I trust the collective wisdom here more than my doctor to shed some light. Two days in a row I had staggering afternoon lows, unlike anything I've experienced. EMS left a few hours ago. Thankfully, my husband was home to call EMS because I was unable to speak or move. He tested me. BG 37, which has never left me near comatose before. Ok, here's the strange part. I had taken Apidra 7 hours before the low. None should have been available to cause a plummet. Also use Levemir. If I accidentally took two Apidra shots (sure I didn't), I would have been dead before I hit the floor. I'm careful about rotating injection sites & take small doses, so I don't think it was a scar tissue absorption delay. No exercise to account for a low either.
EMS injected IV dextrose because glucagon would have taken too long. A minute or so later, I was able to talk. BG went to 315 after the dextrose & then dropped to 223 10 minutes later & then to 175 after I ate crackers with peanut butter & is holding at 175. Needless to say, I'm terrified to take a correction to bring it down.
Thanks for your isights!
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Permalink Reply by Super_sally on June 14, 2012 at 8:13pm So glad you're ok! Scarey plus! Phew!
Nothing to add to what everyone else has said, but learning a lot and new ways to think about things. Excellent advice.
Hope that this doesn't happen again.

Permalink Reply by Gerri on June 14, 2012 at 9:24pm Sally,
I've had the same doses for a long time, but clearly time to revamp. Lesson learned is never to get complacent. Still seems odd that I was hit so hard.
Permalink Reply by Super_sally on June 14, 2012 at 9:59pm Yes, it is a lesson for all of us reading. I have noone watching out for me (and 2 small children under my care), so it reminds me to be very vigilant.
But it really is strange! Particualrly given your usual situation and control.

Permalink Reply by Gerri on June 14, 2012 at 10:37pm Did have a fleeting thought that my beleaguered pancreas may be sending out some insulin. Would explain the current strangeness, but I have no way of actually knowing if this is happening.
Permalink Reply by Shawnmarie on June 15, 2012 at 10:01am I end up thinking of my pancreas as having a personality. I imagine he's so happy when he's working hard to kick out the insulin, having no idea it can cause quite a problem when he does!
Permalink Reply by David (dns) on June 15, 2012 at 10:13am Me too. Being type 2, I think of him as panting, "will you please inject a little insulin and let me get some rest?!"
Permalink Reply by Brunetta on June 14, 2012 at 10:42pm Gerri,I had to do a recent revamp of basals..always have to do so in the summertime..: I am more active and schedule changes abound. But I aM so glad you are alright now.
God bless.,
Brunetta

Permalink Reply by Gerri on June 14, 2012 at 10:57pm Basal is such a pain! Glad you've got your summer rates set now.
Thanks, sweetie.
Permalink Reply by LaGuitariste on June 14, 2012 at 10:02pm Hi Gerri, I haven't been around much and I just popped in and saw you were having some troubles with a capital T. I'm sorry to hear it. (((hugs)))
One idea: I read somewhere (Jenny's blog???) to inject long-acting insulin into the thighs because this is an area of slower absorption, and to inject short-acting in the abdomen because this is an area of quicker absorption.
Just a thought.

Permalink Reply by Gerri on June 14, 2012 at 10:41pm I've missed you! Hope you're doing well & strumming up a storm.
Good thought--thanks. I use my thighs, legs & rear end for basal. I must have read that on Jenny's blog because hers was one of the first I found when diagnosed that I really read thoroughly.

Permalink Reply by Gerri on June 14, 2012 at 10:53pm I want to thank everyone for sharing their experiences, insights & info. You all have helped tremendously. As soon as I was coherent, I wrote you all because here's where I learn. Told my husband my Tu friends will have answers & suggestions & will bring smiles (who wouldn't smile at jrtpup's gremlin?). Your kindness & caring have touched me once again.
Manny Hernandez(Co-Founder, Editor, has LADA)
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