[Subby]

That's all good advice - Frank that's funny, because just today I was just thinking of finding a Tai Chi class, I've always been drawn to movement. I've done Yoga but I find the stretching and holding positions can cause a lot of fatigue for me. I like the idea of relaxe movement.

Another thing to keep in mind is that high BGs can beget high BGs. I find this is extremely common myself - sometimes i know I am high BECAUSE I find myself stressed. And I feel stress melt away when I return to lower levels. So, if you can improve the effectiveness of your corrections or use other tactics to actively bring your BG down, you can really help to minimise the stress, too.

This has been a particular advantage of the pump, where you can set a temporary basal for stressful situations. For example heat sends me high, so for every degree celcius above 30 degrees I put another percentage point on starting from 110% basal. So if it was 44c (like it was yesterday!) I used a 124% basal, which means I get an extra 24% over my regular basal.

I found this personal approach in the last few days has cracked the nut of hot weather, high BG, and extreme stress for me, for the first time in many years. It's strange to go though hot weather and not feel just awful and distressed.

That's just an example - the tactics you might use may well be varied, feel free to give some examples and we can talk about your situation. The important thing is to keep working on ways to keep from going high and ways to come down quickly (without hypoing, of course).

One other thing worth keeping in mind is that when you go high a lot of insulin resistance can kick in - meaning your insulin doesn't work as well and/or the effect is delayed. The reaon I brin this up is that it can make it quite hard to judge how much insulin is needed to get back to normal levels, it's something you might need to discuss with others such a your doctor to formulate an effective strategy.