Novorapid, Tresiba and Libre – My Path to Excellent Regulation!
After about 12 years of diabetes, numerous other diseases and complications, undergoing a nutrition study, three years of having massages and a year and a half of using the FreeStyle Libre sensor, I am finally sure I have found the perfect glycemic control combination I want to share with you. My glycemic control combination is based on proper diet, exercise, adequate water intake, a combination of NovoRapid and Tresiba insulin, hand massages at the site of insulin injections and the indispensable Libre sensor. I will talk in more detail about each of the above items in this article. If anyone desires to contact me further, I will leave my contact details at the bottom of the text.
Let’s begin with Tresiba. A lot has been written about it, and I have been using it for the past 18 months. Thus, every night, around 8:30 pm I give myself 10 insulin units of Tresiba. At 5:30 am, I am awakened by an increase in GUK of which I solve by drinking 0.3 litres of water and taking 0.5 insulin unit of Tresiba If necessary. Although, lately, I do not need this correction. Insulin Tresiba made my regulation easier and honestly, it is much better for me than the pump I was on for 4 years and Levemir where I was on for about 6 years.
NovoRapid. You probably already know everything about NovoRapid. I give it 5 to 15 minutes before a meal, depending on what food it is. The higher the glycemic index of the food, the sooner I give insulin. My pen needles are 30G, 0.3 × 8 mm and 0.3 × 6 mm. With the Libre sensor, I have learned what the graphs of almost every food I consume look like, and I can authoritatively tell from the slope of the “peak” how much earlier (or later) I have to give insulin next time for that same food. In this way, the graph of NovoRapid’s operation almost coincides with the graph of GUK from the Libre sensor, and the result is these beautiful results.
Exercise. Since, I work two different shifts five days a week, my strength and will to exercise have dropped lately, but I still have a plan that I stick to. For two weeks, after work at home, I do a more intense type of training for 25 minutes. Then in the 3rd week, I go to work by bike (route Zg-VG and back). In the 4th week, I insert a light roller in the evening and next week everything starts from the beginning. Cycling and rollerblading helps reduce my blood sugar level because they are not too intense, while the training I do in the apartment is hard and quite intense. After 10 minutes of training, my GUK starts to jump a lot (strongly, the arrow on the Libre up). This can be seen by the trend on the Libre sensor. After my GUK reaches about 9.7 mmol / L, I add 1.5 unit of Novorapid, then I drink water and keep exercising.
* For training purposes, I drink half a dose of the Battery Isotonic Drink. This gives me energy and raises the GUK a bit, which is then (after work) around 4.5 mmol / L.
I read about puncture massages on foreign blogs and started with them about 3 years ago, but I was not satisfied with the regulation of glycemia. I didn’t have a Libre sensor then and after the massage, I would go into a hypo, then into a hyper, and further into that vicious circle of hyperglycemia and hypoglycemia, which you all know. The massage is similar to an anti-cellulite massage. I explained to the expert about the stings, how my insulin is stuck in the subcutaneous tissue, how I feel those bumps and why it doesn’t work exactly as it should (e.g. for broccoli 200 g, without potatoes I would give 6-7 insulin unit of Novorapid, for an apple of 7-8 insulin units).
I stopped poking in my stomach, but only in my thighs (left Tresiba, right NovoRapid) and in my arms (Novorapid). Massages are very painful. In the beginning, it moves with less intensity. After the massage (sometimes even during), the GUK starts to drop so I have a meal prepared (snack most often). In addition to massaging the injection site, the lower legs and the leaf are also massaged to stimulate circulation, which further enhances the action of insulin. In the beginning of the treatment, it is best to go 2-3 times a week and for a week or two. Then, after the insulin dose for the same meals is halved, it is enough once a week or every two weeks. If someone doesn’t know and wants to know more about insulin retention and insulin receptor sites on cells, feel free to contact me (it’s a wide and extensive topic).
Water. So WATER, not tea, not beverages, not coffee, not milk, not GI control juices, but water. Any tea or coffee dehydrates the body. In order for hydration to be adequate, it is necessary to drink a glass of water for every cup of tea or coffee. Water intake should be 2-2.5 liters per day, if a person does not sweat intensely, does not perform heavy physical work, does not stay at high temperatures. All these activities further increase the need for water intake.
This is my water drinking schedule: during work, I drink 1.5 l of water + 0.5 l of water with magnesium. During exercise, I drink 0.5 l of water, before going to bed another 0.2-0.5 l of water. Water is drunk half an hour before meals and half an hour after meals, never with meals. One of the simplest recommendations for good GUK regulation.
For a long time, I was looking for the right balance of meals in the amount and type of food.
Oatmeal hardly raises my GUK when cooked in water, but “raw” mixed with yogurt raises my GUK quite a bit. I use beta glucan, 500 mg; every morning on an empty stomach and it noticeably lowers my sugar.
Breakfast: approx. 2 units of NovoRapid
Oatmeal (1-2 tablespoons of oatmeal) cooked in water, with stevia, a tablespoon of cinnamon, a pinch of salt, and blueberries and berries. It has been proven that 55 g of blueberries a day has a positive effect on the regulation of GUK. I add a smoothie (half an apple with water or half a banana with water and whey protein) to the cooked porridge.
Breakfast: approx. 1-1.5 units of NovoRapid
I eat after 3-3.5 hours after breakfast. Then I eat FIBROKI granules with plain 2.8% m.m. yogurt. This is a great thing for me. The reason is that GUK is about 5 mmol / L, I give myself 1-1.5 units of Novorapid and after that, the trend on the Libre sensor remains flat, as well as the GUK around 5 mmol / L. Definitely my warm recommendation. Half an hour after this meal I drink 0.5 liters of water with magnesium (because the granules are rich in fiber).
Lunch: 1.5-3.5 units of NovoRapid
After 3 hours, I eat boiled vegetables with meat, grated cheese or fish. Sometimes I also eat wholemeal pasta or potatoes or wholemeal bread as a side dish.
Snack: 0-1.5 units of NovoRapid
After 3.5 hours, one yogurt or a small apple or beet-apple juice (250 ml) follows.
Dinner: 0-1.5 units of NovoRapid
After exercise, yogurt + 1-2 slices of bread. If necessary, jam or oatmeal as for breakfast or cooked lunch leftovers.
Well, after years of combining and giving up, I finally managed to be regulated every day, that the averages on the Libre sensor are finally “in blue”.
I lost 3 Kg without bothering around them. Digestion is more regulated. No more bloating and pain. After many years, I can eat yogurt and apples without hyperglycemia and abdominal pain.
The FreeStyle Libre sensor has helped me with nocturnal hypoglycemia so I don’t eat an unnecessarily huge amount of food like I used to and consume less insulin. I rarely make corrections, and one of the most important things to me is that I FINALLY SLEEP!
My contact is firstname.lastname@example.org
I use this Beta glucan and these Fibroki granules.
And as proof of my good regulation, I enclose these graphs: