[Diabetes] General Chat and Support Thread

If you had read his, you'd know he was T1. However, even if you hadn't bothered to read his posts? You clearly had no idea which mode of Diabetes he has, yet still? You felt it appropriate to offer potentially dangerous advice.

Similarly, with regards to the requirements around driving. You had zero clue as to the actual legal requirements. Yet you still offered dangerous and wholly incorrect advice.

As for your notion that getting signed off for a professional driving job with insulin dependent diabetes is difficult? That chances are slim? Once you meet the requirements lain down, you are entitled to be licensed.

Again, you have zero clue what you are talking about and at this point, should really stop waffling on about issues you clearly know nothing about.

Just over a week back on Insulin now. My morning BG's are for the 1st time in months consistently under 8 and even better... Under 10 😁 rapid and needed impact there.

I have managed to add 2kg 😞in the same timeframe though. Which TBF, was expected.

My diabetes team have brought forward a review appt from March to next month to see me and discuss if any other options are available for me meds wise.

100% insulin is making a big impact on my BG levels but, hopefully a med review can help me either tweak my dosing regime or my meds with perhaps a GLP-1 instead of Insulin for another while.

There is reams of research on it, the Newcastle Diet, medically supported by the NHS. It's still very unknown here and when I did my diabetes team were zero use. Thankfully my GP was great and offered a lot of support when I did it.

It does certainly have an effect. It had me off Insulin for @2yrs. Unfortunately beta cells are still dying off and insulin resistance does return. I was the guinea pig for that diet on this thread and the efforts are documented on here in my posts from @ early 2019 or so.

If someone is pre-diabetic or lifestyle acquired T2 it certainly makes a difference and plenty of evidence to support successful remission in many cases. Unfortunately for other modes of Diabetes, genetic T2, T1.5, lada and any of the others that are on the spectrum of diabetes it isn't as effective in gaining remission but it still offers benefit. The main improvement seems to be a result of a reduction in fat around the pancreas and a concurrent improvement in bodies own insulin response and resistance.

More than welcome. The old system of viewing diabetes as just T1, T2 and gestational are falling out of favour with a lot of Endocrinologists. Most now view it as a spectrum and with quite a few triggers for "traditional" T2 aside from lifestyle. There are also a lot of theories regarding T1 and adult onset being a result of viral infections.

And a breakdown of the currently generally accepted types of diabetes.

Has anyone else had a prescription for dexcom g6 sensors drop in their door? I've just received same and in other news for me, I'm also now T1 🤷

I've been T2 then T1.5 since 2007, LADA was ruled out via antibody testing back around 2017. The 1st inkling I've had of being moved to a T1 diagnosis was the prescription dropping in my door this morning.

Yep. I had been on insulin for a few years from around 2015-2019 went off it in Feb 2019 and kept my control tight. It's crept out over the last few months and my last Hba1c was 63/7.9 which is the highest it's been since 2008. My mobility is currently v restricted and as such I decided to go back on Insulin with an eye to tighter control until other issues are sorted.

I did bring forward an appt with my Endo team from April to December to get a med review in the meantime.

No other contact with them, them this morning a script signed off by it looks like the LTI team for the dexcom with a confirmed T1 diagnosis as the reason.

It doesn't change anything for me in treatment or management, although if I was still insulin free there would be an interesting conversation 😉 It's already on my Driving License and nothing else changes for me. It was just a little bit of a surprise to read that on a letter before I knew myself.

For anyone on the Dexcom G6? My script is for the Dexcom Platinum sensors 3 pack. The Core list F GMS number is 97629, and that's precisely what my pharmacist dispensed to me today.

Thing is these need a transmitter, and there's none in the box nor listed on Core list F that I can find?

How does one get hold of that?

Dexcom should send a transmitter direct to you every 3 months, by DHL. Nothing to do with the chemist.

Get onto Dexcom and see if the paperwork has been sorted.

Amazing story, gives some hope too. Stem cells research all the way, that’s where all the money should go, not some “artificial pancreas” nonsense

The return to a basal insulin dose has had a fairly marked effect already for me. My Hba1c in late Oct was 62/7.9 and my average out of range was @ 25%. I resumed insulin on the 10/11 and already my time in range has improved hugely. Its went from 65% in range, to 100% albeit via fingerprick rather than CGM.

I've managed to keep the basal dose quite low too, at least compared to my prior run with insulin where my basal dose was as high as 48 units regularly and sometimes higher due to trying to nail down morning highs. My new regime currently hasn't been higher than 18 units and once I get the transmitter for my CGM sorted? I can hopefully taper that down a bit more too.

My main aim is to find the balance between best impact from insulin on my BG and preventing the weight gain that I experience last time around on it. So far? It seems to be working, weight is staying stable and I'm happy with the effects so far.

Good luck with your recovery WhiteRebel, fingers crossed your op goes well.

I had my Endo review on Tuesday. Went quite well despite them issuing a script at the start of the month for Dexcom G6 and noting I'm a T1. The registrar has said that as my 2018 antibodies were negative that I'm not T1 and there is "diagnostic uncertainty". The prescription may have issued in error?🤦 Because dropping an unsolicited letter to a patient with a new diagnosis is always a great way to go.

Weirdly, whilst I have a script for the Dexcom sensor, I don't have one for the transmitter 🤷 but I am a fan of CGM and the libre was a game changer when I used that! So, I've bought the transmitter and I'll try xdrip+ to see if I can eke longer intervals out of the transmitter than 3 months to keep a cap on my costs.

I'm treating it like a co-pay 😉 free sensors and I'll cover the transmitter.

I don't think any continuous glucose monitoring devices are available on the LTI for Type 2s. If you want one you will need to self fund. Diabetes Ireland have made a submission to the government that CGMs be available on LTI scheme but what becomes of that remains to be seen.

Thanks @leche solara @banie01 for your replies I did not realise there would be a limit to the strips, looks like I have more research to do !

Appreciate the replies.😉

I agree it's crazy but, that's the system the powers that be running the LTI scheme and the clinical requirements in particular have taken.

I'm very much of the opinion the CGM and flash monitoring offers huge benefits in both real time monitoring and improvement in A1c. Research to date would support that belief too. I think if better data via CGM offsets medication, and delays onset of diabetic complications? That it's very much money well spent.

Wait a second, you can run a Dexcom with non-Dexcom software? Did I just buy a phone I didn't need?

Aww, feck. I couldn't run their software on my LTE tablet that I have a sim in to use as a phone. It flat out forbids you from running it on anything not on the list (I'm guessing it's a medical testing issue or something?). Bought a phone that works but the screen is much smaller so I find it a lot less useful.

Thanks for the links, I need to figure this all out.

I got mine recently too. I was told to wait until I was called to set it up so I have it all sitting here while I'm using test strips like a common peasant. I'm guessing the Dexcom person is going to show me how to use their app. So I'll swap over my sim and the third-party app as soon as that's out of the way. Expect questions when I have it up and running.

I ended up getting a new phone to read it (didn't know there was alternative software at the time that would work). I never even got the option of a receiver. The transmitter and sensors just arrived in the post. Still haven't heard anything from Dexcom about it.

Anyone here on Ozempic?

I recently moved over to it from insulin (Tresiba). Had 4 weeks of 0.25mg (once weekly) and now into my 2nd week of 0.5mg once weekly.

Appetite completely gone. Lost the best part of a stone over the 6 weeks! Feeling nauseous quite a bit.

Any idea how long these side effects last?

Same here T2

I usually take it on a Saturday morning. Never thought of switching the time. I'll give it a go and see how it works

No mention of increasing past 0.5mg so far. Consultant just said to start on 0.25 to get used to it and then tip away at 0.5