Comment by Brian (bsc) on March 19, 2013 at 6:36am

Personally, I think your CDE is a little wacko. You were just diagnosed with a very high A1c, you probably lost some weight and she is asking you to eat 2000 cal/day. A 5' 0" 30 year old male that weighs 120 lbs and is moderately active needs 2000 cal/day. Are you this size? Do you need to lose weight? And why do you have to eat 60% of calories from carbs? I don't even want to go there.

It was good to go to the class, hopefully some of the other aspects of the class were more helpful.

Comment by midwatchcowboy on March 19, 2013 at 7:01am

I'm 6'3", 190# and only moderately active. My pre-diabetic weight had slowly gotten up to 220 over a decade or so. Looks like I should be at about 2500 cal/day for maintenance.

Comment by Brian (bsc) on March 19, 2013 at 7:10am

A 6'3" 190lb male at 30 years old has a BMR of 2000 cal/day. If you are moderately active, you multiply that by 1.55 to get the calories needed to keep you at that weight. That works out to 3100 cal/day in my book. At a BMI of 23.7, you are hardly overweight.

Comment by Holger Schmeken on March 19, 2013 at 8:22am

I would recommend to split the Levemir too. In steady state experiments they have seen that insulins like Lantus and Levemir do act for 24 hours. However this activity is not evenly distributed. If you experience a dawn phenomenon this uneven distribution might be helpful to fight the DP. But most people are very sensitive to insulin at night - especially at 3am. Thus you better split the 16u in two shots of 8u every 12 hours. This will make the I:C ratios more even, your reaction to physical activity will be more predictable and there will be no gap in coverage with basal insulin.

Comment by Shawnmarie on March 19, 2013 at 1:22pm

I don't think I'd pay attention to the advice about getting 60% of calories from carbs. Couldn't imagine trying to control my BG under those conditions. I see from your profile that your employment depends on getting your A1C down. You might touch base with Sam:

http://www.tudiabetes.org/profile/abellseaman

I believe the licensing for his job is also dependent upon keeping his T1 under control. He might have some useful tips.

Comment by Shawnmarie on March 19, 2013 at 1:26pm

And isn't if fun being the only T1 in those classes (not). The teacher in my class kept pointing out that it would be different for me because I was a T1 and one frustrated T2 guy said, "Hey, wait a minute, Type 1s can still eat what they want because they can take insulin for it?!?" Of course, we know it's not that simple, but he thought it seemed preferable to changing his diet.

Comment by David (dns) on March 19, 2013 at 2:11pm

60% from carbs? Well -- full disclaimer -- I am a Bernstein disciple. But that sounds insane to me. If you seek good control, that is.

Comment by Don on March 19, 2013 at 5:28pm

I also attended a class after dx and was the only T1 (of about 20 people) and this fact ruined it for me. 'Course I was newly traumatized and not in my right mind regardless. Re your diet and carbs, I encourage you to think for yourself.

Comment by David (dns) on March 19, 2013 at 6:04pm

Sometimes life seems to be just one endless series of ironies. I regularly attend the local support group's monthly meetings, where I am usually the only T2 in the room. LOL

Comment by Sarah on March 21, 2013 at 7:33pm

i attended a diabetes class too, i was the only type 1, they kept asking me, 'how can you have diabetes, you're so skinny.' the educator kept saying, 'she's a type 1." and yes, one type 2 in the class took 600 (six hundred) units of levemir. the difference between type 1 and type 2 are huge. as my endo said, they're not even remotely alike. one type 2 couldn't understand why her blood sugars went up cause all she had was 2 glasses of milk, she'd been type 2 for 12 years. i'm thinking, doesn't she know milk has carbs - glucose in it? i agree with don, think for yourself, eat what works for you and your blood sugars, experiment, try different foods. if you don't want to eat that many carbs, then don't, ya know.

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