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RE: [IPk] My BG won't come down!

Hi Eleanor

I think we have probably all had episodes like this when it takes a lot more
insulin that usual to bring down BG's and it is a problem when you go to bed
because you don't want to give yourself more than double the amount of
Lantus just because you have required more than double the amount of short
acting insulin throughout the day.  When this happens to me I check
regularly through the day and aim for 8 or 9 (rather than the 4-6 I usually
aim for) to try and stop me crashing with a hypo and then when I go to bed I
set the alarm and check it around 2 or 3 am.  There is little else you can
do.  My episodes like this are perhaps 2 or 3 times a year and are usually
due to infection or stress.  Occasionally however I do have a complete
baseline shift when my Lantus (or whatever it used to be) would suddenly
require adjusting by 3 or 4 units at a time.  This would cause a similar
effect but did not resolve itself in a couple of days.  This would happen
perhaps twice a year and for what reason I have no idea.  Sometimes up and
sometimes down but always without warning.

You live and learn


38 yo, IDDM 28 yrs. Pumper 2 years now back on MDI 

-----Original Message-----
From: Eleanor Joslin [mailto:email @ redacted] 
Sent: Wednesday, 29 December 2004 02:07 PM
To: email @ redacted
Subject: [IPk] My BG won't come down!

Hi all,

On Boxing Day I got a cold.  Or that was when I started getting the 
symptoms.  It's getting better now, but yesterday and today my BGs have 
been awful.  Yesterday evening, after having a normal sized lunch with 
2 more units of Novorapid than normal, and a lazy afternoon, I was 
horrified to find my BG was 21.5.  I took 16u (for the amount of food I 
was having, it would normally be about 11) and waited 1 hour before 
eating, in which time it went down to 16.3.  Since by then it was 10pm 
I thought I had better eat anyway.  Took my Lantus around midnight, 
stayed awake until 2am but by then it was still at 14.  I didn't do 
anything then except go to sleep, because my BG usually goes down a lot 
overnight if I don't eat anything at bedtime.  Sure enough this morning 
it was 8.1.  However, it had gone up to 11.3 by lunchtime - this time I 
took 5u more than normal to avoid a repeat of yesterday - and thought I 
was on the right track when at 4:15 it was still 11.3.  But at 5:30 it 
had gone up to 21.5 again.  So I've just taken another 5u of Novorapid 
from a new cartridge straight from the fridge - just in case - and am 
emailing to say please help - is there anything else I should be doing?

I am staying with my parents and I left my ketostix at home, but I feel 
fine apart from sniffles and other normal symptoms of a cold, and those 
are clearing up.



(27yo, Type 1 dx 2002, Lantus/Novorapid)
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