Quote:
Originally Posted by Real4  What are you DOING about it? Testing more, correcting, increasing insulin dosages both basal and bolus. You should be doing all those things. |
Definitely testing more. Perhaps increasing boluses, but only if confident - running a bit high and feeling safe and secure for a few days may be better than risking unknown lows if not sure or confident about the situation.
Corrections need to be treated with extreme caution as sometimes the effect of being sick defers the action of a bolus. Take a correction without realizing that the bolus has not been "consumed" or "canceled out" but rather has been deferred - and will kick in a bit later - and you've invited more woes on yourself as the bolus and the correction rush in either at once or after the other, and you BGs will start looking like a rollercoaster from the ramifications. So a lot of care has to be taken there.
Increasing basal might be a good idea but then again it may be a terrible one. If things are volatile and the body changes it's tune you could have half a day of lows on your hands. It really does depend on the situation.
Nausea not being a factor here really helps. Now that REALLY sucks, trying to manage BG through insulin therapy and not knowing what food/drink you can hold down.
I'm not trying to negate your points - they should be firmly on the table - but a boots'n'all attitude can spell disaster and the element of stress and difficulty of being insulin dependent in an unpredictable BG landscape has to be taken into account in the decision making process. Often it really is not a cop out but truly the best thing just to ride high for a bit and take it easy.
Quote:
|
Otherwise, having high blood glucose just goes with being sick. It's normal as a matter of fact.
|
There's not usually an "otherwise" about it. Good control is not automatically achievable during sick times even with effort put in. Sure it can happen. Not realistic to assume it is going to in any given case, though.
