TheClockworkDodo
Well-Known Member
- Relationship to Diabetes
- Type 1
... or, The Riddle of the Disappearing Blood Sugar 😱
featuring the random delayed reactions and the incredible 12-year honeymoon!
Anyone fancy themselves as a detective? Get yourself a cup of tea, I have a puzzle you might be able to solve ...
The documents in the case:
Thursday 19 January
19.31pm 5.6 libre, 5.7 meter - injected 7u Novorapid, ate risotto followed by fruit yogurt and a few raisins (counted).
I always inject extra for rice as it spikes me, so it's easier to inject an extra unit to prevent the spike and then eat a hobnob a couple of hours later to prevent a hypo.
20.33pm 4.7 libre - surprisingly low (normally go up to 9 or 10 after rice) - ate hobnob, 9.4g carbs
21.22pm 3.1 libre, 3.1 meter - drank fruit juice, c15g carbs
21.46pm 2.6 libre, 2.7 meter - thought bgl just a bit slow to go up so ate spoonful of sugar and a few raisins, c10g carbs
22.01pm 2.3 libre, 2.3 meter - yikes! - drank glucose c15g carbs (this would normally send bgl sky high)
22.32pm 4.7 libre - ate half a hobnob, then drank normal evening cup of mint tea with square of mint chocolate, c7g carbs
(I've left out a couple of scans also in the 4s here)
00.32am 4.4 libre, 4.2 meter - bedtime - ate 2 ryvita 13.4g carbs (would normally expect this to send bgl up fairly rapidly)
00.48am 3.9 libre 4.8 meter - ate hobnob 9.4 g carbs, got ready for bed, thought I should scan again before cleaning teeth ...
01.01am 3.5 libre, 3.9 meter, drank glucose c15g carbs
01.19am 5.1 libre, ate TUC biscuit 2.7g carbs
01.31am 5.9 libre and finally rising so got to bed at last!
Not counting the first hobnob, which I expected to have (albeit an hour later than I did), that's nearly 90g extra carbs in one evening, without insulin, and struggling to get bgl to stay over 4. At bedtime I'd usually have between 5.4g (2 TUC) to 13.4g (2 ryvita), depending on bgl.
Woke up with bgl around 9ish, which I often do as I have DP, but may mean I had about 10g carbs more than I needed.
So why did I need the other 80g carbs?!! That's a whole meal's worth, with no extra insulin!
And before anyone suggests it ...
Yes, I had exactly the same insulin I normally have for rice (I have an Echo pen so I checked later)
Yes, I had exactly the same amount of rice (R weighs it carefully when he cooks because it normally spikes me)
Yes, it's the same rice we normally have, we're halfway through a packet
Yes, I checked how much insulin was in my system before injecting (<=half a unit), that was normal too
Yes, I had exactly the same yogurt I normally have after rice
If anything I had slightly less exercise than usual after dinner (started ironing, had to stop as so hypo)
Yes, I had my normal amount of basal that day (I checked that on Echo pen too)
Yes, I definitely have type 1 diabetes (underweight and DKA on diagnosis, GAD antibody results off the scale)!
I can only think of 2 explanations - one is that I did some gardening that morning and had a random, and rather more major than usual, delayed reaction to the exercise. People with ME do have delayed reactions to exercise, and it can be up to 48 hours later. But I didn't do a huge amount of gardening and I've never had an evening quite like that before, even when I've done much more.
The other is that I still have an occasionally working pancreas, 12 years after diagnosis, and it suddenly decided to show off what it could do if it really put its mind to it ... 😱
Anyone else have any other ideas please (if anyone else is still reading this!)?
featuring the random delayed reactions and the incredible 12-year honeymoon!
Anyone fancy themselves as a detective? Get yourself a cup of tea, I have a puzzle you might be able to solve ...
The documents in the case:
Thursday 19 January
19.31pm 5.6 libre, 5.7 meter - injected 7u Novorapid, ate risotto followed by fruit yogurt and a few raisins (counted).
I always inject extra for rice as it spikes me, so it's easier to inject an extra unit to prevent the spike and then eat a hobnob a couple of hours later to prevent a hypo.
20.33pm 4.7 libre - surprisingly low (normally go up to 9 or 10 after rice) - ate hobnob, 9.4g carbs
21.22pm 3.1 libre, 3.1 meter - drank fruit juice, c15g carbs
21.46pm 2.6 libre, 2.7 meter - thought bgl just a bit slow to go up so ate spoonful of sugar and a few raisins, c10g carbs
22.01pm 2.3 libre, 2.3 meter - yikes! - drank glucose c15g carbs (this would normally send bgl sky high)
22.32pm 4.7 libre - ate half a hobnob, then drank normal evening cup of mint tea with square of mint chocolate, c7g carbs
(I've left out a couple of scans also in the 4s here)
00.32am 4.4 libre, 4.2 meter - bedtime - ate 2 ryvita 13.4g carbs (would normally expect this to send bgl up fairly rapidly)
00.48am 3.9 libre 4.8 meter - ate hobnob 9.4 g carbs, got ready for bed, thought I should scan again before cleaning teeth ...
01.01am 3.5 libre, 3.9 meter, drank glucose c15g carbs
01.19am 5.1 libre, ate TUC biscuit 2.7g carbs
01.31am 5.9 libre and finally rising so got to bed at last!
Not counting the first hobnob, which I expected to have (albeit an hour later than I did), that's nearly 90g extra carbs in one evening, without insulin, and struggling to get bgl to stay over 4. At bedtime I'd usually have between 5.4g (2 TUC) to 13.4g (2 ryvita), depending on bgl.
Woke up with bgl around 9ish, which I often do as I have DP, but may mean I had about 10g carbs more than I needed.
So why did I need the other 80g carbs?!! That's a whole meal's worth, with no extra insulin!
And before anyone suggests it ...
Yes, I had exactly the same insulin I normally have for rice (I have an Echo pen so I checked later)
Yes, I had exactly the same amount of rice (R weighs it carefully when he cooks because it normally spikes me)
Yes, it's the same rice we normally have, we're halfway through a packet
Yes, I checked how much insulin was in my system before injecting (<=half a unit), that was normal too
Yes, I had exactly the same yogurt I normally have after rice
If anything I had slightly less exercise than usual after dinner (started ironing, had to stop as so hypo)
Yes, I had my normal amount of basal that day (I checked that on Echo pen too)
Yes, I definitely have type 1 diabetes (underweight and DKA on diagnosis, GAD antibody results off the scale)!
I can only think of 2 explanations - one is that I did some gardening that morning and had a random, and rather more major than usual, delayed reaction to the exercise. People with ME do have delayed reactions to exercise, and it can be up to 48 hours later. But I didn't do a huge amount of gardening and I've never had an evening quite like that before, even when I've done much more.
The other is that I still have an occasionally working pancreas, 12 years after diagnosis, and it suddenly decided to show off what it could do if it really put its mind to it ... 😱
Anyone else have any other ideas please (if anyone else is still reading this!)?
