So, let me give the background. We had taken off Liam's POD around 2200 because it received an error (which is OK because it was due to expire at 2330 anyway. So, because we usually turn off his POD basal rates at night anyway due to him dropping low, we decided to just see if we could wait till the morning to put on the new POD, before breakfast. He was around 125 at bedtime so we gave him a small 5 carb snack because we need to have him above 150 usually for him to make it through the night without dipping low (he always gradually decreases (very slowly, over hours) during the night.)
Well, around midnight, his BG was getting up around 250...which I wasn't comfortable with him sleeping with the BG that high. He would have stayed over 200 for 1/2 of the night or more before dipping under 180. So, I decided to put on a new POD while he slept. The process was just like any other time and he didn't even wake up.
Because he was near 250, the PDM recommended a .25 correction...knowing this would take him under the range we are comfortable with for him, while he sleeps, I only gave him .10 (which should have brought him down to between 180 - 150. Keep in mind that the basal was turned off so all he had in his system throughout the entire night was the .10 correction given to him around 0030.
However, from the image below, you can see what happened throughout the night. Around 0500 the low alarm sounded. I checked and it was 47. I quickly gave him 1/2 box juice. Then at around 0600 he was up to around 150 (yay!) So I am sleeping again, then around 0800 the low alarm goes off again! I check him and he's 50! So I give him the other 1/2 of the box of juice. Then around 0900 he crests only about 100 before beginning to dip again! So I say the hell with this and just give him an entire box of juice. You can see that this took him to around 225 at 1000 or so. But....then he nose dives back down to 50 again!
So, although we had just installed the new POD, I felt like somehow insulin was leaking into his system in large enough amounts to make him crash quickly so I have taken off the POD. He's now around 120 and we are waiting until he's "level" for 30 minutes or an hour or so before feeding him any carbs.
Has anyone had a drastic of an issue as we just had last night as far as...what I have to believe is a leaking POD??
Yes, the liver secretes glucose. Yes, he dips low and it's normal for that to occur during the night, but NO, it's NEVER so drastic of cliff dropoff's in BG rates! It should only a 5 or 10% gradual decline over the night per hour...not a 100% decline in 2 hours!
Anyone with any additional info or anyone that can confirm my theory it would be great. Last night was horrible! As you can see 4 Hypo's last night / this morning.