So how should I look at High #s

[Tc99]

Hello everyone. My A1C have been and are around 7. Little lower maybe, like 6.7 or 6.9. But how do you guys react when you see a hihg #, like 230 or something? Is that number horribly bad for 2-3 hours, or if it is an occasional # is it ok ?

[Tricia452008]

I see the occassional high number of 200 or so not soo bad because there are many cases of us having no control over them...but if your blood sugar is constantly that high then that is bad...but if your A1c is 6.9 or so then that is really good!! good job!

[spike]

I take a corrective bolus for a number like that. I hate seeing high numbers come up during a bg check.

[Scratch]

If I see a number like 230, I look at what my last bolus shot was, when it was, and then figure out if I need a correction bolus, and if so, how many units to get me to a target of around 100 mg/dl.

[Lynne1]

I take a corrective bolus for a number like that. I hate seeing high numbers come up during a bg check.

What if you bolus wizard thinks no correction is necessary?

[Cinnabon]

I would watch those numbers a bit. Dont want it to be steady. Here is a rough example of how the A1c's work:

A1c Average Blood Glucose

4 - 65
5 - 100
6 - 135
7 - 170
8 - 205
9 - 240
10- 275
11 - 310
12 - 345

[spike]

What if you bolus wizard thinks no correction is necessary?

I don't use the bolus wizard except on rare occasions. It is NOT the end all/be all for all pumpers. For some it is a godsend, for others like me, it's just not smart enough. I can factor in many things the pump cannot.

[Lynne1]

I don't use the bolus wizard except on rare occasions. It is NOT the end all/be all for all pumpers. For some it is a godsend, for others like me, it's just not smart enough. I can factor in many things the pump cannot.

That's so true. When I had an infusion set problem and my bgs were in the 500s the endo on call told me to correct using the formula (current bg - target bg)/correction factor. I was correcting according to the bolus wizard and wasn't coming down at all.

[Cinnabon]

I don't use the bolus wizard except on rare occasions. It is NOT the end all/be all for all pumpers. For some it is a godsend, for others like me, it's just not smart enough. I can factor in many things the pump cannot.

Spike, I agree;)

[spike]

Spike, I agree;)

:)

Ever get into your email acct?

and how is your eye?

[Cyborg]

I use the bolus wizard, but I don't rely on it. I guess you really need to have a feel if more insulin may be needed, perhaps due to an underbolus, etc.

I will take a correction bolus when high, even if I think it may cause a low later. When I do this, I simply watch my bg closely so I can eat a small snack or pop some glucose before I go low...

[Scratch]

I use the bolus wizard, but I don't rely on it. I guess you really need to have a feel if more insulin may be needed, perhaps due to an underbolus, etc.

I will take a correction bolus when high, even if I think it may cause a low later. When I do this, I simply watch my bg closely so I can eat a small snack or pop some glucose before I go low...
I've been doing that sometimes, purposely overbolusing and planning on a snack 2 to 2.5 hours later to cover the remaining extra. I'll do that here at work because my schedule is nice and steady, and I know where I'll be.

[Cyborg]

It sure beats waiting a couple hours for your bg to come down, only to find it doesn't...

[spike]

It sure beats waiting a couple hours for your bg to come down, only to find it doesn't...

Been there; done that a couple of times with the bolus wizard, even though the parameters are set into the options same as I use for my own calcs. It's just too d*mn timid!

[Scratch]

It sure beats waiting a couple hours for your bg to come down, only to find it doesn't...
The way I figure it, that extra unit when I overbolus is worth about 20-30 points off the mg/dl for me at the 2 hour mark after eating. Then I can simply cover that with a small 10 carb snack.

[rzrbks]

My question would be,

How do you stand the bad physical sensations you get when that high?

I hate the nasty way I feel when I go above 140/7.7, so I do whatever it takes to stay below that#.

[Cyborg]

I don't feel as bad going high, as when low. I do hate to see anything over 140 nowadays, but it does happen. I notice that taking my insulin well enough in advance before eating also helps...

[spike]

My question would be,

How do you stand the bad physical sensations you get when that high?

I hate the nasty way I feel when I go above 140/7.7, so I do whatever it takes to stay below that#.

Not everyone feels "bad" above 140! For example I don't fee lousy til around 240 on an Ultra meter (290 on a Compact). Other diabetics go around day and night above 300 and claim, when questioned, that they feel perfectly fine. One neighbor, now dead from DM, said he felt nothing unusual at 400+

It's all what you are used to, and how attentive you are to your body's signals.

[Erin]

I wouldn't think a high of 260 is "bad" but I would probably take a correction for it (unless I still had insulin working in my system). I don't see the point in making a value judgement, it'll just make me upset. I don't think a blood sugar of 500 is "bad" but I sure make sure that I take some insulin, and double quick.

[momof6]

Interesting, so as long as you correct the high number quickly(with insulin) then the problems(diabetic related) are less likely? I always thought that each high number did the same damage no matter how long it was present for. Learn something new everyday:wavey:

[Scratch]

Interesting, so as long as you correct the high number quickly(with insulin) then the problems(diabetic related) are less likely? I always thought that each high number did the same damage no matter how long it was present for. Learn something new everyday:wavey:
Basic idea is that it's total length of time spent at high numbers which cause the damage. So if you're a pumper or doing MDI, testing your sugars 8 or more times a day, you're more likely to catch those high numbers. And if you see one, correct for it, rather than just letting all that sugar sit in the bloodstream, and thereby decreasing the amount of time you would have been spending with a high number.

[xMenace]

I don't use the bolus wizard except on rare occasions. It is NOT the end all/be all for all pumpers. For some it is a godsend, for others like me, it's just not smart enough. I can factor in many things the pump cannot.


I agree. Mine's not even enabled.

[xMenace]

Interesting, so as long as you correct the high number quickly(with insulin) then the problems(diabetic related) are less likely? I always thought that each high number did the same damage no matter how long it was present for. Learn something new everyday:wavey:

Bisically yeah.

You're corrections depend on the reasons. If it's high because of fast acting sugars, your correction could then send you too low later. Many reasons at work and you have to be a good detective sometimes. My statement should also tell you why fast sugars are bad. They cause a spike in sugars. Slower acting sugars that match your insulin's working time frame are best.

[momof6]

thanks.:wavey: