Oh the seemingly unexplainable complexities of diabetes. I feel your pain!
There certainly could be a host of different reasons for your BG elevation. I must admit your description of such good control, historically, is one to be envied. You have two things to deal with at this time; why are your numbers elevated?, and what can you do about it? First, lets start with the why.
Questions to consider would include:
~Do you have an underlying infection? Ask your doctors to run blood tests, a urinalysis, and possibly a sinus x-ray. These are common sites of infection that can linger on without symptoms.
~Have your exercise habits changed lately, which would decrease your insulin sensitivity leading to higher glucose levels?
~You didn't mention your age, have you recently entered or completed menopause?
~Have you been under added stress lately? Stress can be a big factor in elevated numbers.
Now for what you can do:
~Continue to carefully increase Levemir as your doctor prescribes.
~Consider pump therapy and/or Continuous Glucose Monitoring to help meet your insulin needs more effectively and appropriately.
~Could some of your anti-rejection medicine be reduced?
~Could an oral medication typically prescribed for people not taking insulin be helpful?
Good luck with your sleuthing expedition! I know it's a lot of work, and can be very frustrating as sometimes you may not be able to find an answer, but it's worth the effort and you sound like one who has never been afraid to put in the work it takes.
Hang in there and good luck!
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