After 19 years of this, you'd think I'd have it down pat, but it's still throwing me for a loop.
During puberty it seemed like no matter what I did, my a1c loved to hang out around the high 8 to low 9's range, even with a pump. The endo insisted that once hormones leveled out, so would my blood sugars. Since getting to college, they've decreased (last few a1c's in the 7s), but still aren't great. In November I started on birth control, and since then it's been out of control. My endo raised my basals, i:c ratio, and correction factor last week. For the next 48 hours I'd bounce from 40s to 400s and back again, and now I'm back to consistent 200s, 300s, etc. We've tried changing exercise and diet, too, with no difference (seriously. No food for 24 hours and I never dropped below 180???) This has been going on more or less since November, and my a1c is steadily going up. I asked the endo about switching birth controls, but she said all of them cause problems and to learn to treat the effects. The last few weeks it's been majorly impacting my performance at school (went from almost straight As the last couple years to a high test score of 76 in the last four weeks). My memory seems shot, and I can't focus, but increasing my insulin doesn't seem to be doing much, either. I've not consistently struggled like this before, and hadn't really told my professors about the diabetes and don't want to sound like I'm using it as an excuse.
Any ideas? Did anyone else find a birth control that DOESN'T wreak havoc on blood sugars? Anyone else see really weird numbers in college?