I heard about Carolyn Robertson a few years in the past (and that’s the reason I nonetheless use the acronym CDE). She was everybody’s favourite CDE in New York Metropolis. I by no means met her on the time as she moved West shortly thereafter.
However she’s been giving free webinars simply to assist maintain all of us on the ball. Final night time she gave one particularly for folks on a number of every day injections, versus a pump. As her seminars do, this one lasted two hours. She offered nice data, we requested questions, shared and I picked up just a few suggestions and reminders, even after 51 years of kind 1 diabetes.
Here’s what was significant for me:
Whereas we would like our blood sugar in vary, we significantly need to keep away from spikes. Spikes in each instructions create further irritation. So in case your blood sugar is simply too excessive, as an example, higher to carry it down step by step than too quick.
As syringe and pen needles have gotten so brief, 4 mm, be sure to inject at a proper angle. In case your needle goes in at a forty five diploma angle as an example, there’s an opportunity it is not going to go in deep sufficient to achieve the layer of pores and skin that’s greatest for taking the insulin the place it must go.
As I wrote in my final publish, when you have a dramatic rise in your blood sugar within the early hours, the Daybreak Impact, there’s no hurt attempting Metformin to see if that helps reduce the glucose the liver pumps out at the moment of day. Since Metformin is a GLP 1, it can also trigger gastric misery and nausea, so begin with a low dose and construct up slowly.
When you unintentionally double your basal insulin you would possibly must get to a hospital the place they’ll put you on an IV drip of glucose. This actually is determined by how a lot insulin you took.
Carolyn left us with the excellent news that whereas we don’t see it, corporations are repeatedly innovating. Pump and Pharma corporations are attempting to give you higher units and smarter, sooner insulins.
If you wish to obtain Carolyn’s publication, Sturdy on Insulin Group, go right here. You’ll hear about updates and when she’s giving certainly one of her quarterly webinars.