Puzzling numbers and increase

[Jen Jen]

Okay, in twelves years of this, I've dealt with quite a lot, but now I'm having some issues with my BGs, even with the pump. I can't get under 200, I've made sure all my machines were in check, changed insulin and everything, but still, I can't get out of the 200s. My basal rates have increased seven fold, yet still I'm in the 200s, I'm increasing my compensation for food everytime I eat, I'm eating very little carbs and just very little in general, but I can't get it down.... Any one have any suggestions to might what cause this? I'm not ill, no infections, I'm overall very healthy right now, so I'm just plain out stumped.

[Becky]

Yuck, that's no fun! How's your stress level been lately? When I get stressed at work for more than a few days, my numbers become super-resistant to corrections. What about hormones? Stress and hormones are the two things that screw me up beyond anything. Have you checked your basal rates with some fasting?
Good luck Jen- I wish I could help more...

[rickst29]

Us T1 folk are not immune to developing insulin resistance as well.

Is your weight holding up OK? If NOT, your increased insulin dose is becoming ineffective, and either needs to be increased (even more) or assisted by a T2 "insulin resistance" agent.

Blood tests (#1, for actual insulin level in the blood, and #2, for C-Peptide) would seem to be indicated, although I'm not a Medical Professional and can't direct your treatment.

It might be VERY APPROPRIATE to TRY one or more of the T2 agents and see what effect occurs.

- - - - -
If your weight is stable or going up, then there probably isn't a problem with getting glucose into cells, and your metabolism is simply slower than before. In this case, you'd need to eat even less calories to keep the bG in a better range.

[LantusFiend]

I'm pretty new to diabetes, so I probably don't know anything you don't.
But extra to your checklist:
you haven't had a change in daily activity or stress level,
and you haven't been using the same injection site over and over?

[cydnimom]

To check if its your pump or site - have you done any corrections by syringe to see if that brings it down? Was your insulin exposed to extreme temperature changes? Is it a new batch which you know should be good.

I am assuming that you are female by your id - you should have cyclical changes in your insulin requirements with the time of month. Is there something different in this respect.

Physical activity - if you go from doing exercise regularly to not doing so much it slows down you metabolism thus increasing your insulin requirments.

Increase in weight can also increase your insulin requirements - as little at 5 to 10 lbs.

Is it specific to what kind of food you are eating? Could it be a wheat intolerance?

Just some thoughts that popped in my head,

[Jen Jen]

Found the culprits, polycystic ovary syndrome and hypothyroid. Bleh. On Metformin and Synthroid, and things are evening out once more.