Confused

[Lauren]

Last night we had a 'snack' night - I ate sandwiches, crisps, buffet food basically. I waited three or four hours after eating to make sure my BG was ok before going to sleep, as I wasn't sure I had bolused quite the right amount, but was 90% sure I had. My BG was 7.1 when I went to bed at 1am.

At 5am my BG was 24.0!!! How did this happen?! I know I bolused for everything, but even if I did not I would only have been off my 10 or 20g at the most I put all my food on one plate to make it easier to carb count.

When I woke again at 7am, my BG was still 14.0 despite the massive correction bolus of 7 units of Novo, so I bolused for 2 more units. Now it is 12.1 so my pump suggested I take 2 more units alongside my breakfast.

Does it usually take this long for high BG to come down?

 

[Northerner]

Is it possible there was a problem with your pump, like a kink in the tubing or something so that the insulin wasn't getting through properly? Or is there a possibility that the insulin in the pump got a bit too warm so has lost its efficiency?

 

[Lauren]

Thanks for your reply 🙂 I did check my tubing and it looked ok, but I didn't think about the insulin getting too warm - and it was very warm last night. BG is 7.7 now but I think I will change the set to be on the safe side.

 

[Northerner]

Thanks for your reply 🙂 I did check my tubing and it looked ok, but I didn't think about the insulin getting too warm - and it was very warm last night. BG is 7.7 now but I think I will change the set to be on the safe side.

Hope that solves the mystery Lauren, and that you have no further issues! 🙂

 

[bennyg70]

Could it be the amount of fat in the buffet food, if its lots of little sausages, onion bahjis, pastry type food etc, and you are anything like me and cant help but eat like a pig..! Then I suffer terrible delayed spikes which I need to bolus a lot of extra insulin for.

 

[everydayupsanddowns]

Bubble in the tubing? Are there any bubbles visible in the reservoir?

By the time it's passed through and meant that you've had no basal for 2 hours there's nothing to see

 

[Lauren]

Well I did eat a LOT of bad food yesterday so I suppose the fat content could have delayed the spike, but I'm still confused because I bolused for all the food I ate and if I spike later on I usually have low BG beforehand because of the insulin I've had. Or perhaps it was the cannula, maybe I was lying on the tubing and it twisted or something. Oh well, one of life's little mysteries. I will be much more careful next time!

 

[Lauren]

Ohhhh I've just checked my BG and it's 21.3 What's going on? Maybe the new cannula has gone in crooked or something. I can't win today!

 

[Flutterby]

How are you doing now Lauren? Could you be slightly under the weather thus getting these highs? it's very frustating, when you can't find an explanation. Hope it has settled down.

 

[everydayupsanddowns]

Hope you have changed that set now and your BGs have come down. Sometimes the only way to know if a set has gone dodgy is to swap and see.

 

[Lauren]

Hi 🙂 Yes I changed the cannula again and after much waiting my BG has gone back to normal. I don't know what caused the high though, I have been feeling ok in my self but possibly I had some slight illness I wasn't aware of for a few days. I thought perhaps I had given too much insulin when I had my buffet food, perhaps I went dangerously low in my sleep and my body released some glucagon to shoot it back up? But then that would not explain the highs all of the next day. Diabetes is so confusing lol. I'll get it right in the end! 🙂

 

[Flutterby]

Glad things are back to normal for you, sometimes we never know what caused a blip. Hope all continues to be ok now. I'm still confused by diabetes after 36 years!