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Help needed!!

A

Akash

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So i got diagnosed in march im 17 and generally fit. About a month or 2 ago i have been suffering with high bs i have injected more nova rapid and i have upped my dosage of levemir at night as told to by my team however i cant seem to get my morning levels down and they are always generally high. I went to bed the other day at an 8 and work up at a 13. Which shows how weird this is! I haven't changed my diet so it cant be that. Really stuck. I have also been suffering with reddness all over my body normally my shoulders and forehead. I have also had little spots appear. Really annoying it also gets quite itchy. I have also told my team they have told me to up my levemir dosage but i really dont think this is the solution. It feels like the insulin just isnt having as much of an effect. Anyone got any ideas? Or heard/had anything like this? Thanks in advance and hope you are all doing well


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agree its likely to be DP, are you with a hospital consultant? Best to start asking about a pump if possible.
 
end of honeymoon period maybe? if your BGs are high it will be because you don't have enough insulin to cover the food, or illness or hormones or the thousand and 1 other effects to be considered. you should probably get the spots checked out.
 
Have you considered allergic reaction to the insulin? Have you discussed that with your team?

Reg ur BG, if ur taking more insulin then u may actually be experiencing a hypo during the night and ur body responds by releasing gluc from ur liver. This is a relatively slow process and hence a significant rise by the morning. Out of interest when do you eat and what do u do between dinner and bed?

As the others have said there are many factors that have influence on BG; activity is a big one though. If you eat then sit around your BG will be much higher compared to if you went for a run or similar.
 
Akash,


Most Type 1 diabetics go through a "honeymoon phase" where they still have some beta cells in the pancreas, but slowly the remaining beta cells are destroyed by the immune system. As the cells are destroyed, you produce less natural insulin so you must inject more insulin. That is probably what is going on here.

Diabetes sometimes gives you periods where your dosages are fairly predictable and work pretty well. But then things change, sometimes suddenly, sometimes gradually. I know how majorly it sucks when you've gotten the hang of everything and then you need to relearn everything - it happens to me pretty regularly - but the best thing you can do is adjust and move on.
 
I was diagnosed with type 1 at 16, i'm now 54 and over the years I've adjusted and loads of highs and lows but a year ago i was introduced to carb counting and along with making a record of my insulin dose both during the day and my long acting insulin at night i have managed to now get my bloods into a more stable position. I go to bed with bloods around 10 which seems to work well for me, I would suggest you see a dietitian who helped me a great deal as I had not seen one since 1975.
 
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