From Brisbane, Queensland, Australia:
I've been getting a lot of higher-than-expected readings in the revolting heat this week (averaging around 34 C), and, in the past, warm weather has brought my blood sugars down. I have had diabetes for 33 years and have been on the pump for 25 years, with a three year break about five years ago. Although I accept that bodies change in their responses over time, I'm just wondering what is going on.
My cannula is fine (only put in two days ago), and while I have been in early peri-menopause for two years, I can usually tell if strange readings are due to hormonal imbalance, and it doesn't appear to be the case here. The readings aren't massive (just 1-3 mmol/L [18-54 mg/dl] higher than I would expect), and my diet and exercise regimens haven't changed.
My endocrinologist has just retired, and I will be seeing my new one in a few months, but I feel uncomfortable calling the new guy out of the blue when I have never met him! Any ideas gratefully accepted!
It will be difficult to say exactly what is wrong. Rather, I can give you a checklist I use to review potential aggravating issues.These are just a few things you may want to think about as you try to troubleshoot your results:
- Is the insulin stable in the warm weather?
- Do you have any issues related to lipohypertrophy over the infusion sites?
- Is your diet really similar or are there real differences?
- Is your exercise really different?
- Have you gained weight and are more insulin resistant?
- Are you properly hydrated in the warm weather?
- Do you have an intercurrent health problem?
- Is your insulin pump performing well?
- Is your meter performing well?
- What is your recent hemoglobin A1c? Does it correspond to the blood sugars you are getting when you monitor?
Original posting 24 Jan 2003
Posted to Daily Care
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