u/blazblu82

Has anyone had issues with Lispro?

I was on Humalog 200U/mL until insurance said they wouldn't cover it anymore. So, dr put me on Lispro. Seems like my body doesn't use it as well. More often than not, my blood sugar stays elevated all day.

or example, fasting glucose is usually around 110 or less. I'll bolus for breakfast, eat and then watch it ramp up into the 200's. I'll turn temp basal rate on to 200% for a couple hours and give a correction bolus. Glucose "might" come down to normal ranges by the time I'm ready to eat lunch. I'll bolus again for lunch, eat and watch my glucose ramp up. But instead of coming back down, they'll just settle at an elevated range and stay there for hours on end. I'll the same for dinner and glucose will remain elevated or ramp up higher. And then, some time after I go to bed, it'll reset itself back to normal ranges.

It's the most frustrating thing to deal with. I've increased ratios to help deal, but nothing makes it better. I'll have days here and there where my numbers stay good all day, but usually they don't. I don't snack between meals unless I'm really craving something. My brakfast this morning consisted of 3 cooked eggs with salt/pepper and shredded cheese with a container of yogurt (6g of carbs). I went from 100 something up over 200 and I bolused for 10g of carbs. It don't make sense. I could've eaten a full course breakfast for those numbers. And just a little while ago, I was in the 180's, did a correction bolus and increased basal rate and the best it could do was drop me 20 points and then go back up. I have checked my G7 on several occasions and the readings were within a few points of each other.

Anyways, I don't know if it's the insulin, insulin resistance, something to do with CKD or what. All I know is, my control isn't near what it used to be when I started the pump a couple years ago. I do take 3 different diuretics, a blood thinner and blood pressure meds. I've researched their affects on glucose and most places say none of them should influence my glucose that much. I do feel dehydrated from the diuretics and drink fluid to rehydrate despite my nephrologist telling me not to drink anything.

I'm probably in the minority of pump users who have T2D. So, if anyone can relate, please let know what you've done to "fix" this. Thanks!

reddit.com
u/blazblu82 — 2 days ago