Edward W

[Edward W @EJWatkinson]

@BowTiedDiabetic @DikemanDave @ItIsMikeFitz Afraid I've never used R, so cannot share any personal experience. I did speak to a guy from the US a couple of years ago who had switched from R to NovoLog whilst following Bernstein's regimen. He required fewer units of NovoLog than R, but no specific details were shared.

[Edward W @EJWatkinson]

@BowTiedDiabetic @DikemanDave @ItIsMikeFitz (2/2)If I ate something less substantial, like hamburger patties/lettuce salad, I might take 1 or 2 units before/2 units after.

[Edward W @EJWatkinson]

@BowTiedDiabetic @DikemanDave @ItIsMikeFitz (1/2) Depends on the size of the meal, but usually not. For a large meat/veg meal, I need 3 units of NovoRapid 15 mins prior to eating, followed by 2 units 2h30m after eating. I tend to eat 2 large meals/day.

[Edward W @EJWatkinson]

@BowTiedDiabetic @DikemanDave @ItIsMikeFitz (2/2)...diet and inject a small dose 15m prior to eating, and another small dose 2h30m after eating. Have maintained a HbA1c of 4.5% doing this for almost 3 years. BGs are always stable (not exceeded 130mg/dL in years).

[Edward W @EJWatkinson]

@BowTiedDiabetic @DikemanDave @ItIsMikeFitz (1/2) It's v. difficult to get your hands on R here in the UK. Despite its period of action pairing well with protein-induced glucose spikes, Endos are reluctant to prescribe. As such, I've learnt to use NovoRapid (NovoLog in US) with great effect. I follow Bernstein's LCHP...

[Edward W @EJWatkinson]

@BiggestComeback I have T1D and use a CGM. I support the use of CGMs by non-diabetics. The broader market demand will lead to increased R&D budgets and advancements in the tech. Hopefully it'll lead to the detection of pre-diabetes for some too, preventing the awful complications it can cause.

[Edward W @EJWatkinson]

@DougieReynolds @carbaddictiondr Looks v. interesting, I'll have to give it a watch. I'm T1D following a low-carb diet. Can't recommend it enough - gives me great control (A1c is 4.5%). No high BG in >2 years and low BG is infrequent and easy to fix with small amounts of glucose (usually 2g).

[Edward W @EJWatkinson]

@GbdocTChost A1: I clean the insertion site with 'Skin-Prep' wipes by Smith & Nephew 10 minutes before i apply a CGM. Without them I'd be lucky to get more than 3 days of use out of my G6.

[Edward W @EJWatkinson]

@CiroNoEuro @SBakerMD Entrecôte is a leaner cut in all fairness.

[Edward W @EJWatkinson]

@TypeOneJames @ryanattar @ItIsMikeFitz @T1Factz (2/2) which has only improved stability. The meals are large enough (very high protein) to keep me feeling satiated for 24hrs and maintain body weight/composition. Today BG has ranged from 3.8 – 5.1 mmol/L.

[Edward W @EJWatkinson]

@TypeOneJames @ryanattar @ItIsMikeFitz @T1Factz (1/2) Thanks James. Utilised the Bernstein regimen to achieve non-diabetic BG levels and a low SD. A busier schedule at home and work has meant that I’ve been eating one meal a day for the past 7 weeks,

[Edward W @EJWatkinson]

@TypeOneJames 500g of beef mince for dinner with a small salad. 2 units of Novorapid with the meal, and another 2 units 2.5 hours after eating. Endocrinologist won't prescribe Actrapid until October at the earliest.

[Edward W @EJWatkinson]

@DeniseFordHunt @UKSaulGoodman We can fast (I do, anyway), but it's irresponsible to claim that it'll reverse type 1 diabetes.

[Edward W @EJWatkinson]

@BeanditoBetes @ryanattar @TypeOneJames @Sona_unplugged @racheltcl1 @DikemanDave @ItIsMikeFitz @JenniferOJennny @jeffgrim71 @MasterChefUK @BBCiPlayer @saaiyer Can't fault my Endo, but my DSN is very similar. The first time I met her she offered me a chocolate cupcake and told me to take glucose when my BG was below 110mg/dL. She thought I was 'playing with fire' by achieving a A1C of 4.5.

[Edward W @EJWatkinson]

@JustSteveOw3n Ate a 1.4kg rump steak a couple of weekends ago (was flagging by the time I finished). Had to bolus 15m before eating (to combat incretin effect), 2.5hrs after eating, and once again an hour after that to maintain smooth BG levels. High food intake slows my digestion.

[Edward W @EJWatkinson]

@JustSteveOw3n Dependent on the individual, protein source and amount. For me, even zero carb protein powders will cause an immediate BG spike, whereas unprocessed fish will spike after 2.5hrs, unprocessed red meat 3hrs, and unprocessed poultry 3.25hrs, so I bolus accordingly.

[Edward W @EJWatkinson]

@RichS_T1D Within two months of T1D diagnosis my DSN wanted me to take statins. She didn't ask for a blood test - just told me "better to be safe than sorry". Didn't fill me with confidence.

[Edward W @EJWatkinson]

@LauraGinn1983 I'm T1D too and follow the Bernstein regimen (very low carb). My HbA1c is 25mmol/mol and my BG rarely climbs above 6mmol/L. If you have any questions please feel free to fire away. Always happy to help.

[Edward W @EJWatkinson]

@PracticalDeeb @ex_nerd Levator disinsertion, a form of neurogenic ptosis which can be caused by poorly regulated BG. Dr B lived with T1D for >25 years before achieving consistent euglycemia. All discussed in this short video:
https://t.co/xRqplpfwDs