Back to Ask the Diabetes Team Ask the Diabetes Team

From Franklin, North Carolina, USA:

I am a 22 year old female and during the past few years, I have been experiencing a variety of symptoms that my endocrinologist has been unable to explain and treat. I am on an insulin pump and I carb count. Some days, I will wake up with a good fasting blood glucose, eat, carb count, and everything goes smoothy. The next day I can repeat the exact same routine but my blood sugar will shoot up to as high as 370 mg/dl [20.1 mmol/L]! The insulin is not bad, my site is good, and the ratio for my carbs in the meal was the same as the morning before. What is going on?

Also, I have been experiencing abdominal pain, constipation, and episodes of unexplainable sweating. I had my thyroid levels checked, and although my TSH was normal, the other levels (free T4, T3 uptake, etc.) were all low. I did some research and secondary hypothyroidism seemed to be a possibility. However, the sweating episodes did not go along with this hypothesis. Could my unexplainable high blood sugars be caused by gastroparesis from the hypothyroidism and anti-insulin hormones that are also causing me to sweat? I have noticed lately that when I experience these heat episodes, I will have an elevated blood sugar, but the elevated blood sugars are not always accompanied by a heat episode. I am taking any advice you can give because it is really quite frustrating to go to all the effort to carb count and still have a high blood sugar. I seem to have stumped my doctor so please help.


It was good to check thyroid functions with such symptoms but unlikely this is thyroid disease with the results you report.

I would also check for celiac disease and for Addison's disease as well as for gastric emptying or other stomach/intestine motility problems. This is unlikely to be related to insulin antibodies.


Original posting 17 Oct 2002
Posted to Other Illnesses


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:38
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.