# T1 with insulin resistance **URL:** \ **Category:** Type 1 & LADA\ **Created:** [May 15, 2017, 4:08pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935 "2017-05-15T16:08:32Z")\ **Posts on this page:** 20\ **Page:** 1
**Author:** ![docslotnick](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/docslotnick/32/75_2.png) [@docslotnick](https://forum.fudiabetes.org/u/docslotnick)\ **Post date:** [May 15, 2017, 4:08pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/1 "2017-05-15T16:08:32Z")
> [@Afrezza: dealing with the 4U minimum](https://forum.fudiabetes.org/t/afrezza-dealing-with-the-4u-minimum/613/44): > > what do you mean you take 4u for only 15g of carbs? I laughed out loud when I read that! 15g carbs for me means 15-20 units, depending on time of dayšŸ˜­ ---
**Author:** ![TiaG](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/tiag/32/594_2.png) [@TiaG](https://forum.fudiabetes.org/u/TiaG)\ **Post date:** [May 15, 2017, 4:10pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/2 "2017-05-15T16:10:32Z")
WOW! So you have recently developed insulin resistance or have you always taken so much! And did your doctors think about giving you something else like metformin for the insulin resistance? ---
**Author:** ![mikep](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/mikep/32/149_2.png) [@mikep](https://forum.fudiabetes.org/u/mikep)\ **Post date:** [May 15, 2017, 4:13pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/3 "2017-05-15T16:13:05Z")
Holy mackerel @docslotnick !!! So your I/C ratio is 1g/1u? ---
**Author:** ![docslotnick](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/docslotnick/32/75_2.png) [@docslotnick](https://forum.fudiabetes.org/u/docslotnick)\ **Post date:** [May 15, 2017, 4:24pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/4 "2017-05-15T16:24:46Z")
@TiaG @mikep I/C has been creeping up over the past ten years. Although I inherited T1 from my maternal grandfather, virtually everyone else on my maternal side developed T2 in their fifties. So I guess I was likewise genetically blessed. I had been taking metformin for about five or six years until last year when my endo switched me to an SGLT2 inhibitor. When I subsequently asked him about taking so much insulin, his exact words were " take as much as you need". This is not some fly by night endo. He is on the same team with Dr. Defronzo at UTSA, and is quite well published over the past thirty five years. ---
**Author:** ![TiaG](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/tiag/32/594_2.png) [@TiaG](https://forum.fudiabetes.org/u/TiaG)\ **Post date:** [May 15, 2017, 4:26pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/5 "2017-05-15T16:26:55Z")
interesting. Iā€™m in the same boat as you ā€“ strong genetic disposition to T2. On my dadā€™s side, he has 10 siblings and something like 6 or 7 have T2. ---
**Author:** ![Chris](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/chris/32/382_2.png) [@Chris](https://forum.fudiabetes.org/u/Chris)\ **Post date:** [May 15, 2017, 4:34pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/6 "2017-05-15T16:34:05Z")
I hope your insurance doesnā€™t charge you by the vial, wow that would be a big bill. Of course, the alternative is worseā€¦ ---
**Author:** ![docslotnick](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/docslotnick/32/75_2.png) [@docslotnick](https://forum.fudiabetes.org/u/docslotnick)\ **Post date:** [May 15, 2017, 5:14pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/7 "2017-05-15T17:14:45Z")
@Chris My insulin copay this year is shocking. First rx my copay was about $400 for the month just for novolog. I quickly got the novolog card and that dropped it to about $300/mo. copay. With insurance I spend about $1000/mo controlling diabetes, between the insulin and Dexcom and test strips. Iā€™m thankful I can afford it. ---
**Author:** ![Chris](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/chris/32/382_2.png) [@Chris](https://forum.fudiabetes.org/u/Chris)\ **Post date:** [May 15, 2017, 5:30pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/8 "2017-05-15T17:30:54Z")
Yes, this disease is shocking even when everything is ā€œnormalā€. We pay about $250-$300 per month. I worry about my son having to go out in the world with a car payment every month, but no carā€¦ ---
**Author:** ![Irish](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/irish/32/57_2.png) [@Irish](https://forum.fudiabetes.org/u/Irish)\ **Post date:** [May 15, 2017, 5:34pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/9 "2017-05-15T17:34:09Z")
@docslotnick, did you find that things have been dramatically worse for you since going off metformin? I seem to have some IR going on, but Iā€™m having to verify that before my next appointment. Working on some excel charts now to clarify the issue. ---
**Author:** ![Sam](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/sam/32/10595_2.png) [@Sam](https://forum.fudiabetes.org/u/Sam)\ **Post date:** [May 15, 2017, 6:04pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/10 "2017-05-15T18:04:56Z")
Iā€™ve tried to mention repeatedly to my doc that I think Iā€™m becoming more insulin resistantā€¦ I often take 1:4 IC with novologā€¦ His usual response is ā€œyou are nowhere near insulin resistant, I have patients taking 500-700u/dayā€ ---
**Author:** ![docslotnick](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/docslotnick/32/75_2.png) [@docslotnick](https://forum.fudiabetes.org/u/docslotnick)\ **Post date:** [May 15, 2017, 6:09pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/11 "2017-05-15T18:09:51Z")
@Irish I seem to take a bit more insulin since stopping metformin. But the SGLT2 inhibitor has kept my highs much lower. A1c has been pretty constant at 5.6-5.9 over the course of both drugs. ---
**Author:** ![docslotnick](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/docslotnick/32/75_2.png) [@docslotnick](https://forum.fudiabetes.org/u/docslotnick)\ **Post date:** [May 15, 2017, 6:11pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/12 "2017-05-15T18:11:07Z")
> [@Sam](#): > > , I have patients taking 500-700u/da YIKES! And I thought I took a lot of insulin. ---
**Author:** ![Chris](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/chris/32/382_2.png) [@Chris](https://forum.fudiabetes.org/u/Chris)\ **Post date:** [May 15, 2017, 6:12pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/13 "2017-05-15T18:12:51Z")
My wife had a co-worker that took 300units of Lantus twice daily, and then used fast acting for his meals. They publish papers about these peopleā€¦Not a good club to join me thinks, unless you own stock in the pharma company. You would think they would give them a frequent flyer discount. ---
**Author:** ![ClaudnDaye](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/claudndaye/32/5_2.png) [@ClaudnDaye](https://forum.fudiabetes.org/u/ClaudnDaye)\ **Post date:** [May 15, 2017, 6:19pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/14 "2017-05-15T18:19:33Z")
> [@Sam](#): > > His usual response is ā€œyou are nowhere near insulin resistant, I have patients taking 500-700u/dayā€ I canā€™t imagine the cost associated with this amount of insulin! ---
**Author:** ![Sam](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/sam/32/10595_2.png) [@Sam](https://forum.fudiabetes.org/u/Sam)\ **Post date:** [May 15, 2017, 6:27pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/15 "2017-05-15T18:27:23Z")
Hopefully they have a fixed copayā€¦ Mine costs me $75 for a 90 day supply for each prescription no matter how much I use So just for novo, tresiba, strips, needles, afrezza Iā€™m at 300 for 90 days or 100/ monthā€¦ thatā€™s not bad at all ---
**Author:** ![mikep](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/mikep/32/149_2.png) [@mikep](https://forum.fudiabetes.org/u/mikep)\ **Post date:** [May 15, 2017, 6:34pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/16 "2017-05-15T18:34:17Z")
šŸ˜±šŸ˜²šŸ˜Ø ---
**Author:** ![Sam](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/sam/32/10595_2.png) [@Sam](https://forum.fudiabetes.org/u/Sam)\ **Post date:** [May 15, 2017, 6:35pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/17 "2017-05-15T18:35:04Z")
Iā€™m having trouble reading your facial expressions ---
**Author:** ![mikep](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/mikep/32/149_2.png) [@mikep](https://forum.fudiabetes.org/u/mikep)\ **Post date:** [May 15, 2017, 6:36pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/18 "2017-05-15T18:36:22Z")
@docslotnick What about something like Jardiance? ---
**Author:** ![mikep](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/mikep/32/149_2.png) [@mikep](https://forum.fudiabetes.org/u/mikep)\ **Post date:** [May 15, 2017, 6:37pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/19 "2017-05-15T18:37:04Z")
LMAO let me put into words . . . HOLY SH!T!!! ---
**Author:** ![docslotnick](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/docslotnick/32/75_2.png) [@docslotnick](https://forum.fudiabetes.org/u/docslotnick)\ **Post date:** [May 15, 2017, 6:37pm UTC](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935/20 "2017-05-15T18:37:32Z")
Yes, thatā€™s what Iā€™m taking now. Itā€™s the SGLT2 inhibitor my doc switched the metformin for. [Next page](https://forum.fudiabetes.org/t/t1-with-insulin-resistance/935.md?page=2)