Just diagnosed three weeks ago today. Started insulin immediately with Lantus in am only (my doc is very clued in) and since maintaining a low carb diet of 60-75 grams carbs a day with daily excersize have only rarely needed to use any bolus dosing. I know people may question my insulin production but with an initial HgA1c of 11.7 and high GAD and low C-peptide I think the diagnosis is clear. Not sure if my case is unique but finding a single dose of Lantus with the above interventions has brought my 14 day average BG down to 84. That is recording 6x/day with one documented hypo.
Hi Bob: Welcome! Awesome results, too. Your diagnosis is quite clear. Lots of studies have shown that keeping tight control, as you are, prolongs the honeymoon period. That makes it easier to maintain control, dramatically reduces the risk of complications, and in short makes for a better life with Type 1 diabetes. Glad you found us here at TuD!
So can you fill me in on what to expect when you refer to the "honeymoon period"? Try to be gentle, I have a fragile ego LOL.
Honeymoon period is that time during which your body is still making some of it's own insulin. This makes blood sugar control far easier than if you are not producing any insulin.
It is known that the honeymoon period can be extended by maintaining truely normal blood sugars (A1C of 4.2 - 4.6) though diet, insulin and exercise.
Like super sally says, the honeymoon period is when a newly diagnosed person is still making some insulin (remnant insulin production). With good blood sugar control, it can be prolonged for a LONG time, and it really is beneficial to extend it as long as possible. I would respectfully disagree with super sally, I think that for most people an A1c of 4.2-4.6 may be unachievable without a lot of hypos, which is definitely something to avoid. Hopefully I was gentle enough! :) I know you have ordered Bernstein's book--other good ones are books by John Walsh ("Using Insulin" and "Pumping Insulin") and Gary Scheiner's "Think Like a Pancreas."
Thanks for the advice on the reading material. I am hoping to stay off the pump as long as possible but it seems to be the go for most with an active lifestyle.
Just to say hello! I am fairly new to my diagnosis of LADA - since late August I think. So far, so good. When they discovered it, my blood sugar was 543 and had averaged 350 for the prior three months before. I'm actually looking forward to my next doctor visit to learn more and hopefully find out I'm stable. I control with long acting insulin, diet, and exercise. I don't manage to get in a workout every day, but I find I feel better when I get in at least 3 - 4 days a week of intense exercise. After my diagnosis, I ran my first 5K in years that actually had a good "time" for me. I feel better than I have in a year, and other than not being able to get a steroid shot the last time I got the crud, I've had no real problems. (Yes, I've heard about the honeymoon stage.)
I have to admit, daily injections are an inconvenience, but so are glasses. It's life as I know it...and it's good.
Hi ABW: Welcome to the club! Sorry you had to join us, but glad that you are doing well and feeling good.