Needing more and more insulin - reacting constantly

Antje77 said:

At only 2 years in, it's to be expected your insulin needs rise as your beta cells are slowly being killed.
This is the honeymoon period, where your pancreas is still producing some insulin.
For me, it took about 5 years before the amount of insulin more or less settled, which doesn't mean my needs don't fluctuate on a daily basis, that's something I expect will happen for the rest of my life.

It all starts with the right amount of basal. Have you done any basal testing lately to see how it's doing without adding food and bolus insulin to the mix?
The ratio suggested by your nurse may be off, or may not be the same every day.
Do you use the same ratio all day? Most of us find that we need different amounts of insulin for the same amount of carbs depending on time of day, usually we need more insulin in the morning.

Would you be up to keeping a diary for a bit, to log insulin, food, and BG? This can be very helpful to find patterns, which can help you tweak your insulin or your food.

Please try to convince yourself there's nothing wrong or shameful about it.
All those non-diabetics around you are using insulin all the time without even thinking about it. Some of them need more, so they produce more, some need less so they produce less, and none of them have a clue or put a judgement on it.
You're trying to do the work their pancreas is doing all by itself, and that's no mean feat!

For what it's worth, I use just over a 100 units of basal, plus bolus as needed, and I still manage very healthy numbers. I don't mind needing relatively large doses as long as it keeps me healthy.

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