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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated Blood Sugar Levels Despite Infusion Of Insulin?

I am a 35 yo white male. I am 5 6 and 160lbs. I am a land surveyor during my weekdays and a class 5 raft guide on the weekends. I am always on the go. I eat a healthy diet and gluten free. I have been on a insulin pump for 15 years. In the past year my infusion sites become sore after 12-24 hours and my blood sugar begins to climb. I bolus and raise my basal rates but my blood sugar does not really drop much. I am now changing infusion sites daily and I feel like I am always chacing after a 120 blood sugar. I have tried 3 different types of infusion sets all ending with the same results. Any suggestions. I have health insurance but still spend most of my income on diabetes supplies.
Tue, 18 Aug 2020
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General & Family Physician 's  Response
Hi,

You have mentioned blood sugar of 120 but not mentioned fasting or post-prandial sugar level.This value is slightly elevated for fasting value but normal for post-prandial. Any increase in dose should be considered.Insulin resistance and drug interaction should be ruled out.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Saranya Ramadoss, General & Family Physician
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What Causes Elevated Blood Sugar Levels Despite Infusion Of Insulin?

Hi, You have mentioned blood sugar of 120 but not mentioned fasting or post-prandial sugar level.This value is slightly elevated for fasting value but normal for post-prandial. Any increase in dose should be considered.Insulin resistance and drug interaction should be ruled out. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician