I am hoping that the collective wisdom and experience of fellow Type 1's can shed some light on a problem I've experienced recently, specifically the effects of sustained high BS.
A bit of background. I've been Type 1 for 12 years and on a pump for 11. My A1C's have fluctuated between 6.8-7.5 over that time (not well controlled, but not wildly out of control either). In May I experienced my first real episode of DKA-a bad combination of 2 failed insulin sites, a bad vial of insulin, and a slow reaction on my part. I had the classic symptoms (irregular heartbeat, vomiting, high ketones, confusion, etc.) It was super scary and forced me to reevaluate my management of our disease. I changed my approach (low carb diet and new insulin pump) and have seen a marked improvement in my care.
Even though I work harder at control I still have days with high BS (mostly related to insulin pump problems). Yesterday was such a day. I was on day 2 of my Omnipod and it started going “bad”. I was over 300 for 6 hours before I decided to change it. My BS levels evened out post site change but the effects of the high BS (lethargy, headache, thirst) are still plaguing me this morning.
Here is my question-does the effect of high BS get worse as we age/the longer we’ve had the disease? Am I more prone to feeling these effects because of my semi-recent DKA episode? I recently dropped my A1C by .6 points (go me!)-could the more stable numbers before a high make the high BS harder for my body to accommodate? In the early days of my care, before I had semi-good control, it wasn’t uncommon to be above 250 all day. I don’t ever remember feeling as awful then as I do now when I have those numbers for longer than 4 hours. Is this just a function of a faulty memory/viewing my past with rose covered glasses or was it easier to handle bad BS 5-10 years ago? I am really hoping for some personal experience on this matter-please share what you’ve noticed in your management of our disease-thanks in advance!