I'm having some problems :( :( :( ... Lately, my diabetes control has been pretty sucky to say the least. I'm not a happy camper!

This past week has been difficult for me, in terms of controlling my numbers. For reasons beyond me, I have been dealing with high number after high number. And what is driving me even more mad, is that I can't figure out why this is happening.

I mean, it's bad enough that I'm having these problems, but it's even worse when you cannot find an explanation for it. I know I should know by now that it's not worth driving yourself crazy with trying to figure it all out, but I guess it's in my nature to obsess about these things. Well, that's my rationalization. LOL.

Ok, yes, I have had problems in the past with my evening to nighttime blood sugar levels- that isn't anything new. And, no, they haven't EVER been fully resolved, but it seems like things have gotten even worse from there.

The last few days, since Monday, my blood sugar has been, to be quit blunt, downright shitty :(. During the day, especially after meals, I'd spike pretty consistently(in the 200s)... I'd go workout at the gym, and then test and still be in the 200s, and then after dinner, again I'd be high, only now in the 300 range.

So many things run through my head when this sort of thing happens... I'm sure you all are familiar with those questions. Oh, you know... for example: Is it my site? Is my insulin bad? Is my pump functioning? Did I bolus? Did I carb count accurately? etc, etc, etc. Ugh...

Of course, most of those things appear to be ok, at least that I'm aware of anyway. The only issue I've been having recently that comes to mind, is the persistent headache I've had the last few days. I'm not sure if that might be causing all this aggravation or it's a result of the problems I'm having with my control.

But, anyway, today I decided that I would test my daytime basal rate (yet again). Dr. P, my Endo., wanted me to repeat this one more time, and then move on to testing my afternoon levels- can't wait (note sarcastic tone). But I bit the bullet and went for it again. Truthfully, I kind of also wanted to see if, somehow, my insulin needs have changed.

I wasn't that surprised to see that the results basically followed my typical pattern. I woke up at a nice 87, ate breakfast and tested every 2 hours from there. So two hours post-breakfast: 232. Another 2 after that: 143. 2 more hours after: 74. And lastly: 63.... which is where I stopped the test.

I'm pretty sure what Dr. P will suggest when he sees this... he will probably want to reduce my basal rate even more, particularly in the afternoon when I drop. But I think that this is not the answer for me...

Yes, these tests are supposed to be very effective in finding the right rate for you, but after all the tests I've been through, I'm really not so sure. I feel if he reduces my rate again, I'll just end up with even more high readings. And if that happens, I'm pretty confident, that I'll have to commit myself, b/c I WILL lose it.

I feel that the readings you get when you do these basal tests, when you aren't eating for most of the day, and the readings you get when you eat normally are two different things. I happen to know that when I eat, I see these ridiculous spikes right afterward. It's bad enough that I have high post-prandial readings, but then reducing my basal rates would only cause things to continue to go downhill. But if I mentioned this to Dr. P., he would then say that my carb to insulin ration probably needs to be adjusted, and he's probably right. However, saying that, I also think there's more to it than this.

Do you ever get the feeling like there is more to the problems you are having with your blood sugar than you might be aware of? Well, this is my concern. I have an instinct that there might be other health issues that are contributing to my problems, lurking there under the surface. However, I don't know how I would be able to find that out.

My thought is that they would perform various tests to check things out, but don't they usually base that on symptoms someone is having? Honestly, I don't know if I have outright symptoms. I have malaise somedays, other days I have headaches or just general achiness, then there are also days where I feel tired. But these things could be nothing... So I'm not sure how to figure this out.

I am planning on running things by my Endo and seeing what he suggests. I do want his feedback on my basal tests and, yeah, he may do what I expect him to do, but maybe he'll surprise me and offer me a different suggestion. All I know is that I want to get to the bottom of this all and finally see improvement...or I'll probably be heading to the funny farm, so to speak!