Insulin rising fast

beverly meyer

Updated blood and symptoms on Ginger in her file.
Insulin stats: June 79; September 135; November 160. 

Glucose 80, 70, 86.
She was eating all morning until November blood draw. Should I have stopped food 2 hours before?

She eats only ODTB, since May.
ACTH better at 40 with increase of Pergolide in Ocotber. So ACTH ok, glucose same, but insulin doubled!
Thanks for any advice how what I am missing and how to bring under control. 
Beverly 5/14
Beverly Texas EC8

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