Comments on: Resistance http://www.act1diabetes.org/2010/02/24/resistance/ Adults Coping With Type 1 Diabetes Sat, 19 Nov 2011 14:00:58 +0000 hourly 1 http://wordpress.org/?v=3.1 By: Katie http://www.act1diabetes.org/2010/02/24/resistance/comment-page-1/#comment-1309 Katie Fri, 26 Feb 2010 01:52:02 +0000 http://www.act1diabetes.org/?p=1753#comment-1309 Yeah I also use a different correction factor for numbers above 300. I don't have it down to an exact science, but an endo once told me that the higher the BG is the larger ratio it takes to bring it down. UGH, good luck w/ these highs! Yeah I also use a different correction factor for numbers above 300. I don’t have it down to an exact science, but an endo once told me that the higher the BG is the larger ratio it takes to bring it down. UGH, good luck w/ these highs!

]]> By: Lorraine http://www.act1diabetes.org/2010/02/24/resistance/comment-page-1/#comment-1301 Lorraine Thu, 25 Feb 2010 18:40:31 +0000 http://www.act1diabetes.org/?p=1753#comment-1301 For the high highs, I find that Caleb's correction factor is a whole different ballgame. I had been using a superbolus (adding the scheduled basal for the next two hours to the correction bolus and then turning off the basal for two hours) to get him down quickly without risking a low. But I noticed that he actually needed that increased amount of bolus AND to leave the basal as is. It's as if he needs 150% correction factor for something above 300, and usually an increased basal as well. For the high highs, I find that Caleb’s correction factor is a whole different ballgame. I had been using a superbolus (adding the scheduled basal for the next two hours to the correction bolus and then turning off the basal for two hours) to get him down quickly without risking a low. But I noticed that he actually needed that increased amount of bolus AND to leave the basal as is. It’s as if he needs 150% correction factor for something above 300, and usually an increased basal as well.

]]> By: Laurie Nunziato http://www.act1diabetes.org/2010/02/24/resistance/comment-page-1/#comment-1300 Laurie Nunziato Thu, 25 Feb 2010 14:48:33 +0000 http://www.act1diabetes.org/?p=1753#comment-1300 I wish this disease was more cut and dry for you, I hate to see you frustrated, especially when I know you try so hard. Keep up your good work though! I wish this disease was more cut and dry for you, I hate to see you frustrated, especially when I know you try so hard. Keep up your good work though!

]]> By: casey http://www.act1diabetes.org/2010/02/24/resistance/comment-page-1/#comment-1289 casey Wed, 24 Feb 2010 21:02:35 +0000 http://www.act1diabetes.org/?p=1753#comment-1289 i hear you. I was told by my first CDE that it takes more insulin to correct a very high glucose than it does for a semi high glucose. So I typically increase my correction factor if I am > 250 (my correction factor is 1:50, but I would do 1:30 or so if > 250) Unless it is overnight, overnight, my correction is 1:75, I am super sensitive overnight. D doesn't make sense, at least we all have that in common... i hear you. I was told by my first CDE that it takes more insulin to correct a very high glucose than it does for a semi high glucose. So I typically increase my correction factor if I am > 250 (my correction factor is 1:50, but I would do 1:30 or so if > 250) Unless it is overnight, overnight, my correction is 1:75, I am super sensitive overnight.

D doesn’t make sense, at least we all have that in common…

]]> By: Nici http://www.act1diabetes.org/2010/02/24/resistance/comment-page-1/#comment-1286 Nici Wed, 24 Feb 2010 18:28:02 +0000 http://www.act1diabetes.org/?p=1753#comment-1286 I have been talking to my doctors about Metformin, a Type2 drug for insulin resistance. It seems that many Type 1s with insulin resistance are using it now with great success. In the past, my doctors have not been very keen on my trying it, but now they seem more receptive. You might also look into Symlin, which helps with after-dinner spikes. Symlin was a no-go for me because of my delayed digestion. I have been talking to my doctors about Metformin, a Type2 drug for insulin resistance. It seems that many Type 1s with insulin resistance are using it now with great success. In the past, my doctors have not been very keen on my trying it, but now they seem more receptive. You might also look into Symlin, which helps with after-dinner spikes. Symlin was a no-go for me because of my delayed digestion.

]]> By: Nici http://www.act1diabetes.org/2010/02/24/resistance/comment-page-1/#comment-1285 Nici Wed, 24 Feb 2010 18:27:13 +0000 http://www.act1diabetes.org/?p=1753#comment-1285 I have been talking to my doctors about Metformin, a Type2 drug for insulin resistance. It seems that many Type 1s with insulin resistance are using it now with great success. In the past, my doctors have not been very keen on my trying it, but now they seem more receptive. You might also look into Symlin, which helps with after-dinner spikes. Symlin was a no-go for me because of my delayed digestion. Here is a great post by Amy at Diabetes Mine about Type 1s and Metformin: http://www.diabetesmine.com/2010/01/metformin-for-type-1-diabetes-really-why.html I have been talking to my doctors about Metformin, a Type2 drug for insulin resistance. It seems that many Type 1s with insulin resistance are using it now with great success. In the past, my doctors have not been very keen on my trying it, but now they seem more receptive. You might also look into Symlin, which helps with after-dinner spikes. Symlin was a no-go for me because of my delayed digestion. Here is a great post by Amy at Diabetes Mine about Type 1s and Metformin: http://www.diabetesmine.com/2010/01/metformin-for-type-1-diabetes-really-why.html

]]> By: Nici http://www.act1diabetes.org/2010/02/24/resistance/comment-page-1/#comment-1284 Nici Wed, 24 Feb 2010 17:54:36 +0000 http://www.act1diabetes.org/?p=1753#comment-1284 2nd attempt -- last comment was eaten! I have been talking to my doctors about Metformin, a Type 2 drug used to treat insulin resistance. It seems that more and more Type 1s with insulin resistance are using it with great success. In the past, my doctors have not been too keen on the idea, but they seem more receptive now. You might also look into Symlin, which helps with after-meal spikes. Symlin was a no-go for me because of my delayed digestion. Here is a great post by Amy at Diabetes Mine about Type 1s and Metformin: http://www.diabetesmine.com/2010/01/metformin-for-type-1-diabetes-really-why.html 2nd attempt — last comment was eaten!

I have been talking to my doctors about Metformin, a Type 2 drug used to treat insulin resistance. It seems that more and more Type 1s with insulin resistance are using it with great success. In the past, my doctors have not been too keen on the idea, but they seem more receptive now. You might also look into Symlin, which helps with after-meal spikes. Symlin was a no-go for me because of my delayed digestion. Here is a great post by Amy at Diabetes Mine about Type 1s and Metformin: http://www.diabetesmine.com/2010/01/metformin-for-type-1-diabetes-really-why.html

]]> By: Nici http://www.act1diabetes.org/2010/02/24/resistance/comment-page-1/#comment-1283 Nici Wed, 24 Feb 2010 17:50:50 +0000 http://www.act1diabetes.org/?p=1753#comment-1283 I have been talking to my doctor about Metformin, a type 2 drug used to treat insulin resistance. Seems that more and more Type 1s with insulin resistance are using it with great success. In the past, my doctors have not been too keen on the idea, but they seem to be much more receptive these days. You might also look into Symlin which helps with after meal spikes. Symlin was a no-go for me because of my delayed digestion. Here is a great post by Amy at Diabetes Mine about Type 1 and Metformin: http://www.diabetesmine.com/2010/01/metformin-for-type-1-diabetes-really-why.html. I have been talking to my doctor about Metformin, a type 2 drug used to treat insulin resistance. Seems that more and more Type 1s with insulin resistance are using it with great success. In the past, my doctors have not been too keen on the idea, but they seem to be much more receptive these days. You might also look into Symlin which helps with after meal spikes. Symlin was a no-go for me because of my delayed digestion. Here is a great post by Amy at Diabetes Mine about Type 1 and Metformin: http://www.diabetesmine.com/2010/01/metformin-for-type-1-diabetes-really-why.html.

]]> By: Katie from SF, CA http://www.act1diabetes.org/2010/02/24/resistance/comment-page-1/#comment-1282 Katie from SF, CA Wed, 24 Feb 2010 16:20:39 +0000 http://www.act1diabetes.org/?p=1753#comment-1282 My endo's have warned about insulin resistance from the beginning, especially for type I's... because we are on insulin for so long (a lifetime for most...) we can become resistant. This is where the lines between type I and II blur for me. Eating less carbs and exercising decreases the need for insulin (a little) and then my "resistance" goes away (some)... but this is just me. Try cutting your carbs at lunch. Try not to get frustrated - that just makes the sugars higher! :I Hope that all makes sense. I'm 65 right now. ;)- My endo’s have warned about insulin resistance from the beginning, especially for type I’s… because we are on insulin for so long (a lifetime for most…) we can become resistant. This is where the lines between type I and II blur for me. Eating less carbs and exercising decreases the need for insulin (a little) and then my “resistance” goes away (some)… but this is just me. Try cutting your carbs at lunch. Try not to get frustrated – that just makes the sugars higher! :I

Hope that all makes sense. I’m 65 right now. ;) -

]]> By: Tina http://www.act1diabetes.org/2010/02/24/resistance/comment-page-1/#comment-1281 Tina Wed, 24 Feb 2010 16:09:29 +0000 http://www.act1diabetes.org/?p=1753#comment-1281 I would call your GI (or "our GI,lol) and run it by her also. Could be slow digestion too I would call your GI (or “our GI,lol) and run it by her also. Could be slow digestion too

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