Tuesday, 26 July 2016
Losing Weight, Insulin and Type 1 Diabetes Counting those carbs to loose weight while managing #Type1Diabetes
Saturday, 16 July 2016
Every now and then, there's a "Light Bulb Moment" That moment when everything looks a little clearer .......
My first lightbulb moment after being diagnosed with type 1 diabetes was finding myself at a DAFNE course with others just like myself. Living with type 1 diabetes.
Saturday, 9 July 2016
What is DAFNE?
DAFNE stands for "Dose Adjustment For Normal Eating" and its a way of managing Type 1 diabetes for adults it gives us the skills we need to estimate the carbohydrate in each meal and to inject the right dose of insulin.
The aim of DAFNE is to help you lead as normal a life as possible, while controlling your blood glucose levels, while reducing the risk of long-term diabetes complications.
DAFNE usually involves attending a 5-day training course (9am to 5pm Monday to Friday) There are usually 6-8 participants under the supervision of the DAFNE-trainers. The DAFNE course is about learning from experience. During the week you practice the skills of carbohydrate estimation and insulin adjustment.
Eg: 30gms of apple, 30gms of bread or 30 gms of chocolate, all have different effects and have different timelines for impacting on blood glucose.
The Apple is a low GI food (high fibre whole food) and if I inject the correct amount of insulin when I eat the apple I'm sorted.
The bread, now that's a different matter. It doesn't pass through the system as quick, and will tend to keep blood sugar higher for longer even though Iv injected. If i butter the bread it's now got a higher fat content meaning 2-3 hours after injecting, my insulin has worn off and my bread because of the butter is still taking effect and spiking my blood glucose. ( fat slows down the release of carbs to the blood )
The Chocolate: ( I adore chocolate ) has a very high fat content. If I inject the right amount of insulin when I eat it at say 8pm I may actually go low because the insulin is working but the chocolate is hiding. ( chocolate is not recommended for treating a hypo for this reason ) 4 hours later when I'm in bed the chocolate is now out of hiding. The insulin has taken its leave and if I wake through the night, the 8 I went to bed on has now multiplied itself by 2 under cover of darkness.
Potatoes and Fruit have different effects on the blood glucose when eaten whole, than they do when you mash or pulp them. Mashed or pulped they hit the blood stream faster and can produce higher blood glucose because you'v changed the Glycemic Index ( G.I. ) of the food.
You can find out more about that here: http://www.the-gi-diet.org/lowgifoods/
Living with type 1 diabetes is a balancing act, it's not only about counting carbs and calculating doses, it's about learning how different foods effect you.
Its finding out how to deal with all types of foods, and timing insulin injections to catch the glucose on route.
It's about educating myself constantly. It's about learning tips from others just like myself.
It's learning when best to delay my dose, or split my dose.
To start with matching insulin to carbs you must first have a "insulin to carb ratio" this is something your diabetes nurses will give you, everybody is different so others can't advice you on this.
Mine is 5/1 that's 5gms of carbs to 1 unit of insulin. So if I eat something with 30gms of carbs I just do the sums. (30 divided by 5 = 6) so 6 units of insulin for 30gms of food in my case, presuming my blood glucose is 5 or 6 before I start eating. If not il adjust again either up or down to take in a correction.
Iv added meal pictures to this blog so you can judge the portion sizes, remember the bigger the portion the more carbs there are.
The pictures are from the Carbs and Cals app on my smart phone. The only app Iv ever paid for and it was worth every cent. It is also available as a book but the app is always with you and is updated regularly.
I hope some of this may help others !
I'm not a professional I'm just a person with type 1 diabetes sharing experience.
Tuesday, 5 July 2016
Picture this. I'm in the dressing gown having a neighbour hood watch conversation with my daughter after a meeting we attended. Winding down and heading for the duvet, just had to take my 22 units of Lantus.
Dialled up the 22 units and injected, that's when I realised I'd just injected 22 units of Novo Rapid at 11.30 at night. Il Never forget the initial panic, even with my biggest meal followed by desert Iv never needed 22 units.
Holy shit is what I said, my daughter on the other hand had more choice language. On top of this it's the night before a big food shop so the house wasn't exactly loaded up with goodies.
A bottle 1/2 full of flat coke was plonked in front of me. Drink it she ordered as she got into the car fully dressed for bed and headed to the nearest shop, she ran around grabbing bread rolls, jelly sweets, cake, and basically full sugar anything like a mad woman hell bent on a midnight feast with a deadline.
Once the horror of what I'd just done subsided, I started to calculate just how much I'd have to eat to cover it. My insulin to carb ratio was 5/1 that's 1 unit of rapid to every 5 gms of carbs eaten.
Now in reverse 22 units of novo rapid using a 5/1 ratio, that's 22 ✖️ 5 = a massive 110gms of carbs for supper right before bedtime. ( chocolate is not advised for treating low blood sugar because it's got a high fat content. The fat content slows down the release of glucose into the blood stream, but hours after eating it you have a delayed blood sugar spike with no insulin on board to deal with it ) and so it becomes correction time.
With paper and pen at the ready and trying to keep the sheer panic at bay, I wrote down all the carbs I was now eating and drinking until it added up to that magic number (110) by the time I'd finished eating i had a tummy pain and just wanted to be sick.
That's not where it ends though, the novo rapid would be active in my system for about 2 and 1/2 hours that's 2am. So going to bed even after scoffing all that still wouldn't be safe even if I could lie down with all that just sitting in there.
At 2am that morning my Blood Glucose was 4.5 I had to eat even more. 2 rice cakes and a coffee. I was in bed just before 3am and I did not feel at all well.
Note to self, concentrate when I'm about to inject at any time. This is one of those mistakes I will only make once ...........
Co-Founder of Diabetes T OneNot a professional just a person with Type 1 Diabetes sharing experience.
Sunday, 3 July 2016
Davina Lyon, person with Type 1 Diabetes and
Co-Founder of Diabetes T One, People with Type 1 Diabetes