Type 1 & the Big "M" - Deconstructing a Hot Flush (Part 2)

The Big “M” Blog No: 6

Step by step guide to how I chased one particular blood glucose spike resulting from a hot flush. From food eaten the previous evening, CGM trends and dosing decisions, I hope this will provide additional insight into the difficulties of managing type 1 diabetes and peri-menopause and my frustrations when I am sometimes told that it must be down to incorrect dosing for my evening meal.

Type 1 & the Big "M" - Mornings

The Big “M” Blog No: 4

My first awareness of changes to my insulin requirements in the morning came just over 10 years ago when my initial frustration with my daughter’s inability to walk in a straight line, on our way to junior school, suddenly became the realisation that she was not the one with the problem. I was having a hypo…..

Type 1 & the Big "M" - My Changing Basal Insulin Requirements

The Big “M” Blog No: 3

One of the fascinating things to see on my peri-menopausal journey is how my overall background insulin requirements have been changing. There is a general downwards direction to basal rate doses but not in an ordered way. There are a lot of bumpy up and down movements around this general downwards trend that make identifying a basal rate that provides a good fit, a huge challenge….

Type 1 & the Big "M" - Am I Peri-menopausal?

The Big “M” Blog No: 1

An article from Balance magazine in May-June 2006 entitled “All Change” stated: “Unsurprisingly, for women with diabetes, the menopause can be more complicated … you may notice that your blood glucose levels go up and down more than usual … you may also experience stronger and more frequent episodes of low blood glucose … sleep deprivation in turn causes further fluctuations in blood glucose levels and poor control.” So why have conversations about the menopause not been initiated by HCPs at my hospital appointments? Isn’t it time for this to change?

How do YOU feel?

Continuous glucose monitors (CGM) for the management of type 1 diabetes first entered the market place in 1999. Improvements over the last 19 years now make them a very trusted method of managing the condition, yet they are still not routinely available on prescription. If you are a non-type 1, how do YOU feel? With the technology available, should the type 1 community not be given the same opportunity to improve how they feel?

Yes.... language matters

“The language used by healthcare professionals can have a profound impact on how people living with diabetes…. feel about living with it day-to-day.” (NHS England - Language Matters: Language and Diabetes). My own experiences, both good and bad, wholly support this view.

My diagnosis

I was eventually diagnosed with type 1 diabetes on 5th March 1972 having lost over half a stone in weight from the measurements listed on my school reports between July 1971 and December 1971. This is a diary of events written by my mother at the time of my diagnosis.