eating-disordered- diabetic-foodie becomes an adventure in creativity not an exercise in futility!

A1C 5/09-7.2
11/09-6.5
Lantus - 10IU
Apidra Bolus
Synthroid 125mcg
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  #2 (permalink)  
Old 06-19-2009, 10:02 AM
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I am a: Type 1.5
 
Join Date: Feb 2009
Location: KCMO
Posts: 5,429
Beach Phenomenon? lol! I am jealous, on all counts, and wondered where you were!

Enjoy it, is my only advice. Hope it lasts a while too!
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Linda

Initial A1c Feb 6 09: 12%
Aug 24 A1c (MD office) 5.5%
Jul ... C-pep 1.3, GAD-65 > 30

metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.8



According to Joslin's Diabetes, 2005 ed., 5 - 30% of those diagnosed as Type 2 actually have LADA.
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  #3 (permalink)  
Old 06-19-2009, 10:30 AM
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I am a: Type 1
 
Join Date: May 2009
Location: TX
Posts: 488
I'd drop your basal 20-30% while you're at the beach (now, in the future, etc)... what you just experience is pretty normal when you have a decrease in insulin needs based on much more activity than normal.. even if you're eating "more" carbs than normal, your basal will still need some tweaking

When I have early AM lows it's usually becuase my basal is significantly too high.
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Old 06-19-2009, 10:51 AM
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I am a: Type 1
 
Join Date: Jun 2009
Location: Boston, MA
Posts: 227
Walking on the beach is more streneous than I think you give credit. Sand (especially wet) makes footing difficult and moving along sand is work.

The other thing I immediately thought of is you are relaxed. Stress does create higher numbers.

Have fun!
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Old 06-20-2009, 03:31 PM
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I am a: Type 1.5
 
Join Date: Apr 2009
Location: Berkeley, California
Posts: 352
I think the lowered stress is a possibility, but what I REALLY think is that I'm having one of those pancreas kicking in things I've heard happen with LADA. I'm going to actually post it separately to see if other LADAs have had the same experience.
I'm back from the beach now so we'll see if I can credit the ocean?!
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July 09: Back in the Motherland! Now eating as a vegetarian-eating-disordered- diabetic-foodie becomes an adventure in creativity not an exercise in futility!

A1C 5/09-7.2
11/09-6.5
Lantus - 10IU
Apidra Bolus
Synthroid 125mcg
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  #6 (permalink)  
Old 06-20-2009, 03:54 PM
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I am a: Type 1
 
Join Date: Feb 2008
Location: Melbourne Australia
Posts: 4,470
It may well be. Looking at other factors, don't forget the change in temperature as well. That can change things by about 15% for me.
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