Type-1 Diabetes Friend?

1

As other people have said taking more insulin or more shots a day isn't necessarily bad. I have been diabetic for 21 years. When I was taking shot via a syringe,(I now use an insulin pump) I would take anywhere between 3 and 10 a day. Shots are taken when blood sugar is high or when you will be eating. So maybe he is just correcting a high blood sugar or is about to eat. Diabetics can pretty much eat anything in moderation. That's how I feel, and we can drink alcohol. As long as he is testing his blood sugar and still doing shots then, nothing seems wrong in this situation. Also with age changes, fitness level changes weight changes your insulin regime could change.

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You say in the question that he increased the number of times he takes insulin daily. This does NOT necessarily mean that the amount of insulin he's taking has increased. On the contrary, it sounds like his doctor may have simply moved him off the (rather dated) twice-a-day insulin regime onto a more modern basal/bolus way of dosing insulin (also known as "intensive insulin therapy", despite it being the norm these days).

The old twice-a-day model involves taking fixed amounts of insulin at the same times every day and then shaping the rest of your life around the demands of that insulin - you have to eat certain amounts of food at certain times, only engage in a specific amount of physical activity, etc., or else there will be problems. The basal/bolus method, on the other hand, allows you to tailor your insulin usage to the demands of your life, so you can eat what and when you want to (to the extent that anyone can; a gallon of ice-cream every night would still be a bad idea, of course), exercise as often and as heavily as is good for you, etc. However, in order to get that flexibility, you have to take more frequent (but generally smaller) insulin injections.

Heavy beer drinker and eats a lot of the wrong foods and he is a type 1 diabetic? How is he 33years old?

You test your blood sugar levels correctly to determine what your insulin needs are. Based on what you said about his diet, I do not understand why he would test his blood sugar level....

Most of us benefit from taking one or two basal insulin shots per day and about 4 bolus shots per day! We can stay more even and level that way!

Did either of you go with him to his last doctors appointment and hear what the doctor recommended?

How does his girlfriend know that he eats all the "wrong foods"? Is she a dietician? Does she live in his skin? is she with him 24/7?

Is his beer drinking more than 2 per night? that would be heavy drinking to me if it were every night!! But then beer has this silly side effect of initially raising glucose then lowering it enormously!! So he may be using beer to lower his overall glucose after a dinner of pasta, and heavy dessert, but most beer drinkers do not eat desserts!!

Then again! It is his life and health, not yours or his girlfriend's life and health!! She can find a different boyfriend and you should not worry about him that much because you can do nothing about his lifestyle unless he asks for help!

I know I sound rude, but this is the absolute truth!!

Its not good to increase insulin dosage without doctors advice it has bad effects my brother to he is 13 years old and been type 1 diabetic for 8 years his also eating bad foods and not taking his insulin in right dose so eventually he got diabetic ketoacidosis and has been hospitalized at an icu just to correct his sugar levels which was 500 to 600 gdl he was closed to having coma. Tell your friend to drink moderately and rake his insulin at right dose :)

Here are some other ways that alcohol can affect diabetes:--

* While moderate amounts of alcohol can cause blood sugar to rise, excess alcohol can actually decrease your blood sugar level -- sometimes causing it to drop into dangerous levels.

* Beer and sweet wine contain carbohydrates and may raise blood sugar.

* Alcohol stimulates your appetite, which can cause you to overeat and may affect your blood sugar control.

* Alcohol can interfere with the positive effects of oral diabetes medicines or insulin.

* Alcohol may increase triglyceride levels.

* Alcohol may increase blood pressure.

* Alcohol can cause flushing, nausea, increased heart rate, and slurred speech.

of course ... he should cut down with alcohol .. maintain regular weight ... and eat healthy food other wise he will end up with complications and we dont want that

acute complications :diabetic ketoacidosis chronic ones are more disabling : he may end up with renal dysfunction , vision problems , sensory and motor abnormalities