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    20 Years
    octopusouphut posted:
    Hi! My name is Tracy and I was diagnosed with type one back on Halloween in 1992 when I was nine. I'll be 30 in August. I used to have really good control of my sugars when I was younger...when my mom and dad had more say in what I was doing. There was a period in college where I know I didn't do what I was supposed to do...and for the past five years or so I've been trying to get back on track.

    My A1C is still high though. My main problems seem to be feeling low when I'm not (I'll feel low at 120 sometimes) and not feeling sick when I'm high. (I'll start to feel icky when I'm in the 400s). Does anyone have any advice on how to fix this? I really want to get this under control...but I'm kind of at a loss as to what I need to do.
    mrscora01 responded:
    Right now you are experiencing false hypos. This is due to the fact that you are spending too much time at too high a level. Once you spend more time at a more "normal" level, you will feel the lows properly and will also feel the higher numbers too (say in the 200s). A good place to start is with the book "Using Insulin". It will tell you everything you need to do to get back on track.

    Do you have any specific area you want to work on? What are some of your issues? Is it more diet or more testing/insulin related? Maybe I could offer some specifics.

    octopusouphut replied to mrscora01's response:
    I guess I just want to get my numbers under better control. Figuring out how much insulin to do when I eat has always, always been a problem. I can never seem to get that right. I hate counting carbs and if there is a way to avoid it I do. Right now I'm on a "sliding scale" method where I do certain amount of insulin for a "small meal", "big meal" or "snack size" amount of food.

    I eat out a lot too...which I know isn't good for a lot of reasons. My schedule is all over the place (I work part time in retail) so I find it very hard to always eat at the same time.

    I really wish there was some type of step by step thing I could do. Like, for one week do *this*. After you do *this* for one week, add **this** thing. Now do both *this* and **this** for 2 weeks. And so on. Does that make sense?
    mrscora01 replied to octopusouphut's response:
    Yup, makes perfect sense. Unfortunately, unless you want to get into a totally regular routine (which sounds like it would be hard for you) you aren't going to be able to do much. I hate to tell you this, but the sliding scale is getting obsolete because it doesn't work very well. That is part of why you are running high. Counting carbs is the only reliable way to figure out your dosing. Many things have their carb count written on them (when you make your own food), Calorie King is an excellent source for both regular, and take out/restaurant food, and guesstimating works well too. If you go to the same place a few times, you can work out what insulin you need for any given meal. You will need to test a lot too though

    You don't need to eat at regular times, not with modern insulins. Are you on a rapid acting and something like lantus or levemir?

    I would check out your library and see if you can get a copy of the book I already mentioned.


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