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    • 8 hours, 14 minutes ago
      Patricia Dalrymple likes your comment at
      Does dietary protein affect your glucose levels?
      Try the "Atkins" diet or some other no-carb diet (e.g., Paleo minus fruits and staches) for a few days. This will allow you to measure your insulin demands based solely on non-carbohydrates (fats and proteins). Ultimately, your glucose can be affected by all three*, but eliminating one macro group at a time will let you assess how much each affects your bg levels.
    • 8 hours, 15 minutes ago
      Patricia Dalrymple likes your comment at
      Does dietary protein affect your glucose levels?
      Patricia, if you're willing to isolate your diet to a single protein for a few days you'll most likely know. It doesn't work for everyone. It did for me.
    • 8 hours, 17 minutes ago
      Patricia Dalrymple likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 12 hours, 14 minutes ago
      TEH likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 12 hours, 15 minutes ago
      TEH likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 21 hours, 23 minutes ago
      Sandra Rosborough likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      It was a worthless meeting. They had no idea about how carbs raise blood sugar!!! I’ve found few Endo offices that understand type 1!
    • 1 day, 8 hours ago
      Bob Durstenfeld likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 1 day, 10 hours ago
      lis be likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      My absolutely favorite meeting with a dietician is when a guy came up from Miami to lecture our local diabetic group. His advice? He said, to wit, "You probably shouldn't drink alcohol, but if you must, then try and make it dry champagne."
    • 1 day, 10 hours ago
      lis be likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      When I was diagnosed, I was simply given a diet to follow. Period. I followed it for awhile, but then I moved to the UK, and the recommended diet was different, so I used that. When I finally went onto separate injections for each meal, I made my own diet. I have been eating whole grains since about a year before my diagnosis, and have never been a fan of sugary foods. I'm glad I never had to meet with a dietician: it would have been a waste of time.
    • 1 day, 10 hours ago
      KSannie likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 1 day, 10 hours ago
      KSannie likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      It was a worthless meeting. They had no idea about how carbs raise blood sugar!!! I’ve found few Endo offices that understand type 1!
    • 1 day, 10 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Pretty sure most of us type 1's have spent a ton of time and research developing personal guidelines for our bodies and insulin response. Trial, error, start again. test. Thinking about the high carb pyramid they gave me in the hospital when first diagnosed in 1980... and my youth not understanding why i had so many sugar swings. Food guidance from the government has always seemed driven by lobbyists and politicians...
    • 1 day, 10 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Not at all. I'm 86 and what got me here is what I'm still doing. Also, I have heart disease and will not increase my use of beef fat or butter.
    • 1 day, 10 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Amanda Barras -- The marketplace of ideas, almost as much of a cul de sac as the tribal alleys of true believers, there are plenty of shortcomings to keto and Bernstein diets. Google almost any "Critcism of X diet" and a plethora of articles will appear. Same goes for all the current protein-push policies that are in vogue.
    • 1 day, 10 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      While I appreciate the pyramid needed some adjustment, going to a meat and fat pushing diet (my perception) is just as bad. Plus I don’t trust people that ignore the science and common sense needed just because they happen to be currently in charge.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      Does dietary protein affect your glucose levels?
      Said I’m not sure. I mostly have some protein with every meal. How would I know for sure that protein is the impact and not some other of the 100s of factors that affect BG?
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once when 1st diagnosed
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 1 day, 11 hours ago
      Ahh Life likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      When I was younger I used to see a dietitian with every T1D appointment, but that was like 20-30 years ago
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      One appointment shortly after I was diagnosed but none since then.
    • 2 days, 1 hour ago
      lis be likes your comment at
      Does dietary protein affect your glucose levels?
      So, I ordinarily would answer "never" to this question. I can go on a no carb diet for days and need no bolus insulin whatsoever (I still must take a basal dose). For example, I can eat eggs, bacon, and other "breakfast" meats for breakfast, I can eat a cheeseburger (lettuce wrap bun) for lunch and even eat a 16oz steak for dinner and not need a single unit of bolus insulin. That said, protein drinks and protein bars are a different story. Even a small amount of carbs mixed in (say about 6-8g) will drive my glucose up slightly. Because this increase is significantly larger than the carbs would induce alone, obviously, the protein does cause some increase.
    • 2 days, 7 hours ago
      Deborah Wright likes your comment at
      Does dietary protein affect your glucose levels?
      It has a minor Impact but it happens every time.
    • 2 days, 7 hours ago
      Deborah Wright likes your comment at
      Does dietary protein affect your glucose levels?
      For me always - it may take hours, but it will eventually go up.
    • 2 days, 7 hours ago
      Deborah Wright likes your comment at
      Does dietary protein affect your glucose levels?
      Said I’m not sure. I mostly have some protein with every meal. How would I know for sure that protein is the impact and not some other of the 100s of factors that affect BG?
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    Have you (or your loved one with T1D) been diagnosed with peripheral neuropathy in your feet?

    Home > LC Polls > Have you (or your loved one with T1D) been diagnosed with peripheral neuropathy in your feet?
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    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    22 Comments

    1. sweetcharlie

      The Doctor said just a touch of it.. Age=91… T1D about 70 ..

      10
      3 years ago Log in to Reply
    2. Lawrence S.

      No, not diagnosed. But, if I don’t keep up my daily exercise, I feel it.

      3 years ago Log in to Reply
    3. Trisha Oldenkamp

      It’s mild and has been pretty stable for several years. My endo said only a small percentage of well controlled Type 1s get it and I’m one of them. A neurologist said to take alpha lipoid acid supplements to help.

      1
      3 years ago Log in to Reply
    4. Gary Rind

      had terrible pain in my feet. endo prescribed gabapentin which did nothing except make me dopey. found out about alpha lipoic acid, started taking that and the pain was gone within a week. it’s been 20 years and it still works great, no pain at all!

      1
      3 years ago Log in to Reply
    5. Kelly Wilhelm

      I have very very mild neuropathy in my feet (1 on scale of 1-10) that was “accidentally” found while working on another issue. No issues with it, so far.

      3 years ago Log in to Reply
    6. Henry Renn

      I notice on most questions posed by T1D Exchange that there isn’t any delineation for length of time respondents have had Type 1.

      2
      3 years ago Log in to Reply
      1. sweetcharlie

        Thats why I usually give the years T1D and Age now..

        3 years ago Log in to Reply
    7. Marty

      My doctor didn’t use that term, but did notice some loss of sensitivity to vibration. Luckily it’s not a problem, so far at least.

      1
      3 years ago Log in to Reply
    8. Ahh Life

      Perhaps a soupçon of it. The podiatrist noted a slower nerve response in one leg versus the other. But no pain, no tingling, no impairment, and consequently, no intervention after 72 years around the diabetic track. 🙆‍♂️

      3
      3 years ago Log in to Reply
    9. Mary Halverson

      Not in my feet and not yet diagnosed, but my calves have constant surface nerve twitching. “Fasciculation” is the term I’ve found for it. I’ll see a neurologist soon & hopefully find an answer.

      3 years ago Log in to Reply
    10. pru barry

      It’s been a blessing in disguise. Walking has always been one of my favorite ways to spend time, hours and hours of it. Until recently, neuropathy has never made it hard. I’m working on year 69 since diagnosis and taking insulin, and think maybe some of my beginning to stumble is just old age. So now I walk with a bit of a vengeance, and tons of determination. I think there’s a huge component of brain-muscle memory involved. Losing keys is one thing. Losing the ability to walk is another!

      2
      3 years ago Log in to Reply
    11. Bob Durstenfeld

      I have autonomic neuropathy that affects my stomach and bladder as well as some neuropathy in my inner thighs and periformis syndrome that affects my left foot.

      3 years ago Log in to Reply
    12. Trina Blake

      I answered “other”. At first – using the little filament tester – I was Dx’d with neurapathy in my feet. I suggested they check beyond the balls of my feet. Then ticklish as ever. I then stood up, explained that I was a retired professional ballet dancer, demonstrated barefoot pirouettes (some contemporary pieces are done barefoot) that explained the very strong and tough calluses. Fortunately I was able to avoid the standard “you’ve got to manage your T1D better” by my prompt “lecture” and demonstration of classical ballet. Still doing well.

      3
      3 years ago Log in to Reply
    13. Steven Gill

      Have a brother diagnosed T1d 25 years ago, he “has some numbness.” Been maybe 15 years ago, but also a dry alcoholic, moderate to heavy smoker, but very active, I’m sure that helps.

      An adopted cousin (not related by blood but recently bonded) has neuropathy in feet, gastroparesis, and a multitude health concerns (weight, copd, heavy smoker…), and even now out of control glucose. A family friend (TYPE2) discussed her feet problems, and loss of muscles from neuropathy.

      I know for a fact the other causes of neuropathy we can stress ourselves with: non diabetic mother had neuropathy in hands and feet-possibly attributed to weight, BP, smoking, and a poor diet. A friend possibly died resulting from lack of care for a foot ulcer (A week after 911 was called from bleeding) likewise neuropathy in his feet. He was a real heavy smoker, heavy drinker, non active with a poor diet: non diabetic.

      Diabetes alone can be as leading cause of neuropathy, add smoking, poorly controlled BP, bad diet, weight, and inactivity we can almost guarantee the result. I want diabetes to be my only hazard, and a minor one at that.

      1
      3 years ago Log in to Reply
    14. Jian

      I have had neuropathy for about 13 yrs, painful at first and took gabapentin for yrs. but no longe painful the last 3 yrs just numbness and tingling – I take aphalipoic acid 600 mg daily.

      3 years ago Log in to Reply
    15. ConnieT1D62

      Yes – despite years of “good control” and never having been a smoker or an excessive or careless user of alcohol I developed peripheral neuropathy in my feet and hands. At around 40 years into having lived with T1D in my body since early childhood I noticed subtle sensitivity changes in both my feet and hands, not painful just “different” and “weird”.

      Plus 30 + years of being a nurse and pumping a manual sphygmomanometer bulb to obtain blood pressures on several hundred patients thousands of countless times over the years didn’t help. As a result I have nerve, tendon, fascia, and muscle damage in my hands and fingers. The muscle weakness affects my hand strength and grip, and fine motor finger skills.

      I opted to decline surgery when it was recommended and chose occupational therapy, hand stretching and strengthening exercises, acupuncture and chiropractic adjustments instead. I still have good use of my hands. However, I as I age I experience increased muscle wasting at the base of the thumbs and overall numbness in my fingers. At age 69 I can no longer tie shoelaces or button small sized buttons. I keep the nerve flow energy in my hands activated and flowing by creative visualization, positive affirmations, and finger, hand, wrist and arm movement exercises and self-massage techniques.

      1
      3 years ago Log in to Reply
      1. Ahh Life

        Connie—I could have written the same thing, word for word, myself. While not particularly empathetic, the joint specialist (what a title) at least had some humor for me a week ago when he said. “Hey, after 75 trips around the sun, you gotta expect joints and things to go out.” At least I could laugh. Maybe the best and only therapeutic. 🙃

        1
        3 years ago Log in to Reply
    16. mbulzomi@optonline.net

      Ok, how do you answer a “NO”?

      3 years ago Log in to Reply
    17. ConnieT1D62

      I answered YES yesterday and wrote about my experience with peripheral neuropathy and joint damage in my hands. I also have peripheral nerve and joint damage in both feet affecting nerves, tendons, muscles, and bones resulting in clawed toes and structural changes in the shape of my feet.

      In earlier phases of life I was active in dance – ballet, jazz, modern, folk dancing, tap, flamenco – for many years from childhood into my 50s. Plus 30 years of being on my feet as a nurse lent itself to wear and tear on my feet.

      In 2004 I was diagnosed with early stage Charcot neuro-arthropathy changes in my feet after being mistakenly misdiagnosed with “sprain and strain injury” and “gout” by four different MDs. An astute orthopedic MD did further X-rays, bone scans, and MRI testing to determine that it was “early phase Charcot neuro-arthropathy” and covered for his fellow MDs who missed the proper diagnosis “because we rarely see and recognize this kind of damage in such early stages ” .

      My feet are now stable and I wear sensible shoes with custom orthotics for comfort and to accommodate the structural changes in my feet.

      3 years ago Log in to Reply
    18. Wanacure

      The filament test revealed partial neuropathy in my left foot some years ago. Then in right foot also. Doesn’t seem to interfere with my walking. But before that was diagnosed I had terrible lower leg pain. I tried over the counter insoles but nothing worked. Finally I bought custom orthotics from a retailer experienced in helping diabetics and “extra depth” shoes to accommodate them. What relief! Compression stockings also helped. Lesson: If you’re jogging or running 3 miles every other day on hard surface, don’t expect those running shoes to adequately cushion your feet after 6 months of use.

      3 years ago Log in to Reply
    19. AnitaS

      I haven’t but a T-1 cousin of mine did

      3 years ago Log in to Reply
    20. T1D4LongTime

      T1D 56 years. Diagnosed age 6. Age 11-13 I had severe neuropathy on the bottoms of my feet especially at night. Felt like branding irons. For some unknown reason, the neuropathy resolved and has never returned.

      3 years ago Log in to Reply

    Have you (or your loved one with T1D) been diagnosed with peripheral neuropathy in your feet? Cancel reply

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