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.
October 17, 2002
Question 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.