Out of Control DIabetes! Help?

I've had type 1 diabetes for 9 years , ive never had a handle on it, when i hit my teens i did'nt care , the way i saw it i would die anyways, im 16 now and my adolescent ignorance has wore off and im ready to get my diabetes under control! only problem is ive been on every medication they have out there, and i take 27 units of novolog 3 times a day, still it just doesnt seem to work, 70/30 is the strongest but even that keeps me high.- my blood sugars range from high 300's to 5-600.My doctors dont even know what to do! im a healthy weight , and too young to be going through things such as this = my eyes are bad i can feel it, and i know im down the road from Major heart problems. IF your a doctor or you know what im saying, im willing to do anything to get healthy!

The big part is, my parents were sent to iraq when i was 14, they came back a year later TERRIFIED to death, so they discharged themselves(except my stepdad). my mom divorced my stepdad causing my Medical coverage to go out the window, at the same time my medical was gone was when i decided to do something. The doctors said i cant have the pump until they are sure im under control,, that was when they were handing it to me like a trick or treat bowl, now they are expensive,!! Its getting so bad ,literally 2 times a month im going into Keto Acidosis, and i hate it. Im not slacking off but i feel like im injecting myself with,,water or something, because my blood sugar never goes down, im DEEPLY concerned seeing how my brain is swelling up so many times. Id hate to die at 16 or get brain damage. I love life and estatic to move to southern california at 18, Throughout my teenage years i made mistakes with anerexia,drugs, and partying, im just ready to do something good for my body

Keeping your blood glucose levels as close to normal as possible can be a lifesaver. Tight control can prevent or slow the progress of many complications of diabetes, giving you extra years of healthy, active life. But tight control is not for everyone and it involves hard work. To get tight control, you must pay more attention to your diet and exercise. You must measure your blood glucose levels more often. And, if you take insulin, you must change how much you use and your injection schedule. I note that you state that you are taking NovoLog. If that is the only insulin that you are using then that may be part of the problem. NovoLog has a more rapid onset and shorter duration of action than regular human insulin. Because of the fast onset of action, the injection of NovoLog should be immediately followed by a meal. Because of the short duration of action of NovoLog, patients with diabetes also require a longer-acting insulin to maintain adequate glucose control. NovoLog is contraindicated during episodes of hypoglycemia and in patients hypersensitive to NovoLog or one of its excipients. Hypoglycemia is the most common adverse effect of insulin therapy, including NovoLog. In intensive therapy, you provide yourself with a low level of insulin at all times and take extra insulin when you eat. This pattern mimics the release of insulin from the normal pancreas. There are two ways to get more natural levels of insulin: multiple daily injection therapy and an insulin pump. Both are good methods. Your choice should depend on which best fits your lifestyle. In multiple daily injection therapy, you take three or more insulin shots per day. Usually, you take a shot of short-acting or Regular insulin before each meal and a shot of intermediate- or long-acting insulin at bedtime. With an insulin pump, you wear a tiny pump that releases insulin into your body through a plastic tube. Usually, it gives you a constant small dose of Regular insulin. You also have the pump release extra insulin when you need it, such as before a meal. With either method, you must test your blood glucose levels several times a day. You need to test before each shot or extra dose of insulin to know how many units to take and how long before eating to take it. Also, you may want to test 2-3 hours after eating to make sure you took enough insulin. You must adjust your insulin dose for how much you plan to eat and how active you expect to be. You do not need to figure these things out on your own. Whatever method you choose, your health care team (your doctor, dietician, diabetes educator, and other health care professionals) should spend a lot of time teaching you about it. Your team will help you make guidelines for how much insulin to take and when. You will also come up with guidelines for eating and exercising. These guidelines may change several times as you test them out. You shouldn't try tight control on your own. A good health care team is a must. Choose a doctor who understands diabetes well or is willing to learn for your sake. Your doctor should have ties with other health professionals you need, such as dieticians and a mental health worker. If you live in a small town, look at your options carefully. You may be better off driving to a city to see a specialist.
You should try to obtain information from the clinic and not on a forum like this. There are many people who answer here, who do not have any medical training and therefore all the answers that you receive should be thoroughly researched and not taken as gospel truth. Your health is your life.
In all cases when more detailed medical information is required, you would be advised to consult your doctor or diabetic clinic.

I add a link with details of Type 1 diabetes.

http://www.nlm.nih.gov/
medlineplus/diabetestype1.html

Hope this helps
matador 89

first of all, thats the #1 problem. youve never had it under control. im glad you realized that you can live to be 100 years old with diabetes as long as you control it. you dont have to be blind, have kidney failure, heart disease or strokes, legs amputated just because of this. im 27 and have had it since i was 12 (type 1). i look great, feel great. i have had a regular endocrinologists for 10 years now which helps. make sure you also have a regular eye doctor and i mean a real dr, not tso doctor. what i think you should do is in the morning when you get up to eat, take your insulin, DONT eat. take your monitor to school with you and if you start to feel shaky by lunch, asked to be excused to go test your blood sugar to make sure its not too low. if its a reasonable level by lunch, take your normal amount of insulin and eat no more than 3 starches for lunch. when you get home from school, test your sugar and if its good, take your insulin and eat only 3 starches and so on. if its still high when you get home from school, take your insulin and DONT eat. if your hungry, eat your free foods like pop corn. if you have any questions you can ask me

I know how you feel, it's not an official thing but what you've got is Diabetic Denial. Most people that are diagnosed when they're young do it, because they want to fit in with everyone around them.
First thing you need to start doing is consider what insulin you're on, I haven't heard of someone being on 70/30 in a long time, have you talked to your doc about switching to Lantus. It's a better fit for younger people, you only have to take it once a day. Or something that might work to your advantage is an insulin pump, I'm on one and it's great, depending on what company and model you choose, I have the deltec cozmo, and I have it set up with all the bells and whistles so I don't miss anything, it reminds you when to test, that you haven't bolused for food, and there's a meter attached to it. I'm not saying that if you go on the pump, you should pick that one, do your research, most doctors for first time pumpers go with minimed, it's familiar to them. Just talk to your doctor about it.
Are you on Symlin? It's an injectible drug you take with your insulin for dinner that helps lower your after meal blood sugar. It's wonderful, there are some side effects, but that's only with how much you take. I'm on it, and it's great, keeps my sugars at around 100 after eating. You have to carb count until your nose bleeds, and you have to count everything, even vegetables, but it works wonders.
Just talk to your doctor, read Diabetes forecast every once in a while. I wouldn't know have the stuff I do about my own health without reading it.
Go to your eye doctor, I did, and was devastated at what he said, early signs of diabetic cataracts, that when I started changing my ways.
The important thing is that you're realizing that you need to stay healthy so you can live to see 50, even if you're experiencing some complications now, you can get things under control.
Do a fasting background insulin check, under your doctor's supervision of course, check to see if you're taking enough 70/30(that sounds so weird to me).
Don't forget to exercise, that's so important.

My guess is that you have ore than one thing causing your problem. rule 1, make only one change at a time.
get a pen and paper and start writing down everything that you eat. Start with making adjustments to your diet. Eliminate complex carbs (foods from roots), eliminate fruit, eliminate foods that have the majority of its carbs from sugar. When your numbers are back under control, add (1 at a time ) your favorite foods back. Note the impact that it has.

try to be more routine. check at the same times every day, eat at the same time every day, and take your shot at the same time every day.

finally, there are ways to make your insulin more effective. For example; cinnamon and cloves help make your insulin more effective (so does regular moderate exercise). Those supplements can be bought over the counter almost anywhere that sells vitamins.

It is very wise of you to seek help. ultimately you will need to find the answers in ways that best help you. Good luck to you and the success that is destined to be yours.

Personally I think its close to impossible to reach any goal you have for BG control unless you can get on an insulin pump.

I think that your main problem is not that you dont want to take care of yourself, you just are a normal person with a normal schedule. With an insulin pump you can easily customize the insulin to fit your life rather than fitting your life to the insulin's schedule.

The great thing is, if you did want to get on a pump, its easier now as insurance coverage is pretty much universal. You wont have to pay much and you dont have to worry about figuring out how to better control your BGs because with the pump, you will get better control even if you dont try.

Lastly, in the last two years, Medtronic, a pump company, has released a pump that also continuously monitors your blood glucose. Rather than having to stick your finger, it now does it through a small sensor that you inject under your skin every three days. Thanks to these two things, my A1Cs dropped close to 7 points. Its unbelievable.

Hope this helps!

my son is type 1 diabetic also.. he is only 8 years old.. one thing he eats is in the morning he starts his dad.. with 4 pieces of cinnamon toast made with splenda.. when his sugar is checked for lunch it is always good numbers..
another thing he eats is good is grilled chicken.. and another thing is sugar free pudding.. the jello brand that you make in a box.. and go for walks.. his numbers always drops when he walks.. as long as he sticks to four carbs a meal he does pretty good.. he is also loosing weight..
good luck I hope this helps you,..

It's rough, I know. You feel totally out of control. Best thing to do is to give your entire life a redo. No kidding. For just one month, try this. Set an alarm clock so you wake up at the same time each day. Go to bed at the same time, too. Take your meds at the same time each day. Watch your diet carefully. Limit white everything. Sugar, flour, bread, white potatoes, etc., are all off limits for one month. Sugar is out forever. Avoid Splenda, too. Don't drink sodas of any sort, diet or otherwise. Eat lean meats and veggies, fruit and grains. Take a walk twice every day. Read rather than watching TV (no kidding, it helps).
Connect with friends. Try to get out and about with people whose company you enjoy.
Let me know how it's going. Check your blood sugars regularly every morning and evening. If this doesn't work, go to another endocrinologist and get a second opinion.
It takes discipline, but it is worth it. Good luck, kiddo!

Welcome home from the land of DeNile! It's been a long trip! Now that you are ready to face the rest of your life in better condition, you must make a few small changes.

Find a good Endocrinologist! Doesn't sound like the docs you have right now are very concerned about your health, or they were waiting for you to come home from DeNile!

There are choice of 2 long acting insulins, several medium acting insulins, several short acting insulins and the 2 fast or immediate acting insulins. Some combo of the above would be much better than a set amount of one thing 3 times a day!!!

Change your food plan!! Low carbing prevents a lot of correction on the insulins to cover the complex sugar foods and for sure the simple sugar foods. I know you can take enough insulin to cover, but insulin does have a bad actor effect: It causes weight gain! The more you have to take to cover carbs the fatter you will become, eventually!!!

Get active! Bike, jog, walk, play a sport!! do something for an hour every day! You will be better able to control your glucose levels with regular exercise. You must enjoy the exercise you choose so you will do it every darned day!

Honey, I wish you a lot of luck! Come over and visit with my friend Adriennasmema at http://www.diabetes.about.com She has been diabetic type 1 since she was a girl and knows what you are going through and have been through. She is a really terrific person to visit with.