Isn’t FaceBook on the Internet, and if it’s on the Internet it HAS to be true! Yeah, right.
I suppose there’s one “perfect” person out there who represents “normal” that does just what “they” say - after all, everyone – even “non-diabetics” is different.
We all know that everyone who isn’t diabetic has BG of exactly 83.
They also have BP of 115/70
Weight 163 lbs
Heart rate 60
20/20 vision
HDL 120 LDL 50
The notion that any human being on the planet doesn’t have fluctuating blood glucose levels is just silly. It doesn’t even make sense. Berenstein is wrong, gasp! The classification of diabetes refers to people whose mechanism to control blood sugar levels has failed… everyone has variations, with or without diabetes. Just like everyone’s heart rate and blood pressure vary.
[quote=“Sam19, post:23, topic:56442, full:true”]
The classification of diabetes refers to people whose mechanism to control blood sugar levels has failed… everyone has variations, with or without diabetes. Just like everyone’s heart rate and blood pressure vary.
[/quote]THIS!
I wish the industry definition of “diabetes” would update to be more realistic – what you say here, Sam, is a much more meaningful definition.
Basically, if your body can’t control your BG with your lifestyle you have diabetes. Period.
I remember something published from (what was then) Team Type 1 a few years ago, when they still had non-diabetic riders, and they CGM’d the non-diabetic riders as well as those with type 1. They found that under race conditions, the non-diabetic riders often peaked over 200 mg/dl.
well, you’ll lighten up a bit on your control once you’re full blown type 1 after honeymoon. you apparently still have some insulin. I was the same way…freaked out if I went above 140 and it didn’t happen often. now I can go from 40’s to 300’s, without much effort, unfortunately. once you start basal bolus you’ll go above and below, it’s part of type 1. there is no way around it and it’s not linear. you don’t want to use insuln if your spike (cough, cough) is at 120, LOL. a spike is above 200’s. most of us usually correct at 140’s and that’s after the insulin has kicked in and we’ve let it come down or try to come down ppl.
Dave…ah, no…type 1 diabetes has nothing to do with lifestyle…many of us type 1s, most, have no weight issues, cholesterol, blood pressure issues, etc…and actually are extremely fit and athletes (myself), as well as a young child diagnosed, certainly the same applies in terms of ‘lifestyle’.
Just curious: how many PWDs correct at “only” 120? I realize many other variables will factor into a decision whether to correct between 100 and 120; I just want to get a feel for how many of you correct at “only” 120, ever.
Seriously, correct between 100 and 120…what the heck are you correcting down to? .5 (1/2) unit drops me over 50 points and more sometimes, throw some walking or any movement and I’m low…that’s just crazy, IMHO…and a child’s BG’s can go all over the place due to growing, hormones, etc…that’s nuts! most folks on here whom are on here every day many times a day also do not represent most T1’s…who are active, have lives and wouldn’t even consider correcting a completely normal and healthy BG between 100 and 120.
I test my kids and grand kids and they never spike. Might be their pancreas as strong as can be. Even our two daughters never go over 120 and that is with carb meals wish that was me but far from it.
Let me state first that I know my glucose metabolism well and I don’t for a second think that my experience generalizes well to every last person with diabetes out there.
I target 83 mg/dL when I correct my blood glucose level. My insulin sensitivity factor or ISF is 1:50 below 200 mg/dL and 1:40 if above that level. I will correct a blood sugar level as low as 93 mg/dL. Of course, I consider insulin on board (IOB), food, and exercise when I make this decision. In the case of the 93, I’ll deliver 0.2 units of insulin. While I am correcting what most consider an in-range BG, I would prefer to be in the 80’s. I find that these small insulin “nudges” work very well.
So, while my correction range is more aggressive than some people use, the amount of insulin that I use to do that is very low. The time when these corrections are effective, for me, is when I get up in the morning. I do have dawn phenomena but my pump basal profile keeps that in check fairly well. Adding 0.2 units to correct a 93 or 0.4 units to correct a 103 work out well for me.
Maybe “we’ve taken this girl to the dance before and didn’t have a good time, so why are we taking her again” but a good read on why we need to stop saying “lifestyle” can be found here
When I am having a really, really good day “surfing” and am “nudging” readings up and down, I might correct at 120 with a very small amount of insulin. But usually, even on days that are nice and flat and “nudge-able” I would wait until a reading is a bit higher, like 130 or 140, to nudge it downward.
Under normal circumstances, though, I don’t have tight enough control, or rather factors change too fast, for me to be certain that a 120 won’t turn around into a down arrow without any notice or, as mentioned, that I won’t suddenly have to walk two blocks and will start plummeting. Lately, I’m just trying (and failing) to keep most of my readings out of the red and yellow zones, never mind correcting things that are already in range.
So, are you implying or stating that people like Terry4, myself (I manage a 14-year-old T1D’s raging-hormone-driven BGs 24/7), and many, many other PWD who “sugar surf” (and strive to maintain tight BG control with as few excursions that are as small in magnitude as possible) are “crazy” and “nuts”? How you decide to manage your D is completely up to you. However, it is not your place to judge and criticize those PWD who strive for tighter control.
My pump & the sugar surfing concept have completely transformed my D management and my attitude about it. One unit drops me 100 points, so correcting with injections made things really difficult, but my pump allows me to truly nudge things with a .10 or .20 here and there. I love it! Well, as much as one can love anything related to D.
I agree, @Shadow2, the combination of pump and CGM changed my life. I wouldn’t be able to aim for tight control without both of these tools.
As someone who lived with diabetes for over two decades thinking that really tight control (A1c <6.0) was “impossible” for me, and who watched and learned on this site for several years before applying a variety of techiques (nudging, pre-bolusing, low-carb/GI) and actually achieved an A1c of 6.0-6.2 for a year stretch, I would suggest anyone who feels it’s crazy watch and learn. They may surprise themselves. Of course, you do need to be willing to put time and energy into diabetes, but it’s not really more time and energy, it’s just time and energy spent preventing highs and lows rather than time and energy spent responding to highs and lows. I’d argue that most people on this site are active and have lives and, if anything, my life was better and more active and energized when I had an A1c of 6.0 (and felt I could often steer my blood sugar where I wanted) than it is now with an A1c of 7.1 (and feel like I’m hanging on for dear life half the time). I’m looking forward to getting back there so that I can feel at peace with diabetes rather than feeling like it’s something that controls my life half the day.