Here's a couple of things that might help you. First off, when you go to the lab and have blood drawn (and glucose is tested), bring your meter along and make note of the test result (do this shortly before or after the draw). While the industry standard for meters is /- 20%, each individual meter is different. I have taken my current Freestyle Lite to the lab over a dozen times now. It always reads 6 - 7% higher than the lab. It is accurate and also consistent. That's this meter. My old one (which has since died an honorable death after long use) was consistently 9 - 11% high. So the only way to know how accurate and consistent your meter is, is to compare it to the lab regularly. Don't bother comparing it to a meter in a doc's office. They rarely do this. I also consider control solution a waste of time as it only gives you a range, and only for "normal" numbers.
As for you higher # the next morning, it's possible that you had a significant spike in your dawn phenomenon due to the exercise the day before and your apparently quite low carb dinner. It could have been your body's over-response to a low available energy situation. That's just a guess.
Hi Maria. Sorry, I missed your post and would have answered soon (had to get a heads up from a friend). Anyway, what is happening to you occurs to some people with diabetes, especially with type 1.
Before I get into an explanation, I'll tell you that I was also diagnosed at age 2.....in 1966. Coming up on getting my Joslin 50 year medal next year. But anyway, over your life (and you will live a long, normal life span) your diabetes is never going to remain static. It will always be changing. So that things that worked last year, may not work this year. Especially when you are younger, things in your life change a lot anyway, Hormones, high school to college (big change), 1st year college versus 4 th year college (another big change), then transitioning to a job.....etc. So always work to test and keep on top of things.
Here's what I think is happening. You body feels the "stress" of the exercise, and trying to be helpful, to provide you energy, shoots out some glucose to provide that. As a T1, you don't have enough insulin on board to deal with it, and up you go. When I was pumping and more active, I would decrease my basal a bit during exercise (mainly to be safe) and then increase it a bit afterwards and sometimes take a small correction a few hours later as well. But that's what worked for me and I found this combination through trial and error. I can't speak highly enough of getting a pump! (but that's a topic for another day).
So what you might want to try, since you find you are going so high, is to maybe take a unit or two, test a couple of times during the exercise and periodically afterwards, and see what works for you. I know! I know! Test strips are expensive, but it's worth it.
Since you are soon to be studying hard, I would recommend a few books:
Think Like a Pancreas Using Insulin (or Pumping Insulin, either will do) The Diabetic Athlete or The Diabetic Athlete's Handbook
Best of luck sorting this out, and keep asking questions if you need to. I'll check the posts more carefully.
Hi and welcome. What are your issues with potassium? You really need to see a doc about this as abnormal potassium can be signs of such scary things as DKA, or kidney issues. Do you need to restrict or increase it? Depending on these other issues, there are different things that you maybe either should or should not do to manage your blood sugar.
Depending on who you talk to, there are no exact and hard and fast rules. Many (especially patients who work hard to keep glucose under control) will tell you that saying you have "pre" diabetes is kind of like being a little bit pregnant. You either have a glucose problem or you don't. The bottom line is that you have had higher blood sugar levels so technically had gestational diabetes. But this greatly increases your risks of getting type 2.
The most often used guidelines (including the "pre") are that any a1c below 5.6 is technically "normal", 5.7 - 6.4 is "pre" and 6.5% and above is full blow diabetes.
Personally, I would work at cutting carbs and exercising to help stave off increasing blood sugars.View Thread
Wow, you need to talk to a doctor and get better treatment. With blood sugars averaging between 270 and 350, your a1c is probably somewhere between 11 and 13%. That is far and above the a1c that is considered to keep you "safer" from complications. It's no wonder your neuropathy is getting worse. A non-diabetics a1c would be in the 4 or low 5% range. You are running at least double that and running a significant chance of other worsening complications. See your doctor asap!
Islet cells (transplant) are a treatment, and not a cure. I can't emphasize that enough. The problem for this "treatment" is the side effects of the anti-rejection medications. It would involve a combination of several drugs. Prednisone (the gold standard for transplants) will involve a significantly increased risk of cancer (especially skin cancer, so would involve limiting outdoor activities in summer), diminished growth (possibly) and significant bone problems. The other drugs also cause things like horrible bowel issues, cholesterol, tremors, and they too involve a significant increased cancer risk. And, of course, serious issues regarding possible infections. These drugs would be much more limiting to a 16 year old than the diabetes itself.
And, from my own research, while islet transplants can be less traumatic for the body, they are typically deposited in the liver and no one knows the possible long term side effects of this. Additionally, most islet transplants only last a year or two. And the amount of drugs is much higher than with a full organ. A full organ transplant (done in more centers than islet cells) involves a very large surgery but typically they last a decade or so. Google the side effects of cellcept, prednisone, and prograf. It's scary!
I'm sorry to be so blunt here, but your child will have a much better and active lifestyle with a pump than with a transplant. Especially at her ate. What you should be worrying about at this point is who she is dating, where she wants to go to college (and what she wants to study) and how you are going to pay for all that. Don't diminish how much your attitude is going to affect her. If you are constantly searching for a way to "fix" her, that's going to rub off, and she will probably accomplish a lot less in her life. I personally am coming up on my 50 year Joslin medal (50 years with type 1). I know of someone who is coming up on the 75 year mark. There are thousands of people who survived (and well) for half a century and more with diabetes. And we all had lousy technology to help us in the early decades. With todays "toys", there is no reason your daughter won't live to be 90 (at least). Unless, of course, she texts and drives.
Believe me, you don't want to subject her to transplants. They are another form of treatment, and not a "cure". And the amount of blood work and Dr. appointments will increase, rather than decrease what she has to deal with now.
Bottom line is that the primary focus needs to be on her living her life to the fullest (like any normal teen). Feel free to help fundraise, and do other stuff like raising awareness. She can and will lead a long, healthy, funfilled and fulfilling life with type1. There's no reason not to. But her life needs to be the focus, and not the diabetes. I am doing well, but my transplants are a constant issue in my life and much harder to put in the back ground than the diabetes was.
Statins can (for some people) raise their blood sugar levels. But not everyone. Unfortunately, it may be the statin raising your bg, or it could be a progression of your diabetes. The bottom line is that you will have to decide if you want to take or refuse the drug (which may be responsible for an increased a1c, or maybe not) but yoiu will always have to work on taking care of your diabetes (which may or may not require increased intervention.
I'm sorry to tell you that at this point, there is no "treatment" (meaning cure) for type 1 that does not involve significant complications. The best "treatment" at this point is testing and good bg control through either MDI (multiple daily injections) or insulin pumps. There are a host of scams on theinternet involving stem cells and all sorts of stuff. Many of these appear to be legitimate, but basically claim to cure almost everything from MS to asthma and diabetes. They only succeed in making your wallet and bank account a whole lot slimmer.
As for islet cells, the bottom line is that you require large amounts of anti-rejection medications. Which give you a significant risk of cancer and infections and all sorts of other ugly things. These are not worth it unless you already have significant complications. You don't want to generate complications through the "treatment".
I wish I could have more for you, but the bottom line is that type 1 will not stop a young adult from fulfilling their dreams. It just takes a bit more work. They can live a long, healthy, happy, fun-filled life.View Thread