I have been diagnosed as a LADA diabetic for 7 months now and so far I have gotten by with eating a low carb diet, exercise and small amounts of Bolus insulin if I have more than 15 g carbs in a meal..
That worked great until recently, for a while now my fasting BG has crept up to what is now averaging around 115-125, I also noticed that during the day in between meals I find it hard to ever go under 100. (But then I DO see the occasional 75 too! But I used to be around 80 regularly before I ate again)
I have to admit I am a little anxious of taking that jump to having exogenous insulin in my system ALL the time, especially since I still have phases where my pancreas seems to suddenly decide to go back to work.
Because I m a photographer my daily activity level greatly varies, sometimes I run around all day on a shoot, sometimes I sit in front of my computer all day long, not moving at all.
That is why I was/am quite scared of experiencing lows/hypos frequently as soon as I go on basal.
I m worried I will have to check my BG all the time, and being forced to snack between meals not to go low.
Can anybody (esp. any LADAs maybe with some function left) share some experiences of first getting into basal and avoiding lows?
Maybe split the dose?
How about starting on a very low dose before bedtime, say 2 Units, would that do anything?
Should I do some nighttime testing the first few nights, at 4am, 6 am etc?
And is it possible that I d have to rethink my bolus (IC ratio) if I have basal on board too?
And finally, how much does my basal effect extra physical exercise - would I have to make sure to "start high" when going running, to avoid lows?
Of course I will discuss all this with my endo at my next appointment, but I ve noticed the tips I m getting from here are usually more diverse and helpful ;)