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.
July 6, 2002
Question from Massachusetts, USA:
I am a fifteen year old girl who has had diabetes for a little over two years, and I had a very long honeymoon period (about a year and a half). My honeymoon just ended about a month ago, with my daily insulin totals going up, and I use a pump. However, just in the past week things have been strange. A I have started feeling very lightheaded a few times which has lasted for a while (from a few hours to a day). Then yesterday, I forgot to bolus for dinner (about 60 Grams of carb; Insulin to carb =1:10), I went to pool, and, when I got back, my sugar was just 149 mg/dl [8.3 mmol/L]! Today I ate a snack (about 60 grams of carb), didn't bolus, and my sugar about an hour and half later was 88 mg/dl [4.9 mmol/L]. I ate dinner tonight, didn't bolus, and my sugar was 180 mg/dl [10 mmol/L] about an hour afterward which I corrected for. I also haven't gotten my period lately, it's about 12 days late but there's no way I could be pregnant. Are there any cases in which people have had diabetes only for a short period of time?
You really should be asking these specific questions to your diabetes team. If you are using a insulin pump, not eating meals, and not taking a bolus at that time, then your basal rate should hold you, at least in an ideal world. If you are eating without taking a bolus and still having no increase in glucose levels after the food, then it is likely your basal rate is too high — or that you really are still making some of your own insulin — at least intermittently.