For about a month I have been having serious problems controlling my blood sugars. They go from normal in the morning, but them completely spikes up in the afternoon. I am checking my blood sugars four times a day. I take 30 units Lantus in the morning and then again at night. I take two different sliding scale dosages one for meals and one for corrections of Humalog. They sent me to a nurse practioner at Utah Diabetes Center who isn’t doing thing to help me. I want to be with a regular endocrinologist but they are being stubborn and saying that a Nurse Practioner will do. I don’t agree with that. I think its because I am on state insurance. I know that they cover endocrinologoist and this Nurse Practitioner isn’t even listed in the book of practioners that I have. I’m not sure what to do. I have an appointment with my new primary care physican. My old one moved to Alaska. He recommended this new doctor so hopefully they either send me to an endocrinologist or they can do something. The Nurse Practitioner wondered if it was insulin resistance or if the insulin is bad. I have bulk insulin from when I didn’t have insurance and it was stored with ice packs in one those insulin coolers. The styrofoam ones. Could the insulin have went bad from not being stored in the fridge?
Sometimes it’s the insulin. Some people respond better to different types of insulin. Yes, it could be insulin resistance, but it also can be the amount of fat and protein you are taking in. I recommend that you call your insurance to find out what is the procedure for changing your PCP. Most insurances will allow you to change doctors at least twice a year. This is important, because if you need referrals, your screwed if your current doctor wont give it to you…
yes, I would say depending how long they have been stored like that. They are probably bad. Maybe you should talk to your dr. about your concerns. If they dont address your problem i would make a complaint and ask for a new dr. Being a nurse, I know sometimes that the “right hand doesnt know what the left hand is doing”. Ask to talk to the drs nurse if nothing else. Good luck!
You might try posing your question to Ask Ginny. She’s pretty well networked with diabetes experts throughout the Salt Lake area including UDC, plus she’s had Type 1 for 40 years. Hope it goes well.