Anna, if you're using two bottles of Humalog a month, that's about 66 units per day. That sounds way too high for a young girl (sorry but 20's is young to me). I take a lot less insulin than that per day and I'm a 6'5" T1 male. But it also makes me wonder whether you are taking enough basal insulin (Lantus or Levemir) - I certainly hope you're not taking only Humalog? Taking too little basal insulin can lead to bouncing blood sugars like you've reported in some of your earlier posts.
Let me know if you are still getting wildly erratic blood sugars, since I was able to greatly improve my blood sugar stability - and it involved taking more basal insulin, much less bolus insulin, and less insulin overall (I was being over-medicated, which surprisingly gave me both high and low blood sugars). I can explain how I figured out what was going on for me if you're interested.
fewer lows for you now ?? I learned something !! : I did not know Dexcom was a stand alone gadget...I had the notion , that one requires a pump
Yes, some of the TU D members are VERY, VERY knowledgeable ( sp ?) and willing to share !!
I recently received the Veo pump( Revel in the US ) , upgrade from 522 MM and with everything else going on : bottom line : more work ...I will hang in ...just like YOU ...hugs.
YMMV with the emphasis on MAY, but I would be highly suspicious of thinking you are "fine" after so many low BG episodes. The losses may be minor, but they do accumulate over time. Be careful out there!
Maybe you and I can play the game , if you feel comfortable enough ? Trying it for about 3 months ? I am not set up with Skype , so possibly here on TU will have to do for now . Would exchanging e-mail addresses work ? You will get a bit of a sense about me ,if you visit my page . I am not a professional person and I will do my utmost to make it work ...I will learn as well !!
I read, that you have done/are doing " Danny" s homework ..well really it is YOURS :-) ...small steps at the time .
Till next time.
Anna , firstly , how have you been ?? secondly I am following up on your last discussion , where you expressed having a mentor may just work for you ...did anything come out of this ??...let us know via here or in your discussion , OK ?
Yes I did immediately wanted to stop overinjecting after my incident. That is when I knew that I had to get the much needed help that I got even when I really did not want to but at the same time di want it.
What helped me was a few things. One was finding a doctor who could help me with my anxiety, and obsessive compulsive disorder which was a big help even when I think I do not need it. I was on medication for the anxiety that now I do not have to take anymore It has been 3 years since I had to take it. Another thing that helped was talking about it with others and listening to what they had to say even if I did not agree with them. The last and the BIGGEST thing that helped me was almost dieing and being told that I would never be the same mentaly as I was before. The damage that was done to my brain made me have to learn to walk and talk all over. It was no fun. But now my doctors say if they did not know me before they would not believe that I had the brain damage that I had because I am mentally back to the way I was before able to walk, talk and do everything for myself now.
Anna, absolutely no imposition of guilt was intended by my post. My last paragraph explained my perspective. Obesity induced type II diabetes is the most common kind. It is proven that obesity is a major risk factor for type II diabetes, emphasis on type II. I had hoped my last paragraph made that clear, that is why I included it. Type I is a completely different beast. My post was simply my perception of that 1 article. I offer you my deepest apologies if you found it offensive.
Anna, I understand. I share your goal of not being above 140 ever. Let me tell you that getting the dex was a life-altering experience. I am a diabetic for 36 years and I had to control my T1 with urine test strips for 15 years. Then came the bg test strips and I can't understand how I survived with urine test strips. Switching to the dex was similar. I was on the fence for many years. I knew that it was the right thing to do. I hesitated to have something attached to me permanently because it would destroy my illusion of being normal. I hedged my bets and said that I would get the dex only if insurance paid for it. I filled out the paperwork and dexcom sent me the CGM within a week. I stored the packet unopened in my closet. I came up with some excuse or another why it was a bad time to start. Eventually, driven by not feeling good about myself, I bit the bullet. Right out of the box the dex worked like a charm. All the complaints that I read on the forums about CGMs did not seem to apply to me. For the first time I could see what was going on at night, what certain foods did to me, how fast my bg can turn a corner and so on. I learned more about my diabetes in the last 6 weeks than in the last 36 years (this cannot be true, but it feels like it). I have turned around 180 degrees. Now I would not hesitate to pay for the dex out of my pocket (don't tell my insurance). Bottom line: A CGM, whichever brand you chose, will benefit you tremendously no matter what your goal is. I can no longer image life without it. My fears are greatly reduced. I used to let my wife drive the car because I saw no upside in putting our lives at risk. Now I am happily driving again because I know what my bg is doing every step of the way. I didn't want to bore you with a long response. I just got carried away because I am so exited about my new toy. Get one and if you want to exchange notes about how to get the best out of it, you know where to find me.
The DexCom has helped me reduce my lows. I haven't had a low under 70 in 5 days now which has never happened since I went on the pump! Here is what I like about the Dex, it only takes 3 hours for a sensor to start working, the direction arrows for when your sugar is rising or dropping quickly help alot, the sensors stay on well and do not irritate the skin, and I can almost always get more than 7 days out of a sensor. What I don't like is that sometimes the Dex will tell me I am really low (in the 50s) and I am at 100. Granted it means I always catch real lows but sometimes the alarms drive me crazy! The Dex is better at catching lows than the minimed (it can only give a reading of like 60) but I hear the navigator is more accurate than the Dex in all ranges. The problem with the navigator is start up time is like 12 hours and they are hard to get right now as there has been some weirdness going on with that division of Abbott.
Okay - then that explains your low A1C - that's why I was questioning you about having hypos. I know when I was using Lantus - I was getting frequent lows at night/morning. In the end I was splitting my Lantus up p.m. / a.m. (I took a total of 16 units a day of Lantus). It took abit of head banging to get it right - but had it working just perfect along with taking fast acting insulin based on my carb ratio (I was using the John Walsh book for about 3 years prior to going onto the pump I'm now using - so it helped me adjust to going onto the pump much faster - plus I had little help with learning how to use the pump due to lack of English speaking diabetic educators here in the province I live in - but managed (I am a survivor!!!). Isn't life a bowl of cherries or what???
Anna - maybe you're doctor isn't aware of a "new" tool - called AeG - the forumula if I plug in your latest A1C of 4.7 says that the equivalent of 4.7 % A1C is 88 mg/dl eAG. To me 88 mg/dl (4.9 mmol/l in my world of BG's) is excellent! I guess maybe your doctor is worried that you have hypos in order to achieve that A1C reading (I know that's what my endo had told me when he saw my A1C was at 5.7% - I set him straight ). I do not have hypos that often (most of the time due to over bolusing for something I couldn't figure out the carbs on). I had more on MDI - but I was starting to tweak my Lantus - and then the offer of test driving a pump came along - I got sucked right into the vortex of pumping despite my being totally against it . Anyway, you can find the link for the aEG - as well as an explanation of this "new and improved" way of controlling your BG's at my blog called - Estimated Average Glucose: A New Term in Diabetes Control - it's pretty straight forward to understand.
Sob - you aren't a true Anna - but glad you picked my first name as your "pen name" . I used to go by Gertrude Swine many moons ago in bars - but then changed it to my real name when I became an adult a few years ago . Excellent A1C by the way - better then what I have on my pump!!! I have another friend who is trying to get her A1C under 5% - and she uses 4 types of insulin - tests every hour - right now her latest A1C is 5.1%! I'm going to tell her about you - she'll be green with envy
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