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Unexplained high blood sugars - please help!

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gayle

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High blood sugars for no obvious reason

Postby gayle on Today, 10:38 am
Hi,

I'm hoping that someone can give me some advice. I use levermir and Novorapid. I take my Levermir at about 9pm each evening. I have been type 1 for about 6 1/2 years and have had quite good control.

Over the past couple of weeks though I have started to need more insulin and I don't know why. I am doing the same amount of exercise, eating the same foods and I am not ill or stressed. The evenings are being the most challenging as I will get blood sugars of about 4.0 two hours after my evening meal and by around 10pm they are 10.0 - 12.0. (Without me having eaten anything.) So each evening I am needing extra novorapid at about 10pm to sort my sugar levels out.

I thought there was something wrong with my insulin so I threw it away and got new ones out of the fridge but it didn't really do anything.

Does anyone know what could be causing this or how I can sort it out? My doctor isn't very helpful.

Thanks,
 
I'm not a T1, so I can only make a suggestion
Are you letting your BG go too low after your levemir, so that your liver is fooled into dumping some glucose? Could a slight reduction in dose, whilst monitoring carefully! be your answer?
 
hi,
ihave you started any new medication recently that could be affecting your bg? i have encountered a few medications that do affect my blood suger, including the contraceptive pill! could it be that you have a cold or illness coming on?
I did read about this one thing in dr bernstiens book which is delayed stomach emptying. I hope it isn't that but it sounds similar. He said that when you eat your stomach doen't empty straight away so the sugar hasn't hit the blood stream yet, thus when you take insulin you hypo. and then when it does empty it will increase your bg. It sounds a bit extreme tho and i would certainly look down other avenues. but it was just a thought. I don't want to scare you!
I hope that you get everything sorted hun.

xx
 
Hi nomi
you are describing gastroparesis.
One of the characteristics of that is unexplained vomiting, often first thing in the morning.
 
Gastroparesis would def explain that phenomenom

Also, do you current split Levemir- lots find they need to for good control. If you basal is off, then your short acting needs to work that bit harder. Maybe Novo works to quickly and you could try injecting it once you've eaten, or after you've eaten to see if it kicks in when needed? If you have Gastroparesis then you need meds for bowel motility (Domperidone) but changing the timing of your short acting might help?

L
 
Hi, sorry to hear you've been having problems with control. Your earlier instincts are probably right-throw your insulin away!! I'm not being flippant, but it is not insulin, and you can look for every reason under the sun why your contol is not good, but that your most likely answer. You are taking 'analogue' insulin, which is not insulin. I went through similar experience, wondering whether it was my hormones, what I'd eaten, the wind direction, eventually I thought there was something seriously wrong with me. I'd been on 'human' insulins for 14 years and never had great control, and was advised to switch to Lantus in 2003. Within a year and a half, I was at death's door, literally, and had no consistency in control; I never thought for a moment my 'insulin' could be at fault. when it did dawn on me, a year ago, I changed to animal insulin, following some really spot-on advice frm the IDDT. A year on I'm still angry about my problems being ignored by medics, and especially having recently been told I have neuropothy in my feet.
I now have great consistent control and regret ever trusting my consultant and spending years injecting rubbish!
Do some research if you have any doubts or contact the IDDT, and all the very best.
Jus
 
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