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.
Nope, I don't eat anything with high BG because it exaggerates the problem. Seems that if we cover the correction & the bolus, it should work. But, we know from experience it doesn't. Large doses are variable in action. BG may be heading even higher, so the correction may not be enough. Add food to the mix & it's a bigger mess. I correct, wait for it to come down & then eat. If it's still persistently high, I pass on the meal.
That makes sense. Unfortunately for me I can't really delay meals and eat later on weekdays, so if I delay a meal it would mean skipping it entirely. I think if this wasn't likely to happen every day I would probably be more motivated to do it when it did happen (even eating a low-carb meal when high is an improvement over what I used to do). I have tried picking a number like 17 (300 mg/dl) that I don't hit as often (maybe a few times a week), and saying I won't eat if I'm that high or higher, but I am usually starving when I'm that high, so skipping a meal entirely and eating hours later is sooooo hard to do, hence eating something low-carb.
It's a pain for me to delay dinner because of gastroparesis. Means I'll be up even later waiting for food to hit, so easier just to skip eating.
Sometimes I also feel really hungry when high. Most times, simply looking at the reading makes me lose my appetite:)
I will eat some protein , when HI , to get rid of the hunger pangs ( PB , cheese , left over meat ) .Medtronic pump's instructions are : if BG is over 13.9 ( 250 ) take an injection ..not through pump .I don't wait that long and use a needle ( BD Ultra-Fine 11 , 1/2 unit markings ) correction at around 11 ( x 18 ) . And do what I had suggested some time ago : disconnect infusion set,use act button to let insulin drop freely " anywhere " , deliver correction by needle ; this way a record of IOB is in pump ...I think I read , that's what you do now too ?? ( PS I may be a little behind in following your discussion )
I'm so sorry to hear about this, I know you really struggle with these swings. I think taking a manual correction was exactly the right thing to do. Even though the site may look fine, it may be scar tissue or something blocking the insulin and you won't ever see it.
My vote is bad site. Bad sites can be caused by a lot of things-scar tissue, the angle of insertion, the absorbsion ability in that area, etc. My very first line of defense for "unexplained" high glucose is changing my pump set without fail.
Someone asked this before and I did not see an answer--did you check for air bubbles? No matter what anyone says about the "O" rings in the insulin cartridge, I ocassionally get bubles large enough to effect my glucose readings, especially since I take really small amount of insulin.
Also, the correction with a syringe is a great thing to do. Let the pump calculate,fill the syringe and inject, clearing the calculation on the pump.
Additionally, if I am over 200, I always bolus more than an normal correction. It just seems to work better for me.
Let us know how it all turns out!
Luckily, after about four corrections I woke up this morning at 7.4 (133 mg/dl). Hopefully I can avoid spending half of today high!
I did check for air bubbles and didn't have any, so I think it was probably the site. I was trying a new location, so perhaps it didn't like that (although it worked fine for the first 12 hours before failing). I already change my sites every two days due to allergy issues (they don't last three days), and I feel like if I changed sites for every random high I'd be changing them every day. I have tried to get in the habit of using an injection if I randomly test really high, though.
I go over 200 almost every day. Sometimes I find I stay high for hours and don't come down, but sometimes I correct and I drop really fast and end up low with IOB remaining. So I don't like giving myself extra insulin, especially before bed, because in the past I've gone to bed still high and woke up an hour or two later in the 30s. Not fun.
Can it be related to basal rates settings as well ??...I think your Coastal temperatures , while not as cool as here in the Shuswap , have come down .I need more insulin compared to summer temps .
I think it's definitely related to temperature. Last winter I started using about twice as much insulin as I had used in the summer. I thought I was developing insulin resistance or something! But then in the summer, my insulin doses were cut in half. Now that it's winter, they are going back up again. Just another factor to add to the myriad of other factors we need to think about ...
I consider myself a really smart person. I went to an Ivy League college and have an MBA. So why is diabetes so d**m hard? I always joke that if I had as many failures at my job as I have with diabetes, I would have been fired years ago. (Actually I quit my job this fall, but I still love using that analogy.)
I even have a low A1c and am a "star" patient. But I can't get a flat CGM line to save my life. I've been trying to eat fairly low carb for the past 6+ months. However, when I eat more than 15u carbs, my BG spikes to the high heavens.
I am much older than you. When I was your age I was peeing on strips and had no idea what the peaks of my BG were. I'm 60 now and believe me, it is easier once you get past the crazy hormones that affect BG in your young years. But even for us oldsters, there are lots of hormones that affect BG and no matter how well you "follow the rules", it's hard to tame the beast of type 1.
and I am 72 1/2 and not a low carber ...but do know what you mean Lathump !