Ineffective insulin

Hey ive been a diabetic for 26 and a half years and ive been told in the past that to much insulin can make your sugars go crazy which happened to me.I cut mine down and they was better after a while with adjusting my food.Ask at the hospital and just bring that up with them.

I've been told I have insulin resistance (not certain on the medical definition) but for me after 3 or 4 years on an insulin I have to give more or have it changed because my body has got used to it and doesn't use it efficiently anymore

I think that you need to see your doctor to discuss your treatment (your average BS is high) As to your correction factor. If I haven't misread it (I have to convert to mg/dl) You say that it is 1u to correct each 3mmol and your TDD is about 227u. We are all different but I use a similar factor, my TDD is about 26u. There are certain 'rules' for this, which you can find on the internet but you shouldn't change anything dramatically without good professonal advice.(eg,your doctor may be trying to bring your BS under control slowly and steadilly , or you may erhaps p also be having severe hypos)
If you need to drop your BS by 9mml, your BS must be fairly high.Do you check for ketones above 250? ( edit sorry 13.8 ) If moderate to large ketones are present , a different correction protocol is required.
Sorry to repeat myself but you must speak to your doctor and try to get your treatment plan sorted out.

Hi mmmb (?)
Wow, those numbers are all really pretty high, both the HbA1c and the insulin dosages.
I have no idea what sort of diet you follow, but judging by your blood sugars you either put away a lot of carbohydrate, or you are insulin resistant, perhaps both.
As a very very rough rule of thumb a healthy non-diabetic will produce approximately 0.5 units of insulin per kg body weight per day, depending on what they eat, of course. You do the maths, but I'm guessing insulin resistance. The trouble is, that the large insulin doses are precisely what sets in motion the sequence of events that leads to insulin resistance. With insulin resistance comes weight gain too, is that an issue for you?
As for the HbA1c, your level equates to a blood sugar reading well into double figures most of the time, so you should speak to your specialist about bringing this down to a safer range as a top priority.
Stick around, 'cos we like to get our teeth into a new project every now and then!

All the best,

fergus

Hello missingmymarsbars, welcome to the forum.

Looking at the amount of insulin that you're getting through, I'd say that you do have
a certain degree of insulin resistance.
Ultimately, in order to reduce insulin resistance you need to lower the amount of
insulin that you use.
Whilst lowering the amount of carbohydrate in your diet will help matters, it's also
important not to forget the effect that regular exercise will have in reducing your
insulin requirements.

all the best,
timo.

What is insulin resistance?