Hi I am type 2 but when my sugars hit over 600 and become unreadable it is the same result but I can't take pills because I become dangerously hypoglycemic down to 19 in hospital when they tried them first and last time. I have control if I check and take a shot about every 4 hours including bedtime when u an high on prednisone.

I have T1 also. When I was first diagnosed with AD I had a very difficult time regulating my blood sugars but as my endo got my cortisol and flornef doses corrected they seemed to get much better. I recently read an article about how most T1's with AD are usually kept to no more than 30mg of cortisol to prevent the sugars from going too high. If I find it I will post it for you, it may help you more than I can. It's such a delicate balance and a huge pain in the butt getting it all worked out. Once you get a pump and get all the kinks worked out with it you should have a much easier time getting control of your sugars. I don't know what I would do without mine.

I Have been very distressed having to get the pump, but now I am encouraged to move forward. It just seems that I am on such a rollercoster thanks for your input.

Hi there,

I'm not diabetic but wanted to send you any encouragement and support I could anyway! I have multiple autoimmune conditions and am aware that it is a possibility in the future - and it's one which scares me a bit given what little I know about the interaction between cortisol and blood sugar.

From everything I've heard/read/been told the pump is incredibly helpful, and I hope it works well for you. I've also heard some things about less-common dietary strategies for keeping blood sugar more even, such as vinegar or a higher-fat diet (rather than as many carbs - we do this anyway to some extent) and these are things I would definitely try if it happens to me.

I'm curious if anyone knows: Bean mentioned keeping cortisol dosage under 30mg with diabetes, and I think most of us are on a regular daily dose that is around or under 30mg anyway. What about during illness? When a higher dose of cortisol is necessary, what happens to blood sugar? Even though it's not affecting me at present, I really like to know as much as possible about how it all links together...

I have Type 1 D and AD as well. I have been on a insulin pump for 12 years and I cannot even imagine life without it! I do have a lot of lows though, so I did get a CGM, but it doesn't help all that well. So I am now training my own service dog to alert me when my BS fall too quick.

For me Diabetes is the easy part, but it is a big challenge controlling both AD and D,,especially when sick. I do check my BS's at least 13 times a day!

Tanya