41 yearsT1 and using Fentanyl patches=nightmare BG control

I have to use them for mod to severe pain and I think they slow my bodys processes down making ‘normal’ diabetic glucose control very hard. My Dr is not a specialist nor do I live in an area that offers diabetic specialists so Im mainly screwed-up for knowledge on this. If anyone can offer pointers to help me Id be so grateful! I try hard to avoid long acting carbs alltogether as I take Apidra but with the Fentanyl in my system it seems to take 3x longer to bring down my BG if it goes high.

Any advice/suggestions really are taken to heart and considered, thank you in advance!

Just out of curiosity, modernart, have you read studies or been told by someone that the narcotic affects blood sugar? I don’t know that it doesn’t but have never heard that before, and my limited physiology knowledge makes me wonder what the connection would be, because it seems that we are talking about two very different physiological systems.