Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
March 11, 2000
Hyperglycemia and DKA
Question from Canada:
I am a 14 year old female. I have been having a lot of trouble with my morning blood sugars. I have 30 carbs before bed and take up to fifty units of Humalog N. I always wake up over 15 mmol/L. We tried the NPH but when i woke up my blood sugar was 29. My parents want me to go on the insulin pump. At first I thought this would be a good idea, but now the thought of having something inside of me all the time freaks me out. I sometimes cry when I think about it because to me it is really scary. Are there any other options before the pump? I can't just keep upping my insulin dose.
Have you tried varying the time of NPH? If you take this at around 10 P.M. then you should be able to find a dose that doesn’t make you hypo before breakfast. There are certainly a number of options other than the pump. You should discuss your concerns with your diabetes team.