This weekend has been one of the most challenging since moving to the pump. Over the past week or so, I have been waking with BGs in the 200s, which until this week, has not happened. I met with my CDE late in the week and we had a plan in place to determine what the heck was going screwy with my AM numbers. However, since Saturday morning, I've been "chasing the high."

I awoke on Saturday morning and generally "felt" that I would again have a high number. This time it was in the mid 300s and as I was up for a bit, felt terrible. I corrected and hoped to be feeling better soon. However, I spent the rest of the day barely eating and trying to get my numbers below 200, which never happened. It seemed that any corrective bolusing I did, would not bring me back down to the ground. I've also gone through the "what could go wrong, will" checks, changing my infusion site a few times, changing my reservoir, changing my insulin supply (which I had used before without any issues). Today, with night time boluses, I again awoke above 300. With hourly testing and aggressive shot boluses, higher than my estimates, I was finally able to stop "chasing the high."

By Noon I was back in my normal range and was able to enjoy lunch and the afternoon without my numbers rebounding too severely... you know, the "low always follows a high" theory. My numbers stayed between the 80s and 90s for the rest of the afternoon following a well calculated carb count for lunch. Unfortunately, we decided to grab pizza for dinner, which for Sunday night was an easy choice for the normally "kids go crazy" end to the weekend. Knowing what I had encountered all weekend, I was diligent in counting, using all the resources I could from the Internet food sites and nonstandard bolusing on my pump. My 2 hour post has be back up in the 300s and I'm cursing myself for eating pizza. I need to stop this bloodletting! Fortunately, I've been able to keep the keytones at bay. Tomorrow I need to check in with my CDE and/or my doc to see what is up with this. I don't like "chasing the high."

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Tags: blood, high, sugar

Comment by Karen on April 6, 2008 at 7:04pm
In the a.m. I do the same(bgs soaring), but I usually wake up with a normal bgs. You need to check your basals to get you in the normal range. It sounds like the dawn phenomenon. Have you done a basal test through the night? Once I fixed my basals through the night to wake up with a normal bgs, I then found through my sensor use since January that as soon as I wake up my bgs start to rise, and changing the basal will not fix that as I don't wake up at the same time especially on the weekends, so now when I wake up I shoot 1-2 units of insulin added to my morning breakfast to cover these highs. If I don't eat right away I will still bolus about .5 units when I wake up.
Comment by Shawn-ATL on April 6, 2008 at 7:15pm
Thanks for the comment. I was getting ready to test my basals for overnight. Up until a week or so ago, they were perfect in the morning (80-120) then suddenly I started waking up in the 200s. Once I get this under control, I will jump into a night testing to see what's up. I am also going to do some morning numbers testing to see what is going on from 6-8 am... in case it is jumping if I am not up and bolusing until later in the morning. Good suggestion with the .5 bolus. In "chasing the high" it seems like I need to be overly aggressive in my corrections, or they repeat and repeat until I do so. I will be interested to see what my number is before bed, or if I'll need to be up through the night to wrestle the beast.
Comment by Karen on April 6, 2008 at 7:32pm
not to be a downer, but......
..........when you finally figure it out, it might change again. :(

Every day is different and it is not an exact science, but we gotta keep on trying.
Comment by Karen on April 7, 2008 at 6:51pm
Any better this a.m. Shawn?
Comment by Shawn-ATL on April 7, 2008 at 7:47pm
Thanks for the thought! Yes, better than last night at this time, but we'll see. Read this post to see what my adventure was like today..

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