T1 diabetics thread

Author
Discussion

mike9009

7,007 posts

243 months

Tuesday 12th February 2019
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bonerp said:
I lost my license 5 years ago due to retinopathy. Its taken this long for DVLA to allow me to take a driving assessment after them being told by eye specialists (their independent) and mine, and my gp etc that I'm ok to drive. So today I have my first lesson as a refresher and a couple more booked before my assessment!

I am so excited I can't tell you.

However this is a serious comment....keep your BG's in check. Work hard to get better control. I'm now on a pump and its made the world of difference to my control. Everyone has a right to better control and access to a pump. Being without a license for 5 years is hard. I have a 16 yr old daughter who has missed out as a result. Eat better, and medicate effectively. DVLA will use any excuse to keep you out of a car.
I have had fairly extensive laser surgery for retinopathy. As long as I pass a field vision test the DVLA are happy. The only other reason I have heard of the DVLA taking away a licence is due to severe hypos which require assistance from another person.

PositronicRay

Original Poster:

27,012 posts

183 months

Wednesday 13th February 2019
quotequote all
mike9009 said:
PositronicRay said:
Corso Marche said:
Type 1 for 21 years now. Another sibling is type 1 since the age of 9.

I need to get serious about exercise, weight gain over the last 2-3 years has been pronounced, and in the last 6 months my blood sugars are quite high in the morning, it seems my basal evening/overnight dose isn't performing as it used to. Daytime and evening are still ok though.
It's a tricky one this, I tend to increase my basal, seems to sort it for a while, then night time hypos start, so peg it back to where it was.

Stress sends everything haywire too.

I've started splitting my basal now 50/50 am/pm. It took a couple of days to settle seems to be working, early days though.

Edited by PositronicRay on Tuesday 12th February 08:45
I am incredibly nervous of changing my long term insulin. About 12 years ago I started 'playing' with it, generally increasing it to try and drop my HBA1C. I then had a few fits early morning (upon waking) which was not pleasant for my wife. (cracked my head on the radiator by the bed, bitten tongue and lots of blood!). The emergency services came each time (3 times in all) but my blood sugar was 7.0 or so after each fit. Therefore, the fits were not linked to my diabetes. I explained this to various medical professionals, but I was diagnosed with epilepsy. I was banned from driving for 18 months and given epilepsy medication which I have since stopped taking. I returned my long acting insulin to 'normal' and the fits stopped. Now I don't mess with them.

Mike
On advice from the diabetic clinic I increased my basal, started to get hypos in the small hours.

So I've pegged it back down and split the dose am/pm, it's taken a week or so to settle down but I've now started to tweak it up again. If need be I can run with a different day/night time doses.

I haven't fitted for a few yrs, when I did I don't think it was basal related. Just out of my normal routine and screwing up.

PositronicRay

Original Poster:

27,012 posts

183 months

Monday 30th December 2019
quotequote all
I'm pleased, that thar Christmas is finished, BS has been all over the place.

Off to the clinic on the 17th with a view to petitioning for a freestyle libra.

mike9009

7,007 posts

243 months

Monday 30th December 2019
quotequote all
PositronicRay said:
I'm pleased, that thar Christmas is finished, BS has been all over the place.

Off to the clinic on the 17th with a view to petitioning for a freestyle libra.
Yep, I have had an up and down Xmas too (more up than down though....).

I had some good news though as I am now booked for cataracts operation at the end of Jan! smile

I might start petitioning for a Libra soon too. My biggest issue is when I test my BS and get a figure I am not sure whether my level is rising or falling. I think Libra will show this? I always air on the side of caution so my BS tend to run high. This usually happens after work or before bed......

Mike

Feirny

2,518 posts

147 months

Monday 30th December 2019
quotequote all
PositronicRay said:
I'm pleased, that thar Christmas is finished, BS has been all over the place.

Off to the clinic on the 17th with a view to petitioning for a freestyle libra.
I’m the same with Christmas. I’ve had a libre for 18 months, most of it self funded but the last 3 months have been on the NHS. It’s absolutely brilliant bit of kit.

PositronicRay

Original Poster:

27,012 posts

183 months

Monday 30th December 2019
quotequote all
Feirny said:
PositronicRay said:
I'm pleased, that thar Christmas is finished, BS has been all over the place.

Off to the clinic on the 17th with a view to petitioning for a freestyle libra.
I’m the same with Christmas. I’ve had a libre for 18 months, most of it self funded but the last 3 months have been on the NHS. It’s absolutely brilliant bit of kit.
I here reliability has improved.

I'm impressed you managed to get NHS to fund. After self funding I'd have thought they'd be reluctant.

Feirny

2,518 posts

147 months

Monday 30th December 2019
quotequote all
PositronicRay said:
Feirny said:
PositronicRay said:
I'm pleased, that thar Christmas is finished, BS has been all over the place.

Off to the clinic on the 17th with a view to petitioning for a freestyle libra.
I’m the same with Christmas. I’ve had a libre for 18 months, most of it self funded but the last 3 months have been on the NHS. It’s absolutely brilliant bit of kit.
I here reliability has improved.

I'm impressed you managed to get NHS to fund. After self funding I'd have thought they'd be reluctant.
I have a few mitigating factors which help my case. I’d still pay for it if I had to, though.

NoNeed

15,137 posts

200 months

Monday 30th December 2019
quotequote all
PositronicRay said:
Feirny said:
PositronicRay said:
I'm pleased, that thar Christmas is finished, BS has been all over the place.

Off to the clinic on the 17th with a view to petitioning for a freestyle libra.
I’m the same with Christmas. I’ve had a libre for 18 months, most of it self funded but the last 3 months have been on the NHS. It’s absolutely brilliant bit of kit.
I here reliability has improved.

I'm impressed you managed to get NHS to fund. After self funding I'd have thought they'd be reluctant.
I have had the same, self funded for some time then the consultant said he would help me get it on the NHS as he liked to help people that wanted to help themselves it also means I can manage my shift working better too

Corso Marche

1,722 posts

201 months

Monday 30th December 2019
quotequote all
My sister started with the Libra earlier in 2019, self-funded. She's well impressed. Considering it myself, but waiting to see if any other companies bring similar offerings to market in 2020 before I do.

PositronicRay

Original Poster:

27,012 posts

183 months

Tuesday 31st December 2019
quotequote all
Corso Marche said:
My sister started with the Libra earlier in 2019, self-funded. She's well impressed. Considering it myself, but waiting to see if any other companies bring similar offerings to market in 2020 before I do.
That must be unusual to have T1 siblings. Any genetic connection?

Corso Marche

1,722 posts

201 months

Wednesday 1st January 2020
quotequote all
There is a few cases in my dad's side of the family of T1 diabetes, so it's obviously familial. My (younger) sister was diagnosed as a kid at the age of nine. Despite being older I didn't develop T1 until I was 19. In our generation a few other relatives all developed it as kids. No sign of it at all in my mum's family.

pharmvrs

147 posts

160 months

Wednesday 1st January 2020
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NoNeed said:
I have had the same, self funded for some time then the consultant said he would help me get it on the NHS as he liked to help people that wanted to help themselves it also means I can manage my shift working better too
If anyone want’s to get the NHS cost of their current set up please drop me a PM or post here - test strips, lancets, insulin etc etc all add up to a total cost which may be higher than the total cost of the libre device. When these costs are presented it may help persuade your prescriber.

PositronicRay

Original Poster:

27,012 posts

183 months

Wednesday 1st January 2020
quotequote all
pharmvrs said:
NoNeed said:
I have had the same, self funded for some time then the consultant said he would help me get it on the NHS as he liked to help people that wanted to help themselves it also means I can manage my shift working better too
If anyone want’s to get the NHS cost of their current set up please drop me a PM or post here - test strips, lancets, insulin etc etc all add up to a total cost which may be higher than the total cost of the libre device. When these costs are presented it may help persuade your prescriber.
Thanks, that's very helpful.

I use 2 machines, one for the house and one for walking & working.
Accu-chek mobile and Accu-chek compact

ETA

Based on economics I should be in with a shout, I'm doing circa 200 finger picks a month.




Edited by PositronicRay on Wednesday 1st January 16:13

Corso Marche

1,722 posts

201 months

Wednesday 1st January 2020
quotequote all
Can you still get the cassettes for the AccuCheck Mobile? I used mine for the last time a few days ago. I've been told the cassettes have been dropped by AccuCheck so the most convenient meter I've ever had is now defunct.
You don't realise just how convenient it made life until you go back to using separate strips, finger pricker, and the meter.

shopper150

1,576 posts

194 months

Wednesday 1st January 2020
quotequote all
Corso Marche said:
Can you still get the cassettes for the AccuCheck Mobile? I used mine for the last time a few days ago. I've been told the cassettes have been dropped by AccuCheck so the most convenient meter I've ever had is now defunct.
You don't realise just how convenient it made life until you go back to using separate strips, finger pricker, and the meter.
Yes, you can. It’s the Compact that are no longer available.

Corso Marche

1,722 posts

201 months

Wednesday 1st January 2020
quotequote all
That's interesting. My sister uses a pharmacy over 1 hour away from me and they told her last summer they could no longer get the cassettes for the Mobile.
Then in September my pharmacy told me the same thing. I bought some myself elsewhere, but finished the last cassette a few days ago.

Looks like I'll be asking some more pressing questions in the pharmacy in coming days!

PositronicRay

Original Poster:

27,012 posts

183 months

Wednesday 1st January 2020
quotequote all
Corso Marche said:
That's interesting. My sister uses a pharmacy over 1 hour away from me and they told her last summer they could no longer get the cassettes for the Mobile.
Then in September my pharmacy told me the same thing. I bought some myself elsewhere, but finished the last cassette a few days ago.

Looks like I'll be asking some more pressing questions in the pharmacy in coming days!
Yes, I pick up a script most months.

mike9009

7,007 posts

243 months

Wednesday 1st January 2020
quotequote all
I am using the Accuchek Mobile too. I have not had any issues getting the cassettes, last one was about three weeks ago.

Mike

pharmvrs

147 posts

160 months

Friday 3rd January 2020
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Just a quick follow up:

Mobile cassettes: £9.99 per 50 tests (Still available in UK and Ireland but supplies can be sporadic)

Lancets generally £2-3 per 100

Needles generally £2-3 per 100

Sharpsbox £1 per 1litre size

Humalog cartridges per 5 pack £28.31, kwikpen pack of 5 £29.46
Lantus cartridges and solostar pen per 5 pack £37.77
Levemir flexpen for 5 pens £42.00

There is the potential with the libre device that you use less insulin as the glucose control is better.

PositronicRay

Original Poster:

27,012 posts

183 months

Friday 3rd January 2020
quotequote all
pharmvrs said:
Just a quick follow up:

Mobile cassettes: £9.99 per 50 tests (Still available in UK and Ireland but supplies can be sporadic)

Lancets generally £2-3 per 100

Needles generally £2-3 per 100

Sharpsbox £1 per 1litre size

Humalog cartridges per 5 pack £28.31, kwikpen pack of 5 £29.46
Lantus cartridges and solostar pen per 5 pack £37.77
Levemir flexpen for 5 pens £42.00

There is the potential with the libre device that you use less insulin as the glucose control is better.
Thx

Cheaper than I thought, how much does the NHS pay for libre sensors?