Rien

Hi Ken et al.

I have been following your blood sugar control method for a week now. The software for my Abbott Freestyle Libre glucose monitor has a forecast HbA1c function. It was 5.8% before, but over the last week the estimate dropped to 5.2%! Usually the estimate is pretty close to the actual Lab number.

I have copied and modified your log for Australian units of measure, exercise and my personal insulin types. It is quite valuable.

Slowly I'm getting the hang of correctly estimating rapid insulin quantities, catching lows early enough, and taking just enough snacks. It is easy to overdo it, and go high ?.

I have tried flattening the post-breakfast spike with insulin. While I can do it, I think it's safer to skip breakfast rapid insulin. Straight after breakfast I ride my bicycle 40kms, and I need enough fuel in the tank. Yesterday I injected 5 units, had no spike, but 20km into the ride my sugar was down to 4.0 mmol/L (72 mg/dl). Not enough to get home. I snacked, and then again at the 30km mark, and again when I arrived home. All up I consumed an extra 300 calories, just to keep up with the injected insulin.

This morning I did not inject. At 20km my glucose was 7.9 mmol/L (142 mg/dl), on its way down after peaking at about 10 mmol/L (180 mg/dl). At 40km it was 4.6 mmol/L (73 mg/dl). No snacking required, and no anxiety about whether I was going to make it without crashing my numbers. I hope the brief spike is not too damaging.

Thanks again for all the work you have done to document and publicise your method.

Rien