So, I’ve had this really sudden and dramatic decrease in my insulin sensitivity, and I can’t explain it or get it under control. Looking for help with both. I use Smart MDI (CGM + InPen), Tresiba, and now Humalog.
About 1 week ago, I switched to Humalog from Novolog due to insurance. The previous week and prior, my numbers were totally normal, all good. That morning after breakfast, I was high. Found it strange since I ate things I knew the carb count for, but whatever, it’s the betes, ■■■■ happens. But, as the day goes on, I can’t get my BG down despite how insulin I take. I took nearly 3x the amount I should for boluses/corrections and still couldn’t get it under 200. And basically ever since then, I’ve been increasing my basal/bolus/correction dosages, with no success. I thought after increasing my basal by 66% the last two days (mind you Tresiba changes take 2-3 days to make a difference in BG), and increasing my bolus 3x, and I got a solid 3 hrs in range that MAYBE just maybe, I had figured it out. NOPE.
Just before bed last night, I was 115, drank an exactly measured 1 cup of milk and bolused triple my normal amount for it. I rose to a whopping 355 before I woke up and caught it. Even if I hadn’t bolused for that milk, I shouldn’t have rose to 355.
Luckily, I know my correction ratio at that time is good because I dropped to a steady 85. However, then dawn phenomenon hit and I rose back up. At 85, I’d normally raise to a 145, but today it rose to 205, suggesting it was more than just dawn phenomenon.
I haven’t changed diet, no change in weight, no exercise change (I am pretty active in general tho), no hormones at play, no dehydration or lack of sleep or whatever else you can typically think of. I literally can’t find a single change in my life that could cause this.
Now, I will preface this with that I am someone who is constantly changing my doses… usually in very small amounts, but I’m always adjusting every 2-3 weeks. My endo isn’t quite sure why but thinks it might be a form of brittle diabetes. Anyone with that experience the same thing?
I’m honestly soo emotionally drained and tired of all of this. I haven’t been below 200 for more than a handful of hours this past week. I am putting in the work to analyze every aspect of my life and BGs, and increasing dosages as I should, but it is literally not making a single difference and I just feel like a complete failure at the moment. Just looking for any ideas/answers or honestly even just someone else who has dealt with this.