[breezeonby]

I thought I had a bad vial of Novolog. I was getting ready to eat and my blood sugar is 240. I have had nothing to eat since 7:30PM last night. My blood sugar is climbing higher and higher and I do not know what is wrong. I am afraid to eat anything because I am worried that my blood sugar will go even higher. This is so very out of the ordinary for me. Does anyone have any suggestions?

 

[fgummett]

I think you need to eat and avoid stress or your body will be responding by providing extra BG. Can you eat food that you know will not raise your BG?

Stay well hydrated. Can you test for ketones?

Any chance you are coming down with an infection?

Do your BG readings match how you feel? Any chance the readings are wrong..? BG meter coded correctly etc...

What about your infusion site? Is it kinked or otherwise failing maybe?

 

[Shanny]

Breeze? Is it dropping yet? Try eating some protein which you know won't affect your BG, and lots of fluids. If this is a liver dump, it's one heckuva dump!

 

[breezeonby]

I think you need to eat and avoid stress or your body will be responding by providing extra BG. Can you eat food that you know will not raise your BG?

Stay well hydrated. Can you test for ketones?

Any chance you are coming down with an infection?

Do your BG readings match how you feel? Any chance the readings are wrong..? BG meter coded correctly etc...

What about your infusion site? Is it kinked or otherwise failing maybe?

Thanks for the fast reply. I am really concerned. I can eat a couple of scrambled eggs with some cheese, that won't raise my blood sugar. I have had 2 quarts of water. My ketone strips are expired. I can go to the store and get some if you think I need to test. I have never had ketones. I really don't feel bad, I am really not very hungry. I checked my blood sugar twice on my Breeze2 meter and even put in a new disc and used control solution. I have 2 other meters and both were in the 240 range. I have been using an I-Port and just changed it yesterday. I took a correction bolus at 2:35PM and I will see if it lowers my blood glucose. I took the 2:35PM correction bolus outside of the I-Port just to be on the safe side. I hope my blood sugar comes down. I will let you know in an hour. The only other thing that I can think of-is my Lantus working? I take my Lantus at 9PM every night, I know the vial is fresh, I just opened it. If my blood sugar doesn't come down in an hour, I think I may call my doctor. I guess I am not in any immediate danger.

 

[breezeonby]

Breeze? Is it dropping yet? Try eating some protein which you know won't affect your BG, and lots of fluids. If this is a liver dump, it's one heckuva dump!

Not yet. Something is wrong.

 

[fgummett]

Please do keep an eye on your BG and if you like, please let us know how it is going. Although 240mg/dl is probably higher than you are used to these days, I suspect that many of us here with Type 2 D were living for months if not years with BGs at that level -- just to help keep it in perspective.

You might check even with the expired ketostix. Just covering all the bases... DKA even in Type 2 is not completely unheard of... but I think it is more likely that you may have a bad site or insulin (as you suggested elsewhere) and this might have led to higher BGs over a few days... especially if it is your basal (Lantus) that has not been working properly. If that is the case I also wouldn't expect it to resolve back to normal for a couple of days.

I'm sure you are already aware but be careful not to "stack" correction bolus injections (giving another full strength dose while the previous is still active in your body) or you could come down too far.

 

[breezeonby]

OK-I dropped 100 points in 1-hour. That is the good news. Now I need to know if my Lantus is working properly. I have more vials, I will open another new vial tonight. Thanks for your help! I will get out the strips and check for ketones. I guess I need to keep these around for an emergency.

 

[fgummett]

Good News!

I wouldn't bother with the Ketostix unless your BG keeps rising (fas as I know DKA needs both high BG and ketones together)... on the other hand you may like to use Ketostix to monitor if you're burning Fat on a LC/HF diet -- mine just showed moderate ketones, as they do often at this time of day

 

[breezeonby]

Checked blood glucose at 5:00PM and I was at 58. This is about my usual for this time of day, although it may seem low, this is the time of the day that my blood glucose has a tendency to go low. What a day of ups and downs! My diabetes can be so stubborn at times.

 

[fgummett]

I'm intrigued about the i-port you mention.. is it this device..? i-port® Injection Port

I'm assuming it is like an insulin pump's infusion site that you replace every few days but instead of attaching the pump, you inject your insulin(s) through it... saving on needle sticks?

If that is the case do you inject both Lantus and Novolog through the same i-port?

I really don't know, as I have not used the i-port (I did use MDI and then a pump), but given that Lantus apparently forms a precipitate in the subcutaneous tissue (http://www.diabetesforum.com/diabetes-treatment/2983-lantus-levemir-whats-difference.html), I wonder if this is an advisable practice?

 

[onaughmae]

Wow breeze, how scary when something like that happens. Glad you got it back down. Wonder what happened? I am curious too if you are using the i-port for both insulins. If so, maybe that was the culprit. Keep checking your blood sugar to make sure you dont go too low. Goodness knows I have over corrected myself more than once. I know when I have a day of extreme highs and lows I always feel miserable. Seems it takes me a day to get over it *sigh* *hugs* to you!

 

[Shanny]

Hope you get a good night's sleep, Breeze . . . you must feel like you were hit by a truck . . . So relieved you got it back down.

 

[breezeonby]

Injection Port

Yes, that is the proper device. I was taking a diabetes self-management class and a nurse was showing this device and I was interested in it, so she gave me 2 boxes of samples. They cost between $110-140 for a month supply, most insurance companies will not cover the cost. My insurance doesn't pay for them so I am buying them. I only take my Novolog injections through the port, I use the other side of my abdomen for my Lantus injection without the port. I really don't know if it is advisable to inject the Novolog & Lantus in the same port. I should probably find out, it would save me another 3 injections if I could use the same port. I love this little device, but not the price. This would be a perfect device for a small child with diabetes. BTW, you have to change the port every three days and insert it in a different place.

 

[breezeonby]

Hope you get a good night's sleep, Breeze . . . you must feel like you were hit by a truck . . . So relieved you got it back down.

I really feel stressed out. When my readings kept going higher and not responding to insulin, DKA was going through my mind. I know that it is not common for T2, but it can happen. I didn't want to spend a day in the ER. I hope things get back on track soon, I wouldn't want to go through this everyday.

 

[onaughmae]

I really feel stressed out. When my readings kept going higher and not responding to insulin, DKA was going through my mind. I know that it is not common for T2, but it can happen. I didn't want to spend a day in the ER. I hope things get back on track soon, I wouldn't want to go through this everyday.

I hope you get straightened out too. I always feel like crap after that happens to me. Mine shot up to 275 a couple of days ago before I realized i had obviously changed my pump site to a bad location. It came down after I moved it and took a couple of boluses, but I was dragging for the rest of the night!. Let us know how it goes and hang in there!

 

[onaughmae]

Yes, that is the proper device. I was taking a diabetes self-management class and a nurse was showing this device and I was interested in it, so she gave me 2 boxes of samples. They cost between $110-140 for a month supply, most insurance companies will not cover the cost. My insurance doesn't pay for them so I am buying them. I only take my Novolog injections through the port, I use the other side of my abdomen for my Lantus injection without the port. I really don't know if it is advisable to inject the Novolog & Lantus in the same port. I should probably find out, it would save me another 3 injections if I could use the same port. I love this little device, but not the price. This would be a perfect device for a small child with diabetes. BTW, you have to change the port every three days and insert it in a different place.

Was that a new I-port site? Sometimes if you have a bad pump site, the same thing happens. I had to change mine the other day for the same reason.

 

[breezeonby]

Was that a new I-port site? Sometimes if you have a bad pump site, the same thing happens. I had to change mine the other day for the same reason.

Yes, it was s new I-Port site. I replaced it this morning and moved it to another site. Just to be on the safe side.