T1 diabetics thread

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PositronicRay

Original Poster:

27,035 posts

184 months

Saturday 9th February 2019
quotequote all
Hi, just thought I'd start this to see if there's any interest.

I've been managing this condition for 40 yrs, still learning every day. Current HbA1c level 67mmol/mol. I know this is on the high side it's gone up from 60 2 yrs ago, so need to address it.

PositronicRay

Original Poster:

27,035 posts

184 months

Saturday 9th February 2019
quotequote all
mike9009 said:
Hi

T1 diabetic here, diagnosed at 7 years old (suspect cause mumps). 38 years later still here despite some periods of poor control. I don't understand the new scales for HBA1C but mine was 7.9. <must try harder>

Had some complications along the way (mainly retinopathy to date).



Mike
https://www.diabetes.co.uk/hba1c-units-converter.html

Better than mine.

PositronicRay

Original Poster:

27,035 posts

184 months

Monday 11th February 2019
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mike9009 said:
Thanks for that link. 8.3is not too bad. The two lads at work are both in the 6's which always makes me feel bad. Except the number of hypos they have seems abnormal. Almost daily or more frequently they seem to be grabbing a bottle of lucuzade.

I go 'low' perhaps once or twice a week - but have pretty good signals still.
HbA1c are a useful measure but not the be all and end all. No good having a decent average if you're not stable.

PositronicRay

Original Poster:

27,035 posts

184 months

Monday 11th February 2019
quotequote all
mike9009 said:
PositronicRay said:
mike9009 said:
Thanks for that link. 8.3is not too bad. The two lads at work are both in the 6's which always makes me feel bad. Except the number of hypos they have seems abnormal. Almost daily or more frequently they seem to be grabbing a bottle of lucuzade.

I go 'low' perhaps once or twice a week - but have pretty good signals still.
HbA1c are a useful measure but not the be all and end all. No good having a decent average if you're not stable.
Agreed - if they could do an average and standard deviation that would help to really understand how good (or bad) someones control is.

One thing we have often discussed is a blood sugar monitor which tells you the current value and whether the blood sugar is increasing or decreasing. (not sure how this would work??) But if you take your level a couple of hours after a meal and it is 14 - do you inject and if so how much? If the level was dropping or rising you would have two completely different answers as to how much insulin to take. (or just don't test too close after a meal or injection! smile )

Mike

PS there must be more T1s on here other than us two???
What you want is a freestyle libre, only some NHS regions will fund it though.

If I'm @ 14, 2hrs after a jab, I'm often down to 5 or 6 before my next meal so don't risk correcting, sugar spikes are a problem so I've started to split my basal (lantus) 50/50 am/pm

Edited by PositronicRay on Tuesday 12th February 08:44

PositronicRay

Original Poster:

27,035 posts

184 months

Monday 11th February 2019
quotequote all
Feirny said:
Mine will be 22 years as of Wednesday. Current HBA1C is 6.1 in old money.

Suffered a detached retina caused by retinopathy which was casued by poor control over a number of years, now back under control and being pretty strict with it all.
Pretty tight control there Feirny. wavey

PositronicRay

Original Poster:

27,035 posts

184 months

Tuesday 12th February 2019
quotequote all
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

PositronicRay

Original Poster:

27,035 posts

184 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:

27,035 posts

184 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.

PositronicRay

Original Poster:

27,035 posts

184 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.

PositronicRay

Original Poster:

27,035 posts

184 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?

PositronicRay

Original Poster:

27,035 posts

184 months

Wednesday 1st January 2020
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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

PositronicRay

Original Poster:

27,035 posts

184 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.

PositronicRay

Original Poster:

27,035 posts

184 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?

PositronicRay

Original Poster:

27,035 posts

184 months

Friday 3rd January 2020
quotequote all
pharmvrs said:
PositronicRay said:
Thx

Cheaper than I thought, how much does the NHS pay for libre sensors?
The NHS pays £35 per device which is operational for 14 days.

I have heard there are some supply issues with the libre device currently
Ahh OK Thx, so for me probably twice the price for libre.

PositronicRay

Original Poster:

27,035 posts

184 months

Thursday 9th January 2020
quotequote all
blackscooby said:
FreeStyle Libre fitted this morning.
Pain free ! I'm amazed (AND relieved!)

I'll report back in a bit and say how I'm getting on with it over my finger prick method.
NHS or self funding?

PositronicRay

Original Poster:

27,035 posts

184 months

Monday 13th January 2020
quotequote all
blackscooby said:
Freestyle Libre update.
Sensor failed get send a reading to my phone a few times on Saturday, then on yesterday from late afternoon it won't send anything to the phone. Just gives "Glucose reading is unavailable. Try scanning again in 10 mins".

Spoke to Abbotts and they're going to send me a new sensor. Not the best way to start a 2 week trial, but at least they're sending me a new sensor.

Mark
The failure rate concerns me, the things ain't cheap. Good to see Abbott doing the right thing.

PositronicRay

Original Poster:

27,035 posts

184 months

Friday 17th January 2020
quotequote all
Script organised, booked onto education course, easier than I thought, no battle required. If it all goes well, I'll look into getting a pump too. biggrin

PositronicRay

Original Poster:

27,035 posts

184 months

Friday 24th January 2020
quotequote all
I've just been told Accu Chek, compact plus cylinders NLA on prescription.

Bring on CGM.

PositronicRay

Original Poster:

27,035 posts

184 months

Friday 24th January 2020
quotequote all
mike9009 said:
Looks like accu chem discontinued it in December.

https://www.accu-chek.co.uk/help/blood-glucose-met...
Ahh that explains it, it was a pretty clunky old thing. I'm using a mobile too, so stick with it for a while.

PositronicRay

Original Poster:

27,035 posts

184 months

Tuesday 17th March 2020
quotequote all
mike9009 said:
I am a reasonably healthy T1 of 46 years of age. I was diagnosed aged 7 years old.

I have never had the flu, tonsillitis, etc. - my immune system is pretty robust.

However, I have the option to work from home for the medium term, so I think from next week I will. My concern, is if I do catch this my normal control will go out the window. I believe viruses can do weird things to blood sugar levels, according to my T1 work colleagues.

The only caveat is, if I catch it now, I can build my immune system a little, ready for the next mutation/ strain.

Anyone staying at work?


Mike
As a T1 your immune system is compromised. If I'm getting a cold often BS levels increase before any other symptoms present.

Sometimes it seems, no matter how much insulin you use levels just don't come down, even if not eating. Careful though, they can just crash.

I have issued a ketone testing kit too, the problem is it has a very short shelf life. So not really possible to keep one in the house.