First diagnosed mistakenly as Type II back in Egypt in October 2015, started on sulphonylurea which probably burnt out what was left of my b-cells. moved to Australia one month after where they swapped sulphonylurea for metformin, later in the space of two months everything went out of control, had some anitbodies test. Turned out to be LADA, I was 31 at the time early 2016.
Since January 2016 i was started on insulin Lantus before bedtime and novorapid before meals. At first I wasn’t so careful with diet since i didn’t receive a really good advice on nutrition, was gaining weight really quickly with insulin. About a year into diabetes i started to read on Insulin and how Type I and Type II worked and realized that a low-carb diet is my best hope of achieving normal weight and good control on BGs.
I’m 162cm tall and about 70kgs not obese but slightly overweight and can definitely be leaner.
After i switched to a low carb diet got a really good HBA1c of 5.2 but it was really short-lived. it only lasted for almost 6 months and then blood sugars started going crazy again, i thought about adding metformin to the mix which i read a trial on online that pointed out it might be helpful with Type I diabetes so i talked to my endocrinologist and he had no problem with that and it did help me for a while but still i couldn’t get back to that HBA1c of 5.2. From there it kinda went downhill, my BGs have been climbing up and sometimes going down, till three months ago i was taking 14 units of Lantus at night and 1-3 units of Novorapid before meals but when the weather got cold (Australia) BGs started going crazy again. After losing almost 5kgs of weight during Feb-march i gained all of it back in April-may because i almost tripled my daily bolus dose from 4 to 10-12. During the same period i was also trying to cut back on Metformin since it was upsetting my stomache.
I’m really frustrated and almost depressed atm, no idea what to do. from what i read people saying 1 U of insulin for 10g of carbs which i never have in a a meal makes me crazy since i take 5-6 per meal with probably a third of these carbs.
I’m thinking insulin resistance but since i’m not obese and i’m Type I i have no idea why i would be insulin resistance.
i’m out of ideas and really depressed atm, currently in the middle of Dr Bernstein’s diabetes solution and it’s driving me even more crazy.
I’m thinking about getting a Freestyle Libre as a first step to gain more insight as to what’s happening with my BG. From there i guess i can have an idea insulin timing/dosage is off.