I was wondering if anyone else has experienced a notable departure from their established treatment regime possibly indicating significant changes in their insulin sensitivity or carbohydrate tolerance or perhaps experienced something akin to death throes of their few remaining β-cells.
Allow me to explain:
The month of May 2014 represents a milestone of sorts in the manifestation of my Diabetes.
For reasons unexplained, during the month, my body’s requirement for exogenous basal insulin has dropped 30% and bolus insulin by 25%! May 28th's A1C was 6.0 - This is the lowest I've seen in the past 25 years with diabetes! March's A1C was 7.8. All of this despite very little change in my diet or activity level.
Correspondingly, unfortunately, I have suffered from several severe, sometimes traumatic, hypoglycemic episodes during this time as well. One step forward, two steps back.
My logbook shows thirty-one such episodes with ten being be in the 40s and two in the 30s. These have been occurring at seemingly random times throughout the day. Only intense, vigilant monitoring and management on my part has prevented more serious repercussions. In an effort to regain some semblance of control, I've been making twice-weekly adjustments to my dosages (in consultation with my physician) based on frequent (upwards of 18 times per day) BG measurements.
Only after assembling weeks of data, have I noticed some hint of a pattern, or set of patterns perhaps. But this/these are being masked due to apparent imbalances between basal & bolus levels with the timing of those doses and meals; plus my own peculiar, at times, reactions.
In any case, I believe I have reached the limits of effective, safe, treatment on MDI. My doctor and I have been discussing transitioning to an insulin pump for the past several months due to variability of my BG and agreed in April to proceed. That was before all this weirdness.
I’m really hesitant to proceed with further experimentation now that my pump and CGM have arrived and I await ‘training’ scheduled for the 18th. Based on the curious developments over the past month, I suppose we will need to refine the pump settings from that which was originally prescribed. I'm interested to see what happens when/if we reduce my dosage by the typical 20-25% when transitioning from MDI to a pump.
I was just wondering if anyone else has experienced a similar significant, no, profound change in their body's reaction to insulin and/or Carbs.