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.
See...obnoxiousness (and perception) that is absolutely obvious and makes me laugh
Enjoyed your post, not for the drama, but for the fact that I have shared in your experience - thank you for sharing too. Personally, I have found that despite mastery in the numbers and counting, that small mistakes have dire consequences. So the initial advice I have is the usual, learn your carb / insulin ratios, and start off low carb until you master your numbers and get expected results. Big meals, big carbs, big insulin doses tend to lead to small mistakes that cause highs or lows. Sadly, the less grams of carbs you eat - you reduce your potential margin of error.
THAT being said, even old grand masters make mistakes. Not that I am old or a grand master (26 years T1 - and still full of mistakes) but to error is human. Given that, I try to eat less carbs and eat sure things - where I know the math and can calculate the exact dose.
Feel free to IM me if you'd like to chat. It's a tough road we lead, and we need as many D friends as we can find. Always willing to share.
Thanks, Drew. That was a very thoughtful and kind reply. I appreciate it very much.
I think learning the carb/insulin ratios is the basis of the problems. As AR said way back, sometimes the ratios shifted and that is what I think has happened. I already eat low carb, but not no carb; I average about 50 per day, over three meals. I will admit to a little higher carb count on T Day, and you may be correct that a small error with that meal and the way I ate that day was the cause of the problem.