Greetings from Germany

Hello everyone,

I have followed you for a few months and I finally launched myself to introduce myself.First of all I would like to thank you for the great help that, without knowing it, you have lent me.Finding my human quality together with your experience and the professionalism of the medical team that is treating me has made me face this "bump" with much more security.

The theme of my debut is a slightly long and quite exceptional story and it is that I debuted as type 1 about the fifth month of pregnancy.If it becomes difficult to get the idea of ​​what the disease entails, you can imagine how hard the weight of responsibility, fears and lack of experience.Three weeks took my ex -gland to make a decision about the problem and was to send me to the hospital that her husband runs in a town lost from the Alps almost an hour by Munich's train that is where I live.Three weeks in which I saw how sugar levels exploded almost without eating, as I was losing weight and how skin was injured due to dryness of it.I left his consultation and caught a taxi to the maternal-child hospital because I was really bad.From there they sent me to the Hospital of Internal Medicine to a course to guide patients with gestational diabetes, I went with my accu chek Aviva Nano and my list with measurements and what I had eaten (I didn't even know that I had toMeasure before eating, nor that the results could be read with a computer program, nor that the strips were completely free for pregnant women).There I met my two angels in the form of diabetologists.They sent me to the laboratory and before finishing the talk the medical chief appeared saying that if I had nothing against me they were going to enter me.I assure you that the world stopped, so much that I didn't even ask why the decision.The next day I learned that I had severe ketoacidosis that took almost 5 days to go down, of course they had to explain that it was because I had never heard it.The same day of my entry we started with the Insulin Prothane and Actrapid and for ten days they were showing me how I should injected me, counting the carbohydrate units, such as treating the hypos, etc ... In those days they already told me that my diabetes possibly was aType 1 but that with the hormonal theme would not be able to secure it until shortly after the end of pregnancy ... I still had a vague hope.From then on my pregnancy was described as risk and had to go to both the Maternal and Internal Medicine Hospital to be controlled.My life revolved around food and injections.I had never done diets, who had never been seriously ill and now I didn't want to leave the house in case it gave me a "hypo" and they gave me many, until we changed to the humalog for breakfast I always had a hiccup between meals.

The end of history has not yet been written.I have a healthy and beautiful baby almost 6 and a half months.The birth was natural, very long but without problems.Except for a 245 hyper without having eaten after it, I suppose that due to stress (I have never had values ​​above 200 since I started insulin).Since then I am what they call the honeymoon, injected only 4 units of protophane at night.With a little fear that this phase is over and that the disease directs my life again.But sure that I will face it with more or less update and thinking, as my diabetologist told me, that the quality of life of patients now and 20 years ago have nothing to do and that they will least have in common in another 20.

I hope to continue learning with your experiences for a long time.I promise to be very heavy with my doubts and comments ;-)

Welcome home, Haribita.

For doubts do not cut yourself and shoot.

The important thing is that you have that beautiful girl.The rest is learned, you'll see how it is not so difficult.

Health

Hello.

That during pregnancy they put insulins such as NPH and regular insulin can have some logic, those insulins are genetically identical to endogenous human insulin, that and that are insulins that are more than proven in all groups of people because they prevent them from avoidingunnecessary risks during pregnancy but after pregnancy you continue with insulin NPH (so I find in Google the insulin protophane is one of the commercial names of the insulin NPH) is a bit weird ... because of the type of curve that theNPh is easierThe "honeymoon" and you have to climb the doses the problem may appear.

Thanks for the TNT Council, we will wait for future events but I will take your comment into account.At the moment I am having fasting values ​​between 76 - 91 and after meals they do not exceed 120-130 after two hours.I still breastfeed and it seems that I can stay with such little insulin.What seems unusual for me to continue in honeymoon after so long and that this started just after childbirth, but according to the endocrine the tests give a clear type 1.

Welcome to your new house Haribita.

Mine was also gestational diabetes (my 5 -month pregnant wife was I debuted) hehehe.

Honey moons are very relative, I have been two and a half years.My endogenous insulin levels are almost normal (or they were six months ago) but in my body the antibodies that will soon be destroyed will end up destroying the B cells of the pancreas.

Never let diabetes direct your life, the brand, without a doubt, but we can never let us direct it.

A 245 peak during childbirth is something completely normal, even in population without diabetes.In the same way that it can be normal with an adrenaline rush.

Ask any questions, that there are many people who control a barbarity.

Greetings.

A doubt, you will not know an endocrine in the Frankfurt area or any website with endocrine references?I am super lost!

Hi Tica,

Well, I don't know any doctor in Frankfurt.I can give you the link with the team that takes me to me and that they advise you http: //www.diabeteszentrum-uni-Muenchen ... s-team.php <!Diabetologists who carry my case and are lovely, if you want I can ask them if they know someone.If you do not feel very loose with the German, ask for the list of Castilian doctors in your consulate.

To Nacho_71 and to all who had the honeymoon.They have already told me that the beta cell reserve does not end up and that it is an unstoppable process, but I will have to raise the insulin dose little by little or is it better to wait for the climbs to be notable?It is that the endocrine told me that I was taking too many turns to my head and that I was wandering no more than two days per month or when I was wrong.

Haribita by power can be done in both ways but I think it is better to monitor and go up the doses little by little depending on what you need to avoid quite high values ​​and avoid lows that can give you when making important changes in thedose.

The time that the "honeymoon" lasts is something indeterminate, the same to a 15-month-old baby lasts 4-5 months than a person who debuts with thirty-so many lasts 2 years and peak ... It is not known, last what it lasts to regulate (monitor and correct, monitor and correct, monitor and correct ...).

During that time of the debut, the glycemia once stabilize (after initial lack of control) can be stabilized once the necessary doses of exogenous insulin are very low or even that some of the insulin injections are not necessary and some must be suppressed (or all) not to eat hypoglycemia silly.
There are theories of all types and colors One of those theories is that it is better to put insulin even if it is very little to extend the duration of the "honeymoon" PQ it is supposed to extend the "honeymoon" is something good (...), although that theory seems good to me (my "honeymoon" was "good" but that does not mean that everyone's "good") I am totally contrary to eating dumb hypoglycemiato a theory that has no scientific base and if the case is that hypoglycemia are suffered even with very low doses of insulin I would suppress insulin but each one who does what he considers appropriate, extending the "honeymoon" (assuming thatIt is possible to lengthen ... and more that way) does not change the diagnosis.

In the particular case of yours where you are currently putting 4 units of NPH many doctors would tell you to suppress the insulin temporarily (you are not suffering hypoglycemia) since that dose is very low (insulin needs in an adult person are close to 1Unit per kilogram and day, there is accounts of how much weights, how much insulin you may need your body per day and how much it supposes the 4 current units), other doctors will tell you that if you do not suffer hypoglycemia you continue with insulin, being contrary advice(one remove, another to put) both can be considered correct.

Haribita, I would measure myself before the three meals, in this way you will detect the trends.

Do not modify any guidelines for a measurement, since it can be affected by an X file.

I, if I see that three or four days in a row my measurements come out of rank, I modify the dose.For a specific value, I don't complicate myself.

Greetings.

Welcome Haribita,
The important thing is your child, who is raising healthy, you will see how you control diabetes in a short time, you will get used to it as everything, at first a world is done, but then the thing already changes.
Check your doubts, among all we will help you
Greetingsssssssss

Thank you very much Haribita,

My German is painful, next week I start the B1, but what is said to talk anything ... if you could ask I would appreciate it very much.I guess you will be with German medical insurance, do you know if with the European card I have the right to go to the specialist or only to go to the emergency room?And do you know of any private insurance to accept me with diabetes?For now I find curro here only with English is very complicated (I say it because of the doctor) and it is not very funny to be here without "real" sanitary assistance ...

If you have any questions with the insulins or whatever you want, here I am to help, that I have gone through all kinds of insulin :)

Thanks for the answers.

Tica, with private insurance I can't help you, the one I have is the mandatory.I am on the TK that is next to the AOK the two best known insurers.They have to assure you necessarily and you don't have to be working (I don't know how they will be with rates but it has approximately € monthly).If you are enrolled in the UNI they would also have to ensure under much more favorable conditions.I would call the consulate to be advised because you need medical insurance if you are going to live more than three months here, with the saitarity card you only have the right to be treated as an emergency.That they inform you if with a minijob they could also assure you, people do not want to do because they already have insurance for their partner or another job but in your case it would be the easiest way to find employment at the airport or at the sample fair whereThis type of hiring is very stylized and you will not need much German.As soon as they answer me with the theme of the endocrine in your city I inform you, ask anyway the list of doctors who speak Spanish.

Greetings