Ask the Diabetes Educator Archive

7/19/04

Q:
I have recently had huge increases in blood sugar readings and cannot figure out the cause. I have been on a pump for about 6 months, diagnosed at age 27 one year ago with type 1. I was doing very well and had great control until about 3 months ago when I had a seizure while I was sleeping. I don't know what caused the sudden drop. Then about one month ago, my readings started going through the roof. I was always within range 2 hours post meal and maintained a steady balance throughout the day. Now I cannot get below 220's. The only significant change that I can think of is that I began taking birth control pills. Could that be the cause of such a significant jump? I am constantly taking corrective doses, have raised my basal rates, have no carbs for days, still nothing works. Then at night, I will drop. For example, last night I went to bed at 224 and woke up at 155. I did not change my sleep basal rate for fear of another seizure. Do you have any thoughts on what could be causing this? I'm at a loss. My endo has not been helpful at all, she just keeps telling me to increase the basal rate.

A:
First off, you could try to stop the birth control pills for a while to see if this may be a contributor. Whatever caused your first seizure may also be a factor. If all of the symptoms were rather sudden, there could be some imbalance, perhaps hormonal, that is causing the high blood sugar levels. Birth control pills can interfere with vitamins B6, B12 and folic acid which are major cofactors for metabolism, among other things. If you still see no change, you may want a second opinion from a different doctor.



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