I just tested at 29.9 (538 mg/dl) after dinner. I tested about four times, including once on a different meter, to make sure I really was that high. (Unfortunately, I was.) I haven't been that high in over a year, I don't think.
I was 16.7 (300 mg/dl) before dinner, and I have ketones, and being this high is just not right, so I think it's pretty likely a bad site. One of those sites that looks perfectly fine (I just changed sites) and has only been in a day. I get those a LOT and it's so, SO annoying. I wish I knew what caused it.
My pump recommended a 13.8 unit bolus, but I bolused 10 units because I'm scared to do 13.8, that's a massive bolus! I bolused with my pump so it would count the IOB but took the insulin with an injection.
One of the few times I don't have much to say other than this disease sucks! I just felt like posting and complaining somewhere. :) I feel weird doing it Facebook because my family and friends wouldn't get it and would probably freak out.
What are we here for if not to be a sounding board when no one else would understand. I was taught to correct with the greater of 25% of my total daily dose or the calculated correction.
Drink up and be safe!
When I had my pump training the nurse said I should only correct up to 25 (450 mg/dl), even if I was higher than that.
I've been drinking water non-stop for the past hour or so. Hopefully I will start to come down soon.
Sorry, Jen, that definitely sucks. Did you change your site? I hope it starts to come down soon!
I changed sites (the old one looked totally fine, *sigh*) and took a correction with an insulin pen. I will probably test in about an hour to see if it's moving in the right direction. Hopefully it's not one of those nights where diabetes keeps me up till all hours!
Yikes! That's got to be frustrating! I have sort of laid off my usual, center abdomen sites as it seemed they weren't working all that well [although part of that seems to have been my pump blowing up...]. It's sort of awkward but I prefer the easier-to-manage-numbers even though it means dealing with a wierd tube here and there.
I agree that your suspicions of the site are probably the culprit. I would skip eating @ 300. The only time I had to deal with that lately was a trip to LA last spring, I had close, but what I thought was plenty of insulin so I was like "well, this should be ok..." but ran into massive spiking that wouldn't go away *and* ate more insulin than I planned so, by the end of the day, I didn't eat much, like a piece of salami and (black) coffee for dinner. Yuck. That's crafty to do the bolusing and then injecting trick. I would never have thought of that.
I had a pretty low-ish carb dinner (chicken, veggies and dip, cheese) which is part of the reason I think it's ridiculous I'm so high!
The weird part is I actually have moved away from my abdomen as I wondered if that's partly why I've had so many weird highs and site issues (allergies, etc.), but obviously it wasn't that ... My new site is on my arm so we'll see how that works. I think different sites absorb differently which make it even more confusing to figure out. I think I'll ask my endocrinologist about it (sites just failing for no reason, site allergies, etc.) when I see him in January.
Have you experimented with different sets? I know some people who have developed allergies have had luck with the Sure-Ts.
I tried the Contact-Detach sets (same as Sure-T) about a year ago, but for some reason about 50% of them hurt and bled for me. So I went back to Comforts, changing them every two days. It works sometimes, but sometimes my sites still give out early and sometimes they still get really red/itchy by the end of two days. I haven't had as many problems with allergies lately, probably because my other seasonal/environmental allergies aren't acting up as much since it's winter (I think they are all related). I should probably give Contact-Detach another try, though. I think I'll probably ask my endocrinologist about this in January.
Yes it sucks !! I am not sure, if I have done it correctly when HI , called a intramuscular injection .I use upper arm .
My choice is not to eat, when over 12 ( x 18 ) and that sucks too till I come down
http://www.wisegeek.com/what-are-the-different-types-of-intramuscul... . I think Dr. Bernstein refers to intramuscular injections ? Do I understand as well , to split the shots when needing about 10 correction units ??
PS air bubbles ???
The problem is if I didn't eat when over 12 I'd probably be skipping at least one meal per day, if not two. I don't think that would be good ... I think if I could get to the point where I didn't hit 14 on almost a daily basis, not eating when high would be more do-able.
I have heard of IM injections but haven't tried it yet. I only have 8 mm pen needles and I think I might need longer ones. Also, I'm not sure how I'd tell where the muscle was.
I don't eat with highs either, Nel. Just exacerbates the problem. Dr. Bernstein suggests splitting doses when over 5 units to avoid the problem with variable absorption at larger doses.
You don't even eat something low-carb? Tonight I had about 15g of carbs, though tonight I don't think it would have made much difference either way ... no way 15g of carbs should have made me rise by 13.2 (238 mg/dl) points, even if I didn't bolus for them at all.
Two hours later I'm down to 17.8 (320 mg/dl) and just bolused 3 units through my new set (pump recommended 5.8 units but I'm heading to bed as soon as my blood sugar gets down a bit more and don't want to end up crashing).