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September 29, 2001

Daily Care

Question from Kansas City, Kansas, USA:

My sugar levels vary from very low where I'm shaking and barely able to function, to very high where I can't seem to stay awake. I have told my doctor and nothing has changed. I'm losing weight and feel poorly. I test four times a day and inject two types of insulin, and I've tried several pills in the past, but have not been able to get control, and my daily average has continued to climb. Is three and a half years a normal trial period to get control?

Answer:

It sounds like you are spending lots of energy but are not getting the results you would like. In fact, it sounds like your sugars are not well controlled at all. I think this probably deserves more considerations by you and your physician. Are you ready for a different insulin regimen? Should you be on different types of insulin? Are there any other issues relating to your lifestyle that need to be changed? These are the kind of questions you need to address with your diabetes care team. If you are not receiving instruction in this direction, you may need to request another opinion.

JTL