That's tough to still have paranoia and delusions on a steep dose of Zyprexa. At least the medication should be effective if you also have to put up with unwanted side effects. Is there another medication you could try? I also chose to get off of Zyprexa because of pre-diabetes but I ended up going psychotic and now am on rexulti. Unfortunately I cannot safely be off all APs. I need to have at least a low dose of one in the mix.