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Type 1 Diabetes
Ever increasing basal need
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<blockquote data-quote="NicoleC1971" data-source="post: 2466785" data-attributes="member: 365308"><p>So it sounds as if blood sugars are very unpredictable for the OP thus his increased basal needs aren't due to insulin resistance from weight gain or taking steroids.</p><p>Transitory highs could be injecting into lumps/bumps? Physiological insulin resistance caused by stress such as the emotional kind or an ongoing infection.</p><p>It is very draining having to problem solve all the time particularly with a high blood sugar and seemingly random lows and I've certainly had this issue pre pump when it felt like my insulin wasn't 'touching the sides'! This can lead to over corrections or dose stacking with the boluses that just made things worse.</p><p>I am not sure it is therefore just a Tresiba problem.</p><p>Definitely worth checking jab sites, getting a cgm (buy or try from FSL) and seeing if you can do a fasting day (or half days) without correcting the fasting bg or doing anything you don't ordinarily do e.g. exercise/staying up all night etc.</p><p>Fat raises the bg least so you could have some butter/cream in your coffee if you like that kind of thing!</p><p>It feels unfair to have to work this out solo whilst not eating but your team will need data if and when you speak to them next by which time you will likely have worked things outs for yourself!</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 2466785, member: 365308"] So it sounds as if blood sugars are very unpredictable for the OP thus his increased basal needs aren't due to insulin resistance from weight gain or taking steroids. Transitory highs could be injecting into lumps/bumps? Physiological insulin resistance caused by stress such as the emotional kind or an ongoing infection. It is very draining having to problem solve all the time particularly with a high blood sugar and seemingly random lows and I've certainly had this issue pre pump when it felt like my insulin wasn't 'touching the sides'! This can lead to over corrections or dose stacking with the boluses that just made things worse. I am not sure it is therefore just a Tresiba problem. Definitely worth checking jab sites, getting a cgm (buy or try from FSL) and seeing if you can do a fasting day (or half days) without correcting the fasting bg or doing anything you don't ordinarily do e.g. exercise/staying up all night etc. Fat raises the bg least so you could have some butter/cream in your coffee if you like that kind of thing! It feels unfair to have to work this out solo whilst not eating but your team will need data if and when you speak to them next by which time you will likely have worked things outs for yourself! [/QUOTE]
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Ever increasing basal need
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