i know i just commented on someone elses post that i was all secure in raising my tdd and im all good and secure with upping it and blah blah blah. well, im feeling much better today but still needing almost double my old tdd (from 6 units to 11 units). i am honeymooning or lada-ing, dont really know which. i just had a really sore throat for a week. throat is still a bit sore but im going out tonite and everything.
how long do you usually have to continue with the upped dose? has a bad throat infection ever made anyones tdd stay up forever and just continue to rise?
No one knows...just keep a close eye on your BG especially before going to sleep ...mine usually tapers off slowly after I feel good and then I have a low BG and change my basal back to my standard dose/setting. I can't say there is a pattern to my insulin needs when I get sick one time I need extra and the next time I don't...YMMV
Good question but I'm not 100% sure as I've only been sick once since I started paying close attention to this stuff c. 2008. I would think pretty quickly but, if your body is having other things, e.g. honeymooning/ LADA changes, I have to agree with JohnG about keeping a close eye on your meter as the best plan. If your BG starts running low a lot, I'd back off pretty quickly but try to make sure it doesn't blow up.
I think we may be at a similar place regarding our LADA. I had a bug in January and for a while my TDD was also about double -- it required that I finally started taking basal. After a couple weeks, the TDD came down a bit, but it's still elevated from what it was before I was sick and I still require a tiny amount of basal. I've come to the unfortunate conclusion that the bug may have brought some more of my beta cells down for good.
Who knows. You can have a cold or flu, be sick as a dog for just a day or two and still spend weeks recovering. Your Diabetes May Vary (YDMV).
thanks for the info. guess its just wait and see... ;)
I would say the best part of a month, maybe even more.
I agree with the following advice, everyone of us is different, and our own insulin needs can vary with illness. I've had to set a temp basal rate for myself as I seem to be coming down with bronchitis. I just play it by ear, test a lot, and when I start running lower numbers start backing off. Good luck, hopefully you will be feeling much better soon, and your insulin needs settling down quickly.
Who knows? To be ill also means that the immune system is very active. In combination with the honeymoon it can also mean that more beta cells have eventually been killed. So it is possible that your TDD will stay at 11. But thinking positive I hope that it will revert to 6.
I rarely need to increase dose for illness with my pump. If I cannot eat, it remains flat, so I just bolus for low carb stuff like soup. Like AR, I get sick very infrequently. However, on my pump, it is a lot easier.
Just be careful--it could change quickly.