[IP] call for help from those up late tonight
Unfortunately, I cannot find a way to change from digest version of IP to
getting each email as sent. I say this as I would like to get some advise
tonight. can I please ask that anyone who has "coaching" for me tonight (I'm in
US now CST - it's 9:49 pm Minneapolis time) send me an email?
Anyway, today I had surgery on my right knee - tore my medial miniscus and had
a 'scope' My endo had suggested just suspending pump but I decided to go in with
50% basal as I'm pretty insulin sensitive (and I only starting seeing him at end
of December and have seen him twice). Anyway, surgery went great and I was
pleased to see that my BG was 150 in recovery.
Unfortunately within 2 hours it went up to 200. i decided it was recovery
realities and maybe those 4 saltine crackers I didn't bolus for that they gave
me in hospital.
Long story short, I cannot get my BGs to get out of the mid to high 200's. I
called the endo on call and he said this was common and I should increase my
temp basal. I explained I already increased it to 200% (max on the pump I have)
and had done so 3 hours before but was actually increasing to 280's. He again
reassured me and said to just keep correcting but "be careful" as it will come
down in a day or two or three...
It's another 2 hours later and I just tested at 277. I went ahead and ate and
also gave extra for meal. He explained that the inflamation was the culprit and
I should just keep doing what I was doing. I shared I wasn't used to being in
the 200's for so many hours and wanted to get it under control as I've read
about the impact of healing if one doesn't have BGs in range...
My concern is I've now have basal rates moved to double what they usually are,
and 200% temp basal which equals 400% of what they usually are. Is this common?
The last two weeks I did have to rachet my basals down as I had a couple weeks
of hypos or near hypos and adjusted both bolus and basal after doing fasting
tests. So, the increase is probably 350-370% increase compared to my July/early
August basal rates...
I want to go to sleep but am frankly nervous about when the impact of surgery
may "wear off." I am setting alarm for every two hours and will keep correcting,
but so far the corrections have not reasulted in any movement lower than 250's.
I did ketone test and it shows negative, but the strips show they expired in
April 06 (haven't had to test ketones in a year, rats!)...
I would appreciate any offline emails to my personal address (since I won't see
your answer until digest comes to me) if you have some thoughts/advice for me =
email @ redacted
T1: 02.05; Paradigm 522
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