Replies to This Discussion

Permalink Reply by Zoe on February 21, 2013 at 8:36pm

It sounds like you've developed some Insulin Resistance, Beedubs; that can happen to Type 1's over time. Mine is around 25. I think the bottom line is that it takes what it takes.

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Permalink Reply by Beedubs on February 21, 2013 at 8:52pm

Thanks for your input, Zoe! I've had diabetes for close to 20 years, so I have heard a little about insulin resistance. Unfortunately, I've never found much good info on solutions for insulin resistance in type 1's. Maybe now that my endo sees concrete evidence of how much I'm using he will have an idea of what will help. Thanks again!!

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Permalink Reply by Zoe on February 21, 2013 at 9:48pm

Have you gained weight, Beedubs? if so, losing can definitely reduce IR. Also many Type 1's who have developed IR on here have reported success using meds like Metformin and some have had great results with Symlin injections. Good thing to talk to your doctor about options!

You might want to do a specific thread about IR in Type 1's.

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Permalink Reply by David (dns) on February 21, 2013 at 9:56pm

Metformin definitely helps some T1 people. Trying it is probably the only way to know whether it helps a particular individual. And it is one of the safest drugs around.

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Permalink Reply by Terry on February 21, 2013 at 11:17pm

I didn't realize until I went through it that T1's could become insulin resistant. It slowly developed in me over a five year period as I gained about 10 pounds. I lost weight last year and cut my usual 60-70 units per day down to my current 30. I changed my diet to low carb and try to walk every day.

Insulin resistance is a tough problem to shake. Maybe your doctor can help you figure a path forward. Good luck.

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Permalink Reply by Sam Iam on February 21, 2013 at 11:51pm

I used to take 60, but cut down to ~30, since I changed my diet a year ago. I would agree 98u seems like a lot.

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Permalink Reply by JohnG on February 22, 2013 at 4:10am

I can use 98u a day but I weigh 210 pounds, eat a high calorie diet and I take some drugs that cause insulin resistance pulse I have some chronic health issues and inflammation that can cause insulin resistance. During My first 20 years my TDD was 30u or less and my weight was around 170-180 pounds.

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Permalink Reply by suezq1949 on February 22, 2013 at 5:07am

Wow, 98! I average between 3 - 5 units per day during weekdays and about 6 on weekends. I am very insulin sensitive, and therefore, eat a very low carb, boring diet. Small input, small mistake, big input, big mistake. One unit drops me 115 points.

Sue

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Permalink Reply by Spock on February 22, 2013 at 5:23am

12-15 per day depending on meal carbs. 8.2 is the current 24 hour basal amount. I have also found that, oddly, as I get older I need less insulin.

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Permalink Reply by Jen on February 22, 2013 at 6:01am

I have had T1 for 21 years I take around 45-55u most days, but can get up to 60-70u if I am running high all day or eat a lot. I'm overweight but not insulin resistant. Last winter I got up to taking around 80u a day consistently and still running high, and I got worried about insulin resistance, but then that disappeared with the warmer weather, so who knows.

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Permalink Reply by Equestrian on February 22, 2013 at 6:27am

Between 17-25 units per day. I'm T1, 118 lbs, 5"6. I eat, or try to, between 30-75 carbs per day, that's why insulin dosage varies. When reading these responses realize that some may be from T2's. Also, try basal rate testing, to figure out your insulin requirements, without the carb factor, and maybe limit carbs to 100 per day and see what happens to daily total insulin requirements. When I up my insulin by 4-5 unita or more due to greater carb consumption, I gain a lot of weight quickly. Let us know how any changes you make effect insulin amounts.

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Permalink Reply by Clare on February 22, 2013 at 9:36am

I am on MDI and my TDD can vary depending on carbs, but average is 40-45 units a day. I have had T1 D for almost 38 years and so far have not developed any insulin resistance. 1 unit of Apidra drops me 50 points. I am like a lot of people here who say as they have aged they use less insulin.

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