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March 5, 2001

Behavior, Insulin Pumps

Question from Laurel, Maryland, USA:

My husband has type 1 diabetes and is on an insulin pump, but his blood sugars are constantly erratic, ranging from 30 to 300 mg/dl [1.7 to 16.7 mmol/L]. How do you cope with this and the related mood swings?

Answer:

The main point of using an insulin pump is to minimize the swings in blood sugars. Clearly, your spouse is not achieving that goal. There are a great many reasons for this, all of which need to be discussed with your husband’s diabetes team. Please go with your spouse to that meeting so that you can express your concerns about such wide blood sugar ranges.

JWB