Question:I was diagnosed almost 4 years ago now as a type I. I did the first several years on a 75/25 split of humalog, reg humalog as needed (which was almost never). Than last May my numbers went through the roof huge swings between high and lows so they told me my honeymoon was over and switched me to 15 units Lantus, humalog as needed. I was taking 4-6 shots of humalog a day numbers were running pretty good. Was just starting to get the hang of settling into this would be the way it was the rest of my life when about Oct I didn't need ANY humalog at all. I take it maybe 4 a month and only if I am over 200. Still on my 15 units of Lantus a day. Can anyone explain why? I have ask the
and they can't tell me anything. (Although it doesn't help that I just moved states and my new
must think I am crazy) Is it possible to re-honeymoon?
Answers:
My daughter has had type 1 for 18 months and we have not seen a honeymoon period. She has been like a rollor coaster ever since. She has been on the pump since last April and we are still not consistant. Her
said today that she would probably not have that period. He said with the type 1.5 that it is a combination of type 1 and 2. I am totally lost. I have tried to find some info about it. She is only 15 now. I am a nurse and work for a family physician. I have to go have a sit down with him and see if he can help me find anything.
Answers:
Originally Posted by Julz62
.... Is it possible to re-honeymoon? They now know that beta cell re-generation continues after the honeymoon is over. Normally, the new beta cells are destroyed before they can produce much insulin. But sometimes this doesn't happen, and it is why T1s often describe times when their insulin requirements decline. Usually this is temporary, in your case, it sounds like the increased insulin production has become established.
Long may it last ...
.
Answers:
Originally Posted by MarkM
They now know that beta cell re-generation continues after the honeymoon is over. Normally, the new beta cells are destroyed before they can produce much insulin. But sometimes this doesn't happen, and it is why T1s often describe times when their insulin requirements decline. Usually this is temporary, in your case, it sounds like the increased insulin production has become established.
Long may it last ...
. I think you may be right. Dr. Bernstein argues that he has only seen like two people with a
Zero c-peptide, and he is one of them. Everyone else, include large numbers of type 1 have some measurable c-peptide and hence some remaining level of pancreatic function. It is not unreasonable to think that in
, you may heal and submit to autoimmune attacks in cycles.
What is most promising about this is that should there be a vaccine that is developed in the futre which can suppress the autoimmune attack, then truly there are some of use that might be "cured" and you could be one of those lucky ones.
Answers:
He said with the type 1.5 that it is a combination of type 1 and 2
This isn't very helpful.
.5 or whatever you call it isn't really a combination of Types 1 and 2 at all. There are many different types of diabetes that don't seem to fit the
or
classification but as far as I know, most of them (if not all) are not combinations of the two types.
For example, I am almost certainly
, which is a type of
.5. The reason for this diagnosis is that my symptoms came on over at least a year and even presenting with a
that was very high, I was not in
and my life wasn't at immediate threat. I am not insulin resistant in any way, so even though I am
.5 by definition, I am just a "not quite typical
" person. There are tests for diabetes type, but in my case there was no point in doing them...I need insulin and that's it!
Relating to honeymooning, I don't think I have had a honeymoon period as my insulin requirements have been more or less identical since diagnosis two years ago. Maybe this is typical of
? (My basal is exactly the same, but my bolus has increased slightly, but I am now 10kg heavier)
This
.5 section of the forum has good definitions. Have a read and hopefully it will help.
Good luck.
Answers:
If other autoimmune conditions, like RA and lupus, can have "flares" and then settle down, why can't type 1 diabetes? You may have had a flare that required you to need more insulin for a while.
That doesn't mean that post-flare everything goes back to normal. Flares inevitably cause long-term damage.
But good for you for not needing as much insulin for a while. Like Mark said, long may it last!
Answers:
Originally Posted by NickC
This isn't very helpful.
.5 or whatever you call it isn't really a combination of Types 1 and 2 at all. There are many different types of diabetes that don't seem to fit the
or
classification but as far as I know, most of them (if not all) are not combinations of the two types.
For example, I am almost certainly
, which is a type of
.5. The reason for this diagnosis is that my symptoms came on over at least a year and even presenting with a
that was very high, I was not in
and my life wasn't at immediate threat. I am not insulin resistant in any way, so even though I am
.5 by definition, I am just a "not quite typical
" person. There are tests for diabetes type, but in my case there was no point in doing them...I need insulin and that's it!
Relating to honeymooning, I don't think I have had a honeymoon period as my insulin requirements have been more or less identical since diagnosis two years ago. Maybe this is typical of
? (My basal is exactly the same, but my bolus has increased slightly, but I am now 10kg heavier)
This
.5 section of the forum has good definitions. Have a read and hopefully it will help.
Good luck. I too am
. I have none of the type 2 symptoms just type 1 with very low doses of insulin at the moment. In regards to your requirements staying the same. Mine did too for almost 3 years before I had a change in them. So you may be honeymooning right now and not see the difference for a while longer. Hopefully you never see a difference! Thanks for the input!
Answers:
I got type 1 diabetes last year at 31 and this cycle problem happens to me too!. I have cycles where my Levemir times by 8 for 27 weeks then divides by 8 for 27 weeks. The novoarapid doubles for 27 weeks and then drops in half for 27 weeks. My blood glucose drops by 6mmol at 12.00am in 15 minutes whether I have insulin or not.. I've read about insulin remission depletion cycles somewhere. I have to test a lot to avoid hypos from all the changes. My doses are so low/or I am so sensitive to insulin I measure in quarter units on the insulin pen.
It is both a blessing and a problem at the same time.
Answers:
This is very interesting. I was diagnosed with Typ1 1.5 in 2004. I have been honeymooning for 5 years only requiring about 20 units of lantus at night. Lately, I haven't been doing so great at controlling
levels, and I am back on lispro before meals. Julz62 is therefore sort of hopeful. I wouldn't mind a re-honeymoon. I can only hope.
Answers:
Originally Posted by andreapuig
This is very interesting. I was diagnosed with Typ1 1.5 in 2004. I have been honeymooning for 5 years only requiring about 20 units of lantus at night. Lately, I haven't been doing so great at controlling
levels, and I am back on lispro before meals. Julz62 is therefore sort of hopeful. I wouldn't mind a re-honeymoon. I can only hope. I wish you the best! Hang in there because there is always the chance you rehoneymoon. My new
in Houston told me that it was not possible and there was no way I was off my humalog. Needless to say I have switched endos. I went back to mine in OK this summer and he just laughed when I told him what the other doc had said. He said you have done this before its nothing new you may do it many more times!!!! That's what I am hoping for! So far so good! Although it is a HUGE learning curve when it goes out for a while. HANG IN THERE!
Diabetes With People