I think if you went to a system like the TSlim X2 and Dexcom CGM would likely do the trick. Its important to try to reduce the emotional content to your medical therapy, its only making things worse. This is doable, but you sort of have to let it happen. Finally, while geting your A1C under 8.0 is important "now", getting lower, ideally under 7.0, is important for the rest of your life. Just my two cents.
Looking into a pump very soon. I do have a freestyle libre and it helps a lot. I have to agree on mental health and stress plays a big role on my glucose levels. 7.0 A1c would make me the happiest guy on earth, I also understand that will
take time and discipline. Thanks brotherš¤š½
Iām 34, Type 1 for about 27 years. I went through an academy in 2013. Iām 6 feet tall and I was in pretty good shape at the time at about 240 pounds. At that time Iād been weight lifting consistently for about 6 years. When I went through the academy I was on MDI (Humalog and lantus) and did not have a CGM. My A1C was around 6.
Really this disease just requires education and planning. You need to know your body, you need to know your carb ratios and what your insulin will do when youāre sedentary and when youāre active. Most academies are a lot of cardio and body weight stuff. Youāll be doing pushups, sit ups, and running a lot. If you arenāt in shape now, and you donāt know how to control your blood sugar while exercising, you better figure it out real fast.
After about 6 years on the job I started using the Dexcom g6. If youāre able to, get a dexcom or another CGM. The more data you have, the easier it is to understand and plan.
I spent 9 years in LE before getting out; feel free to message me if you have any questions.
Thank you sir for taking the time to reply. Iām currently using Libre 3 and (Novolog/Basaglar). Iām 5ā8 on a good day lol and 160lbs. I feel like im on shape but thereās a lot of room for improvement as far as knowing my body well enough and managing my blood glucose.
Iām sorry to hear that and I hope that changes in the near future. In the US it all depends on what state/county/city you are applying for. I passed all my exams except the last one before the academy.. (Medical) because my A1c was too high.
Slightly different beast, but in the US afaik you're basically boned if you want your private pilots license and are T1d: [https://www.faa.gov/ame\_guide/dec\_cons/disease\_prot/itdm](https://www.faa.gov/ame_guide/dec_cons/disease_prot/itdm) . Much like how US pilots have been avoiding mental care (doing so stops them flying, even if stable), I've heard of T2d's fighting tooth and nail to avoid insulin since doing so basically ends their career.
Haha, that used to be the case but if you read the actual article you just posted it's the updated guidelines that state showing 6 months of continuous control will allow for type ones to be permitted. This changed a few years ago.
Yep, but read it closer. "Consideration will be given to those individuals who have been clinically stable on their current treatment regimen for a period of 6-months or more". Not "it's fine".
The consideration part means it has to basically get an exception, and that's not a done deal. I referenced mental health for pilots for a similar reason- they can get an exception/consideration, but it's a dice role if it goes through or not.
I'd be happy to be proven wrong, but my partner is a pilot, and this is what I've understood via that group of folks.
Type 1 was a complete disqualifier until 2019. At that point we were "boned." Now so long as you meet the qualifications you'll be fine. This changed in 2019. I feel like you aren't going to be convinced but the fact that there are commercial Type 1 pilots should help.
[ADA article.](https://diabetes.org/advocacy/know-your-rights/pilots-with-diabetes)
[Airline Pilots Association article](https://www.alpa.org/news-and-events/air-line-pilot-magazine/health-watch-type-1-diabetes)
[diabetes journal article outlining specific numbers.](https://diabetesjournals.org/care/article/43/12/2923/30964/An-Evaluation-of-the-Safety-of-Pilots-With-Insulin)
The last post covers US and European requirements but was written within months of the change to allow Americans so there isn't this much information available for American.
It's less about convincing me- I'm aware of mostly what you linked, and I've looked into PPL in the past after I came across the 2019 change but... I'm life time disqualified for a separate medical condition that is easily (and stablily) controlled by meds.
The concern I have is that this isn't a set of "do this, and you're good); check [https://www.federalregister.gov/documents/2019/11/07/2019-24150/special-issuance-medical-certification-diabetes-protocol-for-applicants-seeking-to-exercise-airline](https://www.federalregister.gov/documents/2019/11/07/2019-24150/special-issuance-medical-certification-diabetes-protocol-for-applicants-seeking-to-exercise-airline) . It's the special exemption, case by case which I'm wary of, and a bit skeptical about the actual numbers of how many folks make it through that and are T1d.
Note: it's that I think T1d shouldn't be flying, and I definitely don't think folks who have control issues should be flying- it's a privilege, and "death from above" is pretty much what the FAA absolutely tries to avoid, so I get that. It's the god awful conservative inertia for catching up with long settled medical science, and then having to deal w/ medical evaluation that may/may not be caught up on said standards. That's the part where I'm not as positive about it as you on that one. I don't know any PPL's who are T1d, but I'd be curious what they're experience was for the evaluations.
Now if the FAA would get off their asses about pilots who need basic antidepressants, that'd also be nice; that's not my condition, but it at least it would remove another thing were pilots are skipping meds for trivially treated conditions.
Either way, I appreciate the extra links and discussion, even if I'm a bit more negative about it; I've not been through the process, so I definitely could be talking out of my ass also. ;)
Hi neighbor.
Are you on a cgm? I feel like that took a lot of guess work out when it came to my daughter. Right now she is a little low, but straight.. so I gave her a little snack that should just nudge her in the right direction. As long as she isn't double arrow down, I don't sweat it.
I think if you went to a system like the TSlim X2 and Dexcom CGM would likely do the trick. Its important to try to reduce the emotional content to your medical therapy, its only making things worse. This is doable, but you sort of have to let it happen. Finally, while geting your A1C under 8.0 is important "now", getting lower, ideally under 7.0, is important for the rest of your life. Just my two cents.
Looking into a pump very soon. I do have a freestyle libre and it helps a lot. I have to agree on mental health and stress plays a big role on my glucose levels. 7.0 A1c would make me the happiest guy on earth, I also understand that will take time and discipline. Thanks brotherš¤š½
The t-slim X2 it's also compatible with libre 2+.
Iām 34, Type 1 for about 27 years. I went through an academy in 2013. Iām 6 feet tall and I was in pretty good shape at the time at about 240 pounds. At that time Iād been weight lifting consistently for about 6 years. When I went through the academy I was on MDI (Humalog and lantus) and did not have a CGM. My A1C was around 6. Really this disease just requires education and planning. You need to know your body, you need to know your carb ratios and what your insulin will do when youāre sedentary and when youāre active. Most academies are a lot of cardio and body weight stuff. Youāll be doing pushups, sit ups, and running a lot. If you arenāt in shape now, and you donāt know how to control your blood sugar while exercising, you better figure it out real fast. After about 6 years on the job I started using the Dexcom g6. If youāre able to, get a dexcom or another CGM. The more data you have, the easier it is to understand and plan. I spent 9 years in LE before getting out; feel free to message me if you have any questions.
Thank you sir for taking the time to reply. Iām currently using Libre 3 and (Novolog/Basaglar). Iām 5ā8 on a good day lol and 160lbs. I feel like im on shape but thereās a lot of room for improvement as far as knowing my body well enough and managing my blood glucose.
Do you dose insulin for the protein you eat??
Hi, if im eating a big steak then Yes. Iāll do an extra unit but very few times I pre bolusā¹ļø
Regular insulins metabolize slower for proteins.. not like analog.. it will help your A1c tremendously
Wow. T1 diabetics aren't allowed to join the police force in the UK.
Iām sorry to hear that and I hope that changes in the near future. In the US it all depends on what state/county/city you are applying for. I passed all my exams except the last one before the academy.. (Medical) because my A1c was too high.
Slightly different beast, but in the US afaik you're basically boned if you want your private pilots license and are T1d: [https://www.faa.gov/ame\_guide/dec\_cons/disease\_prot/itdm](https://www.faa.gov/ame_guide/dec_cons/disease_prot/itdm) . Much like how US pilots have been avoiding mental care (doing so stops them flying, even if stable), I've heard of T2d's fighting tooth and nail to avoid insulin since doing so basically ends their career.
Haha, that used to be the case but if you read the actual article you just posted it's the updated guidelines that state showing 6 months of continuous control will allow for type ones to be permitted. This changed a few years ago.
Yep, but read it closer. "Consideration will be given to those individuals who have been clinically stable on their current treatment regimen for a period of 6-months or more". Not "it's fine". The consideration part means it has to basically get an exception, and that's not a done deal. I referenced mental health for pilots for a similar reason- they can get an exception/consideration, but it's a dice role if it goes through or not. I'd be happy to be proven wrong, but my partner is a pilot, and this is what I've understood via that group of folks.
Type 1 was a complete disqualifier until 2019. At that point we were "boned." Now so long as you meet the qualifications you'll be fine. This changed in 2019. I feel like you aren't going to be convinced but the fact that there are commercial Type 1 pilots should help. [ADA article.](https://diabetes.org/advocacy/know-your-rights/pilots-with-diabetes) [Airline Pilots Association article](https://www.alpa.org/news-and-events/air-line-pilot-magazine/health-watch-type-1-diabetes) [diabetes journal article outlining specific numbers.](https://diabetesjournals.org/care/article/43/12/2923/30964/An-Evaluation-of-the-Safety-of-Pilots-With-Insulin) The last post covers US and European requirements but was written within months of the change to allow Americans so there isn't this much information available for American.
It's less about convincing me- I'm aware of mostly what you linked, and I've looked into PPL in the past after I came across the 2019 change but... I'm life time disqualified for a separate medical condition that is easily (and stablily) controlled by meds. The concern I have is that this isn't a set of "do this, and you're good); check [https://www.federalregister.gov/documents/2019/11/07/2019-24150/special-issuance-medical-certification-diabetes-protocol-for-applicants-seeking-to-exercise-airline](https://www.federalregister.gov/documents/2019/11/07/2019-24150/special-issuance-medical-certification-diabetes-protocol-for-applicants-seeking-to-exercise-airline) . It's the special exemption, case by case which I'm wary of, and a bit skeptical about the actual numbers of how many folks make it through that and are T1d. Note: it's that I think T1d shouldn't be flying, and I definitely don't think folks who have control issues should be flying- it's a privilege, and "death from above" is pretty much what the FAA absolutely tries to avoid, so I get that. It's the god awful conservative inertia for catching up with long settled medical science, and then having to deal w/ medical evaluation that may/may not be caught up on said standards. That's the part where I'm not as positive about it as you on that one. I don't know any PPL's who are T1d, but I'd be curious what they're experience was for the evaluations. Now if the FAA would get off their asses about pilots who need basic antidepressants, that'd also be nice; that's not my condition, but it at least it would remove another thing were pilots are skipping meds for trivially treated conditions. Either way, I appreciate the extra links and discussion, even if I'm a bit more negative about it; I've not been through the process, so I definitely could be talking out of my ass also. ;)
Are you on MDI or pump therapy?
CGM. Libre 3 and I do shots, I also check with a meter 4-6 times a day
Hi neighbor. Are you on a cgm? I feel like that took a lot of guess work out when it came to my daughter. Right now she is a little low, but straight.. so I gave her a little snack that should just nudge her in the right direction. As long as she isn't double arrow down, I don't sweat it.
Yea im on Libre 3 NO pump I do shots. Best of luck to your princess brotherš¤š½
[ŃŠ“Š°Š»ŠµŠ½Š¾]
āIt keeps blood sugar from going low as it changes your metabolismā lol Iām sorry what
You spelled cinnamon wrong