Blood sugar consistently in the 130s-140s

Hello! Strange question for you all but thought I’d ask since it’s been awhile since this has really happened. My sugars have been consistently just straight across the board in the 130s-150s. I don’t think that’s necessarily a bad thing since my sugars also aren’t spiking crazy high or going low, but curious what this would indicate? Even when I take a correction bolus, I go down slightly, but I still end up back in the 130s-140s. Would this indicate an IC issue since I’m not going down to the Lower 100s or basal? My pump settings have my target range set to 110 so theoretically my correction should get me there. Any suggestions?

Hi @Tee25 are you on a feedback pump and CGM (tslim or Medtronic)? Are you going off only a CGM? Anyway a really flat line with no bumps at meals would make me question my CGM and I’d check a few times with a finger stick.

Generally, if you are 130, eat (with bolus) and at 4 hours later are at 130 again with a feedback pump I’d say everything is normal.

If you are 4 hours from your last meal and “correct” that 130 using your valid sensitivity number, (let’s pretend it’s 30) you should be able to take about 0.5 to 0.6 units and drop to 110 in 4 more hours, but it’s a barely perceptible drop over that long a time frame with many factors.

Sorry I can’t be more helpful.

Hi! I have an omnipod and dexcom.

I did verify with finger sticks and I’ve been within 10 points of my dex so don’t know if my body is just going through a really weird period (better than a constant low or high period for sure) or what but it’s super close to my dex.

So just so I’m understanding correctly, if I bolus correctly for carbs and take a correction bolus, it’s pretty standard for me to be at 130 if that’s where I started? Thanks for the help!

Yes, if your basal and I:c are good. I’m sorry Taylor but I don’t remember if you have a pump that adjusts based on CGM such as a Medtronic 770 or a Tslim with control IQ?

Hi @Tee25. That’s a great problem to have, but I understand why you’re asking. I’m not familiar with the Omnipod, except that it doesn’t offer auto-corrections unless you’re using it with something like DIY Loop. So I would suggest trying two changes to slightly increase the amount of insulin you’re getting: slightly raise your basal rates upward; slightly adjust your setting that controls correction boluses to deliver more insulin.

Make small changes and watch your results. If you’re returning to your baseline and staying reasonably smooth, the insulin to carb ratio I
Sounds like it must be good.

Hi Taylor @Tee25 . You didn’t say for how long a time it has been that your BGL has been “locked” in that range - averaging about 140 mg/dl. As a guide, a 140 average for three months equals about a 6.5% HbA1c; has that been your lab report? I’m also assuming that your 130, 140, 150 consistency has been with multiple sensors.

Now, my curiosity, when you study your Dexcom Clarity reports [or other CGN trackers], do you see that your Standard Deviation (your SD) below 25? And your CV is around 25%? In my eyes, those values would tell me that you have effective diabetes management - Congratulations!!!

My thought as to why your correction dosing does not bring you closer to your target, is that your correction factor / your insulin sensitivity (not your I:C ratio] may need to be observed. I would first look at ISF, and then ICR later.

Great thank you! And yeah it’s been going on for about a month. Last lab draw was 6.4% so right on track with the 130-140 range.

Maybe I’m just not used to such controlled diabetes :joy: I’ll keep an eye on correction factor to see if it needs to be adjusted although when I asked my endo they said for my weight and insulin sensitivity it should be spot on!

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