It's happening again. The unexplained highs. Going to bed at 84, and waking up at 184 a few hours later -- even after eating two buffalo burger patties with cheese and salad for dinner. WtF?Craft_crown

I MUST be fighting off a cold, although I don't feel any symptoms. I'm using my PMS temp basal to offset this latest bout of SUS -- Sudden Unexplained {blood sugar} Surge. But I am baffled and furious at the same time.

One runs through the mental checklist:

- Is the insulin too old? i.e. ineffective?

- Am I having "absorption problems" at my pump infusion site? (How do I confirm this without yanking it out?)

News nuggets from around the diabetes community

NEWSFLASH: ADA Names New CEO
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FDA Approves New Basal Insulin
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Mirror Your t:slim Pump on an iDevice!
New Tandem t:simulator App mimics the touchscreen & features on an iPhone or iPad.

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- Am I taking any other meds that might effect my BG levels?

- Am I fighting off some sort of infection? (my eyes were feeling kind of itchy!)

- Has my carb-counting simply gone to hell?

Too many variables!!

I check so often, and attempt to be so careful about tracking carbs (I do eat them, but in moderation, and with a lot of mathematics involved). This is just so unfair. THIS is what makes diabetes miserable for me personally, if you really want to know. I don't spend a lot of time grieving over my "lost health" or dreading the long-term complications. I work pretty darn hard at "getting it right," yet too much of the time, I just don't. And that drives me crazy.

My endo says she worries about every minute her patients spend over 180 -- the definition of hyperglycemia, and the point at which your body can start to release ketones into the blood, which is very bad news indeed. So I suppose I ought to be scared. But on the face of it, I'm just pissed off. Really!

Just to make myself smile, I insisted that my family call me "Your Highness" for a day. What the heck? I'll never have a better excuse.

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This content is created for Diabetes Mine, a consumer health blog focused on the diabetes community. The content is not medically reviewed and doesn't adhere to Healthline's editorial guidelines. For more information about Healthline's partnership with Diabetes Mine, please click here.