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Head Scratching Days with Insulin Action Changes

The topic of insulin action (resistance and sensitivity) has come up multiple times over the years in my articles and posts, but it is admittedly much more complex than I often make it out to be. In a DiabetesInControl article I posted last summer, you can find a short list of all the factors that can potentially improve insulin action (basically insulin sensitivity). In reality, though, sometimes it is impossible to know exactly what is affecting it. Recently, I spent the majority of two days traveling in a car and not exercising, and I reached the point where I could barely eat anything without my blood glucose rising over 200 mg/dL, even when giving twice or three times my usual insulin d

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