Sorry this is long...
Had been doing really well until Thanksgiving. It is not high blood glucose causing the problems, but devastatingly lows ones and I have no idea why! Ideas? Here is what happened:
1. Thursday morning I woke at 72. Did some cooking for the big meal and made us buttermilk pancakes for a late breakfast (10 am). I calculated the carbs for each pancake (11) and took insulin for 22 carbs, but ate three pancakes with APPLE BUTTER for pete's sake. On the way to the dinner, I started feeling low (husband is driving) and I tested at 45. Had the completely disorienting kind of low where I actually seized a bit. Treated with Skittles, but it took a long while for it to go up.
2. Fast forward to the trip home. Please note: I ate reasonably well, had some pie, etc. Figured I would eat about 70 carbs and bolused for 50, square wave as it was a two hour meal. On the way home I was having a lot of trouble looking at the road; long story but I thought the problem was related to my slight double vision. Husband was driving again and thought I was sleeping. Got home and I tried to get out of the car, fell down in the front yard (neighbors probably think I was drunk. THE JOY OF BEING DIABETIC!) Tested at 41. Got into the house and my husband starts pouring juice into me. About two minutes after I drank the first juice, I got horribly ill. Eventually, he had to treat me with gel.
3. Woke up 209 on Friday, of course. Treated the high blood glucose level and got it under control by 10 am. I hovered around 100 all day. Dinner was leftover chili and I again under bolused. Woke up this morning at 40. I tested at 1 am and was still at 100. Took about two hours (ate breakfast, had some juice) to get it up to 60.
Basals have been refined lately and have been nearly perfect the last few weeks. Not sick or getting sick. No other bug changes.
All of these lows have been the very disorienting type. I get jerky, ornery, and am not the best to be around. Husband is hovering, looking at me with puppy dog eyes--he worries so. And I feel awful from all the lows.
Anybody have any thoughts on why this might be happening? Usually I would just say too much insulin, but I am pretty sure my carb counts were pretty accurate and I under bolused so much, that just does not make sense.
I find in the evening that a square wave helps for exactly that reason, although it is not the reason I used a square on T Day.
I suffered with pre-gastroparesis before actual diagnosis that's why I mentiond Gastro. When I was first tested about 4-5 years ago they said I didn't have it but just this year I was finally dxed...just something to think about..and yes you might have to reassess.
Yeah, I wasn't trying to be a smart***...just had a pretty bad time with it. For some reason (tighter control, I'm guessing) the gastroparesis subsided after a few years. Best wishes to you...
"Refuse" to submit to Gastroparesis? I had a real hard time "refusing" after vomiting for a week straight.
Correcting for a Severe Low?
Forget the Skittles, go to the Juice and Glucose Tabs and Over Correct .. take an extra 10 carbs.. It akes 1/2 hr to really get things Up and you can always Take a CB bout 1 hr later... Just keep tabs on how much Extra Carbs you took to take a Bolus for them later..
Have you ever done a comparision btwn How fast those Skittles Work vs Juice/Liquid?
For Minor lows they are fine, but not for Serious One's..
I keep 15 carb Juice Bottles In the Fridge and Some Juice bottles come with me in the car when I go out..
I am a juice person. It works and works quickly. We had a juice box in the car, but had lost the straw. He was driving, I was ...sort of seizing...Skittles were the available alternative. Glucose tabs are unhelpful, as they pack too low a carb count for a severe low. When I feel that way, I cannot eat as many "chalk tabs" of glucose that I would need. They just do not work well for me at all.
I am a juice user, but it seems highly unliked here. It is fast, easy to injest, and works great.
I think it's important that we say what works for us, rather than make blanket statement about what is "good" or "bad" treatment. We're all different.
When I was first diagnosed an increasingly large chunk of a century ago... the "standard approved hypo treatment" was sugar stirred into orange juice.
I hated it then. I hate it perhaps even more today. And even more than I hate it, I love to complain about it! Oh I love to complain about it. I cannot even think of orange juice without thinking about being in the hospital and them trying to force me to drink sugar-in-orange juice. (Of course I had no idea what my bg was at the time, this was before home bg testing, but I was being clearly uncooperative!!!)
When did you last change your set? Maybe you have it somewhere with really good insulin absorption. I know it seems odd to suggest too good a site as opposed to the bad sites we are usually fighting. I know sometime I put in a new set, my BG shoots down & wont come up.
Thought about that and changed out yesterday to a new site. Equipment malfunction is always my go to defense.
I have to say this is one of the best replies I have seen on here. Good thinking.