I am on an insulin pump. I eat very little carbs and dose for the amount I eat, but two hours after I eat my blood sugar is still really high. This has only started the last two months. Am I becoming type 2?

Patty Bonsignore


If you have type 1 diabetes, you will always have type 1 diabetes. In rare situations, as people age, gain weight, and become less active, there is the possibility of developing type 2 diabetes as well, particularly if you have a strong family history of type 2, but as I mentioned, this is rare and not likely the reason your blood glucose levels are elevated. It is not uncommon even in type 1 diabetes for the body to change occasionally: hormonal changes, changes in weight, changes in stress, even changes in the weather can all affect blood glucose levels. Because you are on an insulin pump, it is important for you to have a team (usually an endocrinologist, diabetes educator and nutritionist) help you determine what is going on with your blood glucose levels. Talk to your primary care physician about seeing a diabetes specialist. A week before your appointment, keep a record of the food that you eat (specifically how many carbs) and a record of your blood glucose test results. Writing down when and for how long you are physically active will also be important. Take these records in with you to your appointment. This will help you and the team determine what changes may be needed.

January 8, 2012 at 12:30 pm