I am on the NovoLog FlexPen for pre-meals, and on Lantus, 21 Units at bedtime. To determine my NovoLog dose for breakfast and lunch, I divide the number of carbohydrates by ten, then add more insulin if my blood sugar is high. At dinnertime, it is divided by 8. My specialist wants me to use the 8 + 1 = 6 per for dinner, plus a scale of 1 unit per 30 mg/dl [1.7 mmol/L] over, instead of 1 unit per 50 mg/dl [2.8 mmol/L] over. My problem is, and I've tried it twice, to satisfy them each time, I make the increase the way I am asked, my sugars steadily increase taking me over the 300+ mg/dl [16.7 mmol/L] mark, and I was hardly ever that high! The increases makes it happen. They disagree and say it isn't possible. I'm testing four times a day and also logging all this, seeing the increase in blood sugar, without changing my meals. I don't know what to do. The increases are not bringing me down, but up. When I lower my insulin dose, my blood sugars eventually come back down. What do you suggest?

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.

Kacie Doyle-Delgado, MSN, APRN, NP-C, was diagnosed with type 1 diabetes at age 11 and attended her first Friends for Life conference in 2002. Since then, she has attended several FFL and regional conferences. She earned her BSN and her MSN as a Family Nurse Practitioner at Westminster College in Salt Lake City, UT and she is currently enrolled in a DNP program. She works for Utah Physicians Care Center in a diabetes specialty clinic. Kacie lives in Salt Lake with her husband, Justin Delgado, and their dogs. She is looking forward to volunteering with the teens again.

Marissa Town, BSN, RN, CDE, graduated from the University of Cincinnati with a Bachelor of Science in Nursing and later earned her Certified Diabetes Educator credential. She has had type 1 diabetes since the age of two and has grown up with a passion for helping families living with diabetes. Marissa is currently working as a research nurse at Stanford University. She has always enjoyed working with families with diabetes at Children with Diabetes conferences, camps, and support groups. She and her husband Adam have two young children, Connor and Everly.