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-   -   When you have an insulin oops (https://www.diabetesforum.com/diabetes-treatment/99579-when-you-have-insulin-oops.html)

moon 11-09-2019 23:44

When you have an insulin oops
 
This morning my fasting bg was 102. Time to insert a new sensor for my Dexcom G6 so got busy doing that. In the midst of it ... ooops! ... forgot basal so quickly injected 8:30 AM and got back to sensor. Error. Had to redo. Waiting for warm-up of sensor (takes 2 hrs) and while trying to figure out what had gone wrong thought oops ... forgot basal. Injected at 12:30 PM. Sensor later was accepted and I checked out my Dexcom graph. There it was, I had recorded the first basal injection.

Oops is right. Dang. Double dose. I realize this happens to most MDI insulin users at some point but the first time is unnerving.

My endo called back, told me what I figured but had wanted to confirm. A friend brought over coke! Apple juice! Pastry! Lemon cookies! All things I should eat. She said to eat high calorie, high carb with fat and protein to spread out the impact. And to go to sleep with high bg. Whoa - had I known I would have shopped in advance for some truly exotic treats. I've not eaten anything like this for 8 years!

Ironically, a couple of weeks ago I had gotten a cauliflower crust pizza at Target I think it was. Looked at the carbs, said 27, and I thought - I can do this! In my excitement I failed to look at the portion (duh) ... it was for 1/3 serving of what isn't a huge pizza. I could never have just a third without armed guards for enforcement so resolved to give it away. Kept forgetting to do that so it's sitting in my frig. Dinner tonight!

BG was 79 and falling a bit ago, ate a couple of lemon cookies and a donut and it's currently steady at 89.

My first insulin oops adventure.

mbuster 11-10-2019 14:37

Sorry that happened, how you doing this morning?

moon 11-10-2019 17:29

Doing well, thanks. I overshot with the carbs and soared to >200 and was at 200 at bedtime. Goal had been 170 bedtime. At least wasn't woken up with a low alert rather 102 fasting. Tresiba is on board longer than other basals (up to 36 hrs) so will take another day to level out. Took a bit less this morning.

The pizza last night was delicious but had to force myself to eat all of it. A lot of food! I added things (more pepperoni, olives, salami); however they did the cauliflower crust was impressive. That was 80 carbs that I munched on all night (and lots of protein/fat). The donut and cookies I figured at about 200 throughout the day. Plus some sips of apple juice (tossed the coke!)

rsfletcher 11-15-2019 15:59

As I've been injecting myself for more than 50 years I can relate to this - I've had a few insulin oops. You gotta wonder how many deaths could be attributed to this. Once I injected my fast acting insulin when I meant to inject slow acting insulin and as I took more long acting than fast acting - I not only injected the wrong insulin but a lot of it. I realized it as soon as I finished injecting it - freaked out - than ordered a large pizza, a big bottle of coke and ate enough for three people ... fortunately at that time (1980s) - my fast acting usually took 4 hours to start working so I was able to compensate. If I did that now - it would be a little bit more scarier. The most common mistake I used to make (when I used to inject my long acting insulin at night) was forgetting to inject myself. I would clue in until finding the pen still in my pocket the following morning. My BGs would run constantly high when I would do this. I haven't messed up recently but as we are all human - I'm sure I will mess up again at some point.

dp8888 11-21-2019 02:29

OMG! i remember well when Humalog just came out. I have been a type 1 diabetic for 34 years now. I was suppose to take my ultralente and took the humalog. It was a big dose. I ate everything in site and had my husband drive me to the ER in case I
passed out. We sat in the parking lot for a bout an hour. my blood sugar was high but I knew I was safe. I never had so many carbs in my life!

moon 11-21-2019 05:17

Quote:

Originally Posted by dp8888 (Post 1323565)
OMG! i remember well when Humalog just came out. I have been a type 1 diabetic for 34 years now. I was suppose to take my ultralente and took the humalog. It was a big dose. I ate everything in site and had my husband drive me to the ER in case I
passed out. We sat in the parking lot for a bout an hour. my blood sugar was high but I knew I was safe. I never had so many carbs in my life!

Much scarier mistake than mine! Had it been my Novolog instead ... it's a heart attack that would've taken me out!

Smart thinking to hang in the hosp parking lot - what a memory!

rsfletcher 11-21-2019 19:29

Quote:

Originally Posted by dp8888 (Post 1323565)
OMG! i remember well when Humalog just came out. I have been a type 1 diabetic for 34 years now. I was suppose to take my ultralente and took the humalog. It was a big dose. I ate everything in site and had my husband drive me to the ER in case I
passed out. We sat in the parking lot for a bout an hour. my blood sugar was high but I knew I was safe. I never had so many carbs in my life!

Sounds like many of us have experienced that. Another thing that can be just as scary ... 3 weekends ago I was traveling and must of picked up a stomach bug or something. It was dinner time - I gave myself 10 Units of humulog to manage the food I was about to eat. I ate - wham - ran to the washroom where I threw up ... It was like an instant loss of appetite. I tested myself 20 minutes later and I was down to 55.8. I almost panicked - how could I increase my BGs if I was going to vomit everything up again.
Fortunately I was able to buy some sweet iced tea from a vending machine and gobbled it down without having it come back up thus raising my BG levels. I remember saying to my spouse - if I can't keep anything down take me to Emergency. Terrible feeling ...

dp8888 11-22-2019 03:08

Quote:

Originally Posted by moon (Post 1323573)
Much scarier mistake than mine! Had it been my Novolog instead ... it's a heart attack that would've taken me out!

Smart thinking to hang in the hosp parking lot - what a memory!

I don't know if I was smart but I was afraid. I volunteered many times at diabetes camp before I even had children. Well my daughter developed type 1 as well at the age of 10. We had a teen counselor that did the exact same thing. She had a massive seizure that scared all the kids. I asked my newly diagnosed daughter what she learned from camp and she said insulin is a lot more serious than she thought. Hard lesson to learn. And so scary for all.

dp8888 11-22-2019 03:18

There will be more. I hate to say that but food poisoning ,sickness, flu all do a number on your blood sugars. just be prepared. Zofran for nausea has been a god send at times.

jammer 12-07-2019 19:56

Quote:

Originally Posted by rsfletcher (Post 1323511)
You gotta wonder how many deaths could be attributed to this.

And not taking pills or taking the wrong ones at the wrong time.
I take pills in the morning and other ones at night.
I've taken my morning ones in the morning and also at night by mistake.


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