First time poster here. Im desperate for some help.
Me: 50+ y.o. with LADA (1.5) for about 16 years. First few years easy to manage, last year very difficult
- Dexcom 6 for about 6 mo, pretty amazing I think
- Long: Lantus 24 u at night, was never too sure about long acting in general, but sugars a bit more variable during day without it, so I’ve stuck with it. Usually in my gluteus nowadays
- Short: Humolog vial with needles, I found the fast acting pens to be difficult as I was never sure how much the pens were giving me. I rotate around my abdomen, could be an issue…
- Status HgBA1C is around 8. could be better, could be worse I know.
For a few months now, my sugar will slowly creep up 200 or more points SLOWLY 4-6 hours after I eat, let say a meal with 30 -45 grams of carbs. It doesnt happen every night either, but “most” nights. I think its more common with a fatty or greasy meal, like a restaurant, but can happen sometimes with a home cooked healthy meal like grilled meat, veggie and a sweet potato, and a small chunk of dark chocolate (like tonight!). My new Endo is thinking could be gastroparesis and will be seeing a GI soon. My previous Endo thought I was giving too much dinner insulin, going low, then having a glycogen release, but Im not going low, and if I do I dont have a surge unless I overtreat my low, which Im aware of. Any thoughts? We eat around 6 pm and at 11, 12, 1 AM my sugars at at 300-400, which makes NO sense!! The problem does not seem to be as bad for breakfast (yogurt and coffee) or lunch (salad or protien bar)
Also recently, chasing the high sugars with insulin seems to be more difficult then just treating a regular high sugar. I am giving 4-5 unit boluses 3 or 4 times at to bring it down. Using carb counting/adjustment ratio, that is way off for me, I shouldnt have to give my self 15 units to bring me back from 300 to 150, should be more like 5, and its seems to take more like 2+ hours for fast acting to kick in which is oddly long. Is this a related issue? Or a separate issue like abdominal scaring, resistance, etc?
Sorry for the long post, but Im trying to watch my sugars with the dexom and carb count my meals and the normal rules are not applying and Im scared. Thanks!