Lately, I've been struggling with a lot of high blood sugars. It took me a long time to realize what was going on: I was failing to adjust my insulin doses as I should, because I was afraid of crashing.
Finally, when my sugars routinely climbed into the 300s and even the 400s and higher, I realized I was going to have to do something about it. The first thing I started doing was checking my blood sugar more often. While that did help, it only did so much: I was still correcting to bring down my highs far too frequently.
So at last, faced with no other option if I wanted to regain my health, I started tinkering with my dose. I started by raising my long-acting insulin, Lantus, by a unit every day. That helped, but it seemed like perhaps more was needed. I raised the dose another unit, for a total of two more units than I used to take. Then I started crashing.
It wasn't the horrible, no good, very bad experience that I'd dreaded for so long. The next day, I cut back down to one extra unit a day, and continued checking my blood sugar more often. That seemed to do the trick.
I may need to cut it back down that unit, back to my original dose, sometime soon. Sometimes I find that I have to raise my dose for only a short time before I knock it back down again. Perhaps it's stress, or an illness, or a change in exercise or diet that causes me to temporarily need more insulin.
In any case, I have to remember not to be afraid to change my dose as needed. Sometimes I think that failing to change it, and letting my sugars go on getting higher and higher, actually exacerbates the problem until I do something to bring my sugars back under control. Then my body seems to normalize, and I can go back to my old dose.
I know those with type 2 diabetes have to go about things a little differently, as they can't change pill dosages without their doctor's involvement. But if you have to tinker with insulin dosages on your own, do you ever find that fear of crashing is stopping you from doing what would most likely make you feel better in the long run?