I’m recently diagnosed with Covid. I use a Tandem G7and Dexcom tracker. My readings have gone up to 265 and seem to stay there even when I dose with insulin. Last night I was up every hour and dosed each time more than called for in the reading with no effect. I hate to increase the dose too much. Especially in the night. I am thinking maybe I should go back to Tresiba as an interim solution. Any ideas?
I don’t understand the subject line of this post.
If you are in the five day window since COVID symptoms began, consider taking Paxlovid.
If you are taking steroids, that’s why your insulin isn’t working well. Steroids cause insulin resistance.
So I doubt changing insulins will help you. Getting off steroids will help if and when you can.
It’s too late this time, but in the future, if you’re going to take steroids, do an increased temp basal rate immediately, before you even swallow the first pill. Up it to about 130% immediately, and then, if your bg’s start creeping up, increase it to 150%.
It’s impossible to get them down once they’ve gone up that far from steroids. Much easier to prevent them from going up in the first place.
This protocol was developed for me by, of all people, my rheumatologist when I kept needing shots in my hand and knees. Works great. You might have to tweak it a bit for yourself.
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Agreed—totally possible to take steroids if necessary, but it requires an aggressive approach to basal (long acting) insulin doses. I found about 150% was my need typically following a joint injection. For oral steroids, depends on dose.
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Are you on a pump? Increase your basal a lot. It should still help. Increase daily dose if on mdi. Do corrections etc. by injection as well as increased basal. Just because other people have not successfully reduced high bg from steroids does not mean you can’t, or at least try. Everyone is different and each situation is different.
Try to get paxlovid. That seems to have helped a lot of people fight covid more rapidly.
I hope you feel better soon and recover well. Eventually your blood sugar will normalize but don’t leave it that high. When I had Covid in the very beginning of the pandemic my blood sugar was the opposite, it was crashing nonstop. The doc at the field hospital told me do not let your bg go too high when you have covid.
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