I am really struggling with the high sugars caused by the Prednisone. I recently went to a pump to see if that would help, but while I heard your insulin use will go down and you have less ups and downs, my insulin use is decreased only about 15% and I still have the sugar highs, just no lows.
On top of that, my memory is not so great, so my learning curve is decreased. It has been 21/2 months and I still struggle with getting things right (so I don't run out of insulin in the middle of the night or run out of supplies).



it sounds like you need more training, what brand of pump do you have? did you have a 'trainer' provided by the pump manufacturer to help you get your basl insulin adjusted properly for various times of the day (usually the day can be cut up into 4 periods with different amounts of insulin). then calculating the right amount of carbs per meal and then giving an appropriate bolus insulin.
I have a medtronic insulin pump and they have a 1 800 number to call for help. you need to contact your endocrinologist and adjust your basal insulin rates to get things controlled beter.
I have problems too but overall I feel better and use about 1/2 the insulin I did before.
if your fatigue is from a sarcoidosis flare up, it can be difficult to get your blood glucose controlled. i Have to test at least 5 times a day and give a bolus if needed to help keep my glucose below 140.
I also use a book called:
The CalorieKing
calorie fat and carbohydrate counter
it costs $8.99
I check for serving size and carbohydrates for any item. it has a fast food checker too for most fast food restaurants in the USA.
my pump does the math for me calculating how much insulin remains in my body from previous input so I can't screw up. my meter sends a message to the pump too so i can't accidentally put in the wrong number.
hope this helps,
Mike