Have you considered going on a different insulin regimen? You might consider something like Lantus and a humalog pen instead of the sliding scale. It gives you much more control and much more freedom in food choices. I don't know if you know how it works, but you take lantus once or twice a day and use humalog pens for any carbs you eat throughout the day (meals and snacks), and also use the humalog pen for corrections. That means you don't have to just wait it out when you are high. You just correct for it as it happens. Using a lantus-type regimen is more like a T1 regimen than a T2, although it is used by insulin-dependent T2s too. I'm sorry, I have much more T1 experience, but since you are on insulin, its not too different in some ways. Oh, the pens have 300u in them too, so with insulin resistance they will still have enough insulin for several days.

Cathy,
Did you ever go to see an endocrinologist, or are you still being treated by your family physician?

Your situation has gone on for way too long already. You need a complete workup by an endocrinologist, and a totally different insulin regimen. Those numbers are way off the charts. It's quite possible that you're going low at times and then rebounding to those extreme highs. In that case, you'll actually need less insulin, not more. If you're still taking the 70/30 with the Lantus, you need to stop that regimen as it's not working for you. I know you had a bad reaction to at least one Lantus shot, but not sure if it's happened again. There are one or two other long-acting insulins on the market now, and I strongly believe you should be on one long-acting insulin along with a rapid-acting insulin for meals. And you probably should learn how to count carbs so you can precisely tailor the rapid-acting insulin to your food intake rather than using a sliding scale.

At the rate you're going, you are risking serious complications. Getting your numbers under control needs to be a serious priority in your life...above EVERYTHING else.

Please see an endocrinologist if you haven't already done so and ask for both a C-peptide test and a GAD antibody test. And, if you don't already know how, ask for a referral for a few visits with a registered dietician to learn how to count carbs.

I truly am worried about you, Cathy...it's been a few months already and things don't seem to be getting better.

Ruth