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Practice makes near perfect at bedtime

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The Question
Fri Apr 18 09:16:16 EDT 2014

Recently my Blood Sugars have gotten out of control. Mornings are now at 200. I have constantly kept A1C 5.8 to 6.8 range, don't know what is wrong
Asked By: emmabirch  
Category: Insulin

Background Info Hide
I have always maintained a healthy diet and would take 30 units at bedtime of Levimer, and it seemed as long as I kept my carbs at 30 per meal I very seldom had to correct..morning BS would be 85-105..now my blood sugars are way up to 200 in the morning, and my doctor told me to keep increasing Levimer..I have gotten up to 60 units which is double and still having high blood sugars and higher during the day too...it is like it is crazy! I am a 2 times liver transplant recipient and am also on immune suppressors. I haven't had any change in meds for a long time.. Still eat the same way. I am totally confused.
Diabetes Profile Hide
n/a
Expert Answers (1)
2014-05-03 11:49:39.0

Dear emmabirch:

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!

Answered By: Anne Carroll
Accreditations: RN, CDE
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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