From Akron, New York, USA:
I have had diabetes for 44 years, and went on a pump about a month ago. I am trying for a glucose range of 100-160 mg/dl [5.6-8.9mmol/L], but I am everywhere except between those ranges! I have read Pumping Insulin over and over, and I am very careful with what I eat, yet I can not even out my blood/glucose readings. I have changed my basal rates so much that I am feeling like a yo-yo! I range from 23 to 177 mg/dl [1.3 to 9.8 mmol/L] in the morning, and then an hour later I am at 233 mg/dl [12.9 mmol/L], and one-half hour later down to 36 mg/dl [2 mmol/L]. If someone can help me, I would appreciate it!
I empathize with your frustration. It can be a very frustrating process. However, I would raise several points that may be issues preventing you from reaching your goal:
- Do you have problems with gastroparesis? When this occurs, there is significant mismatch between insulin and glucose after the meal.
- Do you have problems with skin at the subcutaneous infusion sites?
- Do you leave your sets in too long?
- Are you matching your food intake with the insulin you receive? We recommend most of our patients use carbohydrate counting to have a system of approximating insulin requirements for food eaten.
- Are you giving too many high blood sugar boluses between meals?
- Is your physical activity causing too many lows? If so, plan for it by decreasing insulin dose. You can exercise at a similar time each day to help keep a more regular routine.
- Are you on medications that antagonize your blood sugars?
These are just a few things to think about. You really need to see your physician or diabetes care team to review additional issues that will interfere with your progress.
Last Updated: Tuesday April 06, 2010 15:09:33
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