i am about two and a half years in with t1, almost 40 years old (omg, really?!?) and had quite a long honeymoon but thats all finished now. i started out on like 2 units of lantus, low carbed and exercised loads, secretly convinced that i could exercise things away. i knew and know that i really cant but some days i still cannot face that this will be with me the rest of my life.
i had been struggling with control for a couple of months due to various things, but the big one was new work environment where snacking between classes seems to be a competitive sport. i teach and during breaks people are gulping down whatever. baaaad for a diabetic. i joined in, with bad results at first and things just got worse.
i kind of got into a funk and had some quite crap numbers, wasnt counting carbs, only correcting and not bolusing before because of exercise right after to cycle to work and not realizing i was going to eat so many carbs (deep down i think i did, at least after the first 475 times...) the fact that 1 unit of novorapid lowers me about 100 points without moving at all makes me very resistant to fast acting insulin use. that stuff is ferocious!
over the easter break i have been re-reading using insulin, have been skulking around on tuD and keeping AMAZING logs of everything, eating between 50 and 60 carbs a day. i feel good and very accomplished, have energy.
i know the honeymoon is over because since the end of march i have increased my basal doses by a third. i was taking 10 units of levemir (3 in AM, 7 in PM) and now taking 15, in a more even split of 7/8. the first couple of days i had to bolus 1 unit for the 25 carbs or so in dinner but after that, no bolus. NONE, JUST EXERCISE, hour long walks witht the dog, astanga yoga, kettle bell workouts. so im rereading this using insulin book about tdd and basal and bolus splits and yadda yadda yadda but my way of doing things is so different from the 45-65% basal and all this. i am having great fasting numbers, like in the 80s and 90s and even my wake up numbers are there. im going to the endo in a couple of weeks and will ask her about it of course, but does anyone else handle their insulin needs in this way? could a t1 possibly only live on bolus if they exercise after meals?
i am also terrified of getting fat from so much insulin. i know its not a lot for t2s but its killing me every time i dial up 7 or units and stick it in my belly i think, omg fat fat fat.