Type 1 diabetes is a tricky condition to manage. Improving blood glucose levels can be difficult. It truly is a 24 hour condition that requires attention every single day. This makes it difficult for some patients to manage, particularly if their glucose levels aren't where they would like them to be.
Unlike other conditions, type 1 diabetes is mostly patient led. They are in charge of testing glucose levels, calculating insulin doses, identifying trends and ultimately making conditions about their condition. As healthcare professionals, we are there to help and advise but at the end of the day the patient will be the expert in their condition. Together we can go about improving blood glucose levels.
However, something I regularly see in my practice is type 1 diabetes patients struggling to get their glucose levels consistent. Many patients I see experience large variability and erratic glucose control whereby their levels swing from high to low on a regular basis. Alternatively, they cannot identify any patterns with their levels making it difficult to advise. This can result in decent HbA1c's but this is achieved through an average of high and low blood glucose levels.
As a rule of thumb, we can generally help such people improve their control by utilising some simple key principles.
The theory side of this is quite simple but where is earns it's value is in the application of it. Often using these methods results in fewer daily injections and less insulin. There have been instances in education sessions where we have managed to half an individuals insulin intake.
It's a long video today but in order to explain this properly it takes some time. I would argue it is an essential time investment for anyone suffering with type 1 diabetes wanting to improve their control.