Sophie is on Lantus and Novorapid and her consultant suggested she goes onto an insulin pump. In the past, Sophie disliked the idea of using an insulin pump, but now she is keen because she knows that people have had great results with it. Sophie’s main goal is to live a healthy life’ and has made significant improvements to her diet and exercise planning. She also uses a Continuous Glucose Monitor (CGM) that she finances herself. She only recently started using social media and found out that there are lots of young people out there’ that like her, are living with type 1 diabetes.
Sophie’s attitude towards the control of her diabetes has changed a lot since the days of high school and university. Then, she would do her insulin injections and finger prick tests but her priorities and life routine did not always work with her diabetes management. Her diet wasn’t ideal and sports activities would be organised on the spur of the moment without much planning. At the time, she preferred her blood sugar levels to be a bit higher rather than lower to prevent hypos. She lacked the confidence to know what to do to control it.
Sophie is in a relationship and works full-time and therefore her priorities and routines have changed since her student days. Now, her main goal is to live a healthy life’ and she has made significant improvement to her diet and exercise planning. Until recently Sophie didn’t know anyone else living with type 1 diabetes. It was only when she started using social media to find out more about Continuous Glucose Monitors (CGM’s) that she learnt about what it’s available on the web for young people like herself. The discovery’ of social media support has been very positive and has helped Sophie to improve the overall control of her diabetes. She says that the use of social media has helped her in three main ways: to gather knowledge and information from others; to learn from the experiences of others and to receive support, feedback and encouragement from other young people.
The use of a CGM has also contributed to better control of her blood sugar levels. It provides her with detailed information that has improved her understanding of what her glucose levels do during the day and at night, the things that affect her blood glucose levels and how to correct it. Sophie feels more confident about her diabetes management and no longer keep her blood glucose levels high for fear of a hypo. Instead, she does more corrective insulin injection and uses glucose tablets to try and prevent hypos. She continues doing finger prick tests, but less than before. Sophie finances her CGM herself and says that it is the cheapest in the market. She spends ¬¨¬®¬¨¬£100 a month.
Sophie feels that the care she got from her paediatric team was great but she felt a bit lost’ at the adult diabetic clinic. She says that her care has lacked continuity mostly because she went to university and transferred to a different clinic, and she also spent a year abroad. But she feels that yearly appointments with the care team are nearly not enough, while at the same time understanding that type 1 is very much a self-managed condition. Her last retinopathy test showed changes to her eyesight that seemed to be expected after ten years or more of living with the condition. It was something that reminded her of the dangers of maintaining high blood sugar levels.
At her last consultant’s appointment her HB1C was still high and the consultant suggested an insulin pump but before she qualifies for one, she needs to do a DAFNE course but hasn’t heard whether her name is on the waiting list or not. In the past, Sophie disliked the idea of using an insulin pump, but now she is keen because through social media she knows that people have had great results with it. Sophie’s aim of managing her diabetes well is greatly motivated by the thought of motherhood in the future.