Rapid acting insulin taking twice as long to work as advertised


#21

Thanks. I’ll take a look. I’m still a bit confused about whether it’d automatically come back positive if you have T1.


#22

I’d hardly call moderate exercise wasted time. There’s a lot of research documenting the health benefits of exercise. The benefits plateau at a certain point though, so there’s no reason to become an exercise junkie unless you love it. Moderate amounts a few times a week are plenty enough to get the health benefits- with or without any weight loss.

It can also affect your mood significantly.

My blood sugars are much better when I exercise regularly. That alone can improve quality of life significantly enough to make it worth it. I love swimming and hiking, so I choose these forms of exercise. I also enjoy social interaction and appreciation of nature while hiking.

People can choose the form of exercise that they most enjoy. You don’t need THAT much in order to make a pretty big difference.


#23

I wish I could give better info than what Terry4 already did, but I don’t have any special sources.

I will say that it’s not a pass/fail test. It’s a quantitative number with a reference range. Everyone has some degree of inflammation at all times, since it’s part of the healing and immune process. However, if the test comes back abnormally high, it indicates that SOMETHING is irritating your body, but no idea exactly what. That requires a lot more testing.

Simply being a T1 should not elevate your CRP levels. However, inflammation may be a side effect of the diabetes. Think immune response to nerve or retinal damage, or any other myriad of ways diabetes can degrade our systems. One should not just assume elevated levels are related to diabetes, though. Could be another illness, an allergy, toxic exposure, mold, water contamination, etc…

My partner and I have been fighting a mystery illness for a long time that has baffled our regional medical system… Mostly because it doesn’t seem to exist anywhere in the lab results. When the c-reactive protein tests came back at about 200x the normal level, it was the first time we had medical proof that we really were sick, so the doctors would take us seriously.


#24

I have a CRP (C Reactive Protein) done at least every three months. More often than not it is within normal range, but when I’m ill (flu, head/chest cold,…) or flaring, the difference is seen in the lab results.


#25

Terry4; great response. After 20 years with T1D I find strategically exercising, fasting and carb-cycling (eating majority of my carbs before and or after exercise) in a combination with my CGM and DIY pancreas has been the key to success for me. However, it’s still not perfect, but I accept that as I still have days similar to you where unforeseen circumstances such as faulty injection sites leading to malabsoprtion.

What’s your thoughts on intramuscular injection (directly into a muscle such as the deltoid) to speed up the insulin absorption process? I recently read Gary Schneider’s book ‘Think Like A Pancreas’ and he uses this technique to lower his sugars faster then bolusing via pump or other injections into fatty tissue.


#26

I’ve been using IM injections for many years now. It does speed up corrections but my favored quick correction is inhaling Afrezza. Sometimes I’ll use a combination of Afrezza and an IM correction.


#27

Interesting. What areas and syringe size do you find work best for IM injection?


#28

I use the deltoid muscle and a 12.7 mm or 1/2 inch syringe. I’ve read that intramuscular or IM injections must use a longer needle (1 inch or more) but this is the length that Dr. Bernstein recommends and seems to work for me. I’ve also injected into the top of my upper legs or quadracep muscle. I don’t have much fat in either of those locations.

Here’s a YouTube video of Dr. Bernstein talking about IM corrections.