Interview 14

Age at Interview: 22

Sex: Female

Age at Diagnosis: 9

Background: University educated; engaged; she is one of five children, lives at home with parents and siblings. Unemployed and is applying to the Prince's Fund to start her business as a photographer.

Brief outline:Her diabetes was very unsettled for a long time but recently she has managed to have and maintain good control. One of the main motivations for doing so is that she and her fiancée would like to start a family after they are married. She says that the media often reports scary stories about pregnancy and diabetes and that it is important to say that women who have good control do have similar chances of having a healthy baby as non-diabetic mothers. Currently she is on Lantus and on NovoRapid.

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Yeah four in the evening and I think it was ten in the morning, so eh yeah, God that was a long time ago [laughs]. and then I stayed on Human Mixtard for a long time, a very, very long time and it wasn't until sort of my teenage years where I don't know whether my body started becoming immune to it or it just wasn't suiting me any more because of the, the changes in me, but my blood sugars were constantly high, I just could not get them down no matter what I did.

When you say high…?

High they were, like high teens sort of eighteen, nineteen, twenty, they were constantly up there and there was a few occasions when my blood sugar was that high the machine just wouldn't read it, it was 'hhh' and that was scary because I was not a nice person to know when I'm high, I get very, very moody and very, very sort of, you know, snappy with everybody and like, leave me alone I don't want to talk to and, although you know you have to move around to try and get it down, you just don't want to. You feel like curling up and going to sleep so like I say I'm not a nice person to know when I'm high. But, at the end of my Human Mixtard stint I was on [sighs], a very high dosage, I think it was up to, about sixty in the morning and about fifty-odd in the evening, I was having a lot of insulin and it just still wasn't bringing it down. And because I was having more insulin I was eating more because I was hungrier and I was putting more and more weight on and it just wasn't healthy. So when I went to the clinic my specialist actually suggested I go onto four injections a day, and to think, and then I thought 'well I don't really want to do that if I possibly can, is there another option?' So my diabetes nurse came round and she discussed other types of insulin that I could take and then I tried another one which was Humalog I think? Yeah? I think I tried that one, but that didn't do anything so I thought, 'Alright then, fine we'll try the four injections and see how that goes,' and so far it's been okay.

And which type of insulin is it now?

I'm on NovoRapid and Lantus, and I take three injections of NovoRapaid and one injection of Lantus which is 40 units with my breakfast of the Lantus, which is the long acting it sort of slowly releases into your body and goes through the day and keeps you through right till breakfast time the next day. And then I'm on small doses of the NovoRapid which I have with my breakfast, my lunch and then my dinner and then if, because it's so flexible, because it's such an easy insulin to take, if I'm gonna have just a very small snack of an evening before I go to sleep I won't have to have any more. But if, say for example I'm out with my friends of an evening and I know we're gonna go to the chippy or something after we've been out I will have a few more extra units so it's, sort of four, five injections a day sometimes, whatever, you know, I'm gonna eat. So and, it seems to be working, I've managed to get my overall reading down to seven point eight percent which is very good because for a long time it was up to ten and eleven and that's when the damage started being done [sighs] so fingers crossed I've managed to get it down and it's gonna stay there now.