I had an unexpected low in the 40s today, and realized - I need advice. Thing is, even following my doctors' orders, I've been unable to consistently keep my blood glucose up. Or my weight. I'm not too thin yet, but at the rate it's going, I will be by the end of the year. Meanwhile, it's contributing to sometimes overwhelming fatigue.
So. I've recently been dx'd with lymphocytic colitis and gall stones in addition to the T1D and rheumatoid arthritis. The gall bladder comes out next week. I'm on a new med for the colitis, Lialda.
My endo's orders have been to reduce my insulin, up my carbohydrates, and allow my BG to rise. My gastroenterologist's orders have been for a bland diet with plenty of refined carbs. Most of the time it works, but then sometimes - like today - it doesn't. There's a correlation between especially bad bouts with the colitis and lows.
For those who will bring it up - I know you're out there! - yes, I've been tested for celiac, and I don't have it. I am mildly lactose intolerant, and yes, I've eliminated most dairy from my diet; all I've kept is cream in my morning and evening tea, which hasn't caused any issues. (Weirdly, cream in moderation never has.)
I don't know what to do next. Or if there's anything I can do, for that matter. I'm hoping some here have dealt with similar issues, and might have some tips.