Back to Ask the Diabetes Team Ask the Diabetes Team

From Pretoria, South Africa:

I am 22 years old, have had type 1 diabetes for eight years now, and I have an inactive thyroid gland. I am taking 22 units of Protaphane with 30 units of Humalog per day (this is what my doctor prescribed) and following my meal plan, but my blood sugars are constantly too high. I then have to do the necessary adjustments which increases my daily insulin dose by nearly 15 units. It seems that my insulin sensitivity is reducing by the week. Why might this be happening? Is it normal? When do they use an insulin pump? Would it help?


It is not abnormal to see an increase in insulin requirements over time. Remember, your activity, diet, and insulin dose have the greatest impact on your sugars. If you require the most insulin and have the highest sugars during the week, could this be from decreased activity?

It is important to increase your maintenance insulin so that you are not taking supplemental insulin all the time, after the sugar has already gone high because it takes more insulin to bring down a high sugar than it does to keep it down.

An insulin pump is another way of delivering insulin. I believe it provides the most flexibility of all the ways to administer insulin. There are also additional aspects of pump therapy that allow pump users better control. If your hemoglobin A1c is not where it should be (more than 1% above normal), talk with your physician about an insulin pump and the local expertise needed to utilize this form of treatment.


Original posting 9 Jun 2001
Posted to Daily Care


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: (none)
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.