[IPk] Unexpected glucose rise
I do hope someone can explain why my blood sugar went up a lot yesterday
evening. Can anyone suggest where I went wrong.
Breakfast was fine and bgs OK. I tried a fast at lunch to try to find out
if I needed more basal or another ratio for bolus. Everything went well and
I can clearly see that I need more basal from midday to 7.00 pm. I gave a
correction basal with my 8.00 pm test.
Now the nitty gritty problem. I have gastro paresis and get constipated for
weeks on end even when taking small amounts of medicine to improve this. It
often ends in diarrhoea (sp) which I do my best to avoid. I had baked beans
to try to help the matter with my evening meal and I expect these take
longer to be absorb. I worked my insulin out using my new ratio which I
thought was working and my bgs continued to go up and up. I thought about
pump problems and gave humalog correction doses of 2 units with a syringe at
11.00 pm - still going up so 2 more with syringe at 2.00 am. It started
coming down by 3.00 am and I continued testing 2 hourly and it was perfect
coming down to normal again this morning. Panic over. But what went wrong.
Was it the baked beans? or another thought I have had is my digestion. I
know it takes time with gastro paresis for food to go through but I don't
usually need so much extra insulin for it.
I mentioned the constipation and I did begin to have decent bowel movements
during the evening. Does any one know if when this happens possibly the
glucose is not absorbed properly. I would have though glucose was absorbed
much earlier in a food cycle. This may not sound very important to you but
with the problems I have been having recently I am afraid to let things get
out of hand. Only yesterday the nurse said I could continue on my own
without her help and I have always been able to do this, as I did last
night, but I want to know why this incredible rise.
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