Diabetes type 1 and management
Common Questions and Answers about Diabetes type 1 and management
diabetes
You may try low carb eating, which is very helpful for blood sugar management. Type 1 grit is a group with great support and information on low carb eating for diabetes management. Look also into Dr. Richard Bernstein's Diabetes SOlutions book and Diabetes University (Utube), which has great and useful series of lectures on managing blood sugars.
A CGM (continuous glucose monitoring device) can also be very useful, though frequent finger prick testing is also ok.
These include mody type diabetes (genetic and there are various types, with different management considerations), LADA (adult onset type 1 and can be very slow onset, with dietary control).
Your current numbers would appear to mean you don't have diabetes, or it is in remission. Of course, if you go back to your previous way of eating, then the diabetes will likely come back.
Your history may still exclude you from joining the navy.
My daughter is 38 and has had type 1 for 30 years. Over the last two years she has put on considerable weight which is making her depressed, she has also recently broken her leg and is finding it really hard to manage on the crutches because of her weight. Is there any regime she can follow to try and reduce her weight. When fit she does swim once a week and also attends Bokwa classes.
I was sort of wondering the same thing about myself although I have antibodies present so the endocrinologist told me that I was type 1 which I'm sure I most likely am. I'm 34 and just got diagnosed and it came on pretty quickly as well. The first Dr. who diagnosed me, not a specialist but has been working with diabetics for years said that there is no way to tell for sure even though the endocrinologist will tell you differently which they did.
This is a complication of both type 1 and 2 diabetes. It is damage to the nerves. It also can result in sexual disfunction for the same reason.
I would highly encourage him to speak to his physician about your concerns. I hope he is monitoring his blood sugars and taking his pills on a regular basis. Control is so very important with diabetes.
But she might also be flat out terrified and having a difficult time adjusting to it. I have had Type 1 for 15 years and it has only been in the last 3 that I have felt comfortable talking about it with friends.
I recommend lots of positive reinforcement, and counseling with a specialist who has experience specifically with people with Type 1 - otherwise they will misdiagnose and probably treat her as any other "wayward" teenager.
Hi Dalki,
Yes, in time your doctor will likely know for sure which type of diabetes you have. In addition to Type 1 and Type 2, there seems to be a type 1.5 ... tho' there's some thought that 1.5s are just in the early stages of Type 1. We DMers (folks with diabetes mellitis) and our docs often call that a honeymoon phase.
I hope you're feeling better now that your bloodsugar has begun to come down. Things may remain volatile for a while, so try to be patient with yourself.
herringv,
I need to do some research to answer your question, so pls check back, too. Some medications seem to make us more (or less) sensitive to insulin; other meds can affect our appetites and interest in food at all.
While I'm not a physician, what I know of most folks with Type 1 diabetes, it is not a disease that can go away without a transplant - and that's not an option for most (research will hopefully change that reality for us).
My question is, has anyone out there with Type 1 diabetes tried to lose weight, and if so, what sort of diet did they follow? Also, what has their physician/nutritionist recommended when they experience moderately "low sugar levels" to restore them, if not coca-cola? And finally, has anyone commented on whether or not the cola should be with with or without caffeine? Thank you for any input. She exercises on the treadmill.
You may wish to ask your Dr if he will test you for type 1 diabetes, which you may possibly have given your age and how high your sugars were. If it is type 1 diabetes, you will need to continue taking insulin rather than oral meds.
Please learn as much as you can about diabetes. It is managed through diet, exercise and medications (insulin and/or oral). You will need to monitor your blood sugar frequently to see how your medications are working too.
Between December 2002 and October 2005, 189 non-diabetic patients were treated with Peg-IFN-alpha/Riba, of whom five developed type 1 DM (2.6%), three type 2 DM (1.6%) and one an indeterminate type of DM. Classical symptoms of DM were present in three patients who developed DM shortly after cessation of Peg-IFN-alpha/Riba. In the other patients, symptoms of DM were either indistinguishable from side effects caused by Peg-IFN-alpha/Riba or absent.
So that may be part of the problem -- the fats slow down the digestive process. Do call his doctor and ask for help. Type 1 diabetes is not a disease whereby the doctor can automatically say, "you need x amount of insulin" -- each person's dosage must be tailored exactly to that particular person, considering their activity, metabolism, and diet. So it probably just isn't quite right yet. Don't lose heart. Adjustments will probably solve the problem.
There are more than 1 antibody to test for, and also some other tests to define between type 1 and 2. Dinner persons with type 1 are apparently antibody negative. Your presentation doesnt appear typical for type 2. Please see what your endocrinologist says. Regardless, if insulin is what works then don't be concerned to take it.
Let us know what happens with your endo visit.
There is no doctor on this board, John, only other diabetics.
Heat can have very unpredictable effects on blood sugar. Do the diabetics in your company test regularly and have well managed blood sugars? Do they carry glucose tablets with them at all times in case of unexpected lows. Diabetes is very much a condition that needs awareness and self-management.
I also noted the JAMA reminder/caution that food does not cause Type 1 diabetes. Type 1 diabetes is an autoimmune disease. This study and others looked at the impact of specific foods/timing of introduction in at-risk children.
Please know that Type 2 is a completely different disease than Type 1. Type 1 is autoimmune, and researchers are striving to find out what triggers (or doesn't) trigger the disease. Type 2 has completely different origins.
I have type 1 diabetes, and have had this challenging disease for 30 years. I am believing that I may be having the first signs of some nerve damage and am wondering what doctors/specialists I sure see. Right now I have a family practioner, and have had this same doctor for years....any suggestions on where to go next? I have excellent insurance (not always the case) and want to take care of this before the situation gets worse? Help.
I know I am insulin dependent because I cannot take my pump off except for the rare few minutes or so without my sugar sky rocketing. Now would u still call this Type 2 Diabetes or Type 1? Hearing the words Juvenile Diabetes associated with Type 1 throws me off obviously because I was not diagnosed as a juvenile. But also the words Insulin Dependent are associated with the Type 1. So I DO fit into that category.
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