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Bi-annual review this week. All results from an extensive battery of tests are in the normal healthy non-diabetic range, including A1c at 5.8% and total cholesterol at 3.3 mmol/L. 

Only another diabete and their loved ones would understand the hard work that goes into a result like this: the discipline, the diet (vegan plant based whole food high carb low fat), the exercise (1,000 km cycling, 200 km walking each month). All this means I require only 5-7 units of basal insulin per day, no bolus.

I have a sense of achievement.

The endo’s response?

“Your A1c is too low, your carb intake is too high, and your lifestyle is extreme”.

Back from been

I’m back.

This morning’s fasting blood glucose: 5.2 mmol/L. Fantastic!

Today’s total insulin dosage: 1 injection of 4 units Levemir. Just wonderful!

Flu and type 1 diabetes are a frightful combination. Two weeks ago I was injecting 30-40 units of insulin a day in a vain attempt to get my blood sugars below 10 mmol.

The body has it’s own inscrutable strategy for fighting an infection.

In the end one can do only two things: rest and keep the faith. Read More

Normalcy

On waking today my blood sugar was 4.8 mmol/L. That’s the same as a normal person’s. After breakfast and bike ride 3.9, before lunch 4.9. Yesterday’s numbers: 4.6, 5.8, 4.9, 4.8, 3.6, 7.3, 4.7. All pretty much normal.

Why do I value plain vanilla ordinary normalcy?

High Blood sugar levels Kill
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Remission?

Routine is the way of – and to – life for a diabetic: wake, check, eat, walk, check, inject, eat, ride, check, eat, sleep, check, eat, walk, check, eat, check, sleep, check, sleep, check, sleep. Then start all over again.

The objective is to control as many variables as possible, and so to mimic the body’s broken mechanism that is supposed to keep the sugar in my blood at a concentration of between 4 and 6 mmol/L. That is the equivalent of 4 to 6 grams of sugar in total, about 1 teaspoonful. It’s like fine-tuning a carburettor with a sledge hammer. Read More

Courage and Cunning

When I was a 14 year old studying at the Lyceum in Utrecht, my favourite teacher was Harry. He taught us Greek and Latin. After slaving over difficult texts such as Xenophon, Ovid and Homer, during the last lesson on a Wednesday afternoon, he would read to us from Homer’s Odyssee, in Dutch fortunately. Harry was a born story teller. He transported us away from the dreary classroom into the heroic tales of the king of Ithaca. We were there, on Odysseus’ ship.  Read More

Why high carb

Countless studies demonstrate that a high carb diet is bad for a diabetic. And with the increasing popularity of Atkins, Paleo and ketogenic diets, it seems that carbs are evil for healthy people too. My dear niece likes to share ‘ditch the carbs’ recipes on Facebook. Just to amuse me, I’m sure.

So why is this particular type 1 diabetic thriving on a very high carb diet? Why is it that I can have good blood glucose control while eating 700 grams of carbs a day and injecting only minimal insulin? Read More

A starchivore day

So how does a starchivore type 1 manage their blood sugars while eating only plant based whole foods?  Earlier this week I kept a record of blood sugars, food, insulin and exercise. Here is the result.

On waking at 5am I check my sugar, 5.1 mmol (92 mg/dl). Pretty good! I eat a sourdough breadroll with some mango jam. Time for the morning walk, a 6km trek around our seaside village, watching the sun rise over the Coral Sea. After the walk my sugar is 4.5 mmol (81 mg/dl).  Read More

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