I have been type 1 diabetic for 13 years this June. I started on the insulin pump in 2002, and my carb to insulin ration was 15:1. In 2006 I became pregnant with my son, and the ratio went to 6:1. I was told this is normal. After my son was born the ratio went up to 8:1. Recently I was having trouble with high numbers and seen the Endo. He increased my basal and my ratio to 4:1. I am watching what I eat. I do "cheat" every sometimes. I am just concerned about the increase for insulin. I am 5'4", 180 lbs, stalky built. Any advice or information would be appreciated. Thanks.
There are all kinds of things that can be done. First off, the excess body weight can in part be causing the increase in IR. Getting more exercise and cutting back on carbs can make a large difference in how much insulin you require. Many T1s do well on a low carb diet. I was lower carb, just not as low as many T2s. If all else fails, you might want to talk to your doc about taking some oral meds to increase your insulin sensitivity. There is a term now sometimes being used called "double diabetes". This is a T1 with T2-style insulin resistance. So some T1s are also on oral meds. I personally would use this as a last resort and try diet and exercise first.
My endo recently just diagnosed me with being insulin resistant and started me on the medicine metformin. Now the side effects kicked my butt for about a week but it has helped drastically with my numbers in just a month I have gone from high 250's and up to the mid 100's and feeling way better
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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