Hypos...

[2high]

I had a really bad day with hypos yesterday, and today i seem to be paying for it...

So yesterday... I had my morning lantus, and was 8.0 mmol/l

half an hour later, was down to 2.9, so went and had a glass of OJ. I was shocked at how fast it had dropped!

10 minutes later I tested, was 2.6... had another glass of OJ, and a candy cane.

15 minutes later, I was down to 2.1, and feeling REALLY crudy and frustrated, so had a glass of cola, a candy cane, and some bread... by this point, I also felt ill from eating and drinking!!

10 minutes later, I was 1.9... what the heck?!?! more cola... yuck!

FINAllY came up to 2.6, then 5.1. I stayed around the 5 mark all day...

Until, at dinner, I was 4.0. Still ok, so had a SMALL bolus and a very high Carb dinner (dessert included butterscotch sauce... mmmm), then went for a walk with a friend and played on the swingset at the local park :D... I got home, and half an hour later was 2.6 again!! MORE food, and I was already full. I really dont understand why...

Anyway, I'm guessing I had another hypo in my sleep, and ended up with liver dump issues, coz I woke up at 20.7 mmol this morn... it came down very easily, but still...

Any suggestions on why this happened?!?!

[Cyborg]

Did you grab the fast acting insulin on accident? I've done that, been there...

[2high]

Did you grab the fast acting insulin on accident? I've done that, been there...

Nope... they're kept in two different places... I keep the novorapid with me, the lantus in the fridge.

[Cyborg]

Perhaps you could try to repeat the same thing to see if you can identify the culprit. Just be prepared this time with those glocose tabs...

[w5wjp]

Been doing the same thing.......months of bg's in the high 100's low-mid 200's and can't get them down even with Humalog by the buckets full. Now if I blink real fast, I go low....I have cut back on the Lantus by over 10% and the Humalog by nearly 50% and have had 2 mild lows in the last 2 days and narrowly missed another one today. My pancreas must have finally made it home from vacation.

[Cyborg]

Sounds like you are both ready for the pump...

[w5wjp]

I am......appt with endo Jan8th

[2high]

Sounds like you are both ready for the pump...

Remind me again... whats a pump?!?! Oh, that thing everyone keeps telling me about, the miracle machine... the thing i cant GET MY ENDO PINNED DOWN TO A DATE FOR!!!!!

(not yelling at anyone here... just trying to find a new Endo that wont procrastinate!!)

[Cyborg]

Now, now... I believe you stated you felt you weren't ready for the pump just yet. Am I wrong?

[MJM]

Awh! Kit, I'm sorry to hear that. Is it possible that you may have been rushing your insulin and given the wrong amount? Did you change what food you were eating and perhaps miscalculate the dosage? About a year ago something similar happened to me and I ended up in hospital after it. To this day I don't know what the reason was, and I was on the pump then. The reason I got the pump was because of all the hypos I was having and the fact that I couldn't control them. Would you have taken insulin for a food which you later didn't eat?

[2high]

Now, now... I believe you stated you felt you weren't ready for the pump just yet. Am I wrong?

Headspace is getting sorted, and my ed believes I'm ok to go ahead... its the endo that keeps stuffing us around now, and I am SO over these hypos... she gives me a date then comes up with a reason I cant do it then. My DE reckons I'll be happier full stop once I'm on the pump and am more stable :)

Awh! Kit, I'm sorry to hear that. Is it possible that you may have been rushing your insulin and given the wrong amount? Did you change what food you were eating and perhaps miscalculate the dosage? About a year ago something similar happened to me and I ended up in hospital after it. To this day I don't know what the reason was, and I was on the pump then. The reason I got the pump was because of all the hypos I was having and the fact that I couldn't control them. Would you have taken insulin for a food which you later didn't eat?

Heya... Nope, no insulin for food I didnt eat, all I had was my lantus. I guess it's possible that I took the wrong lantus dose (I'm on 30pm and 6am), but I dont think so... I'm wondering... Is it possible to be more sensitive to insulin at certain times?? Like the opposite of insulin resistance?? Or am I pulling rabbits out of a hat here??

[xMenace]

Do you take Lantus at night too? Seems like most are going to the split dose routine.

If so, it could be an absorption problem: you injected into a bad spot or it pooled on ya, and it only decided to kick in in the morning. I was taught to keep my current bottles room temperature. Cold was supposed to slow the absorption. Prolly standards have changed in 30 years.

I don't think it was your morning Lantus, it was too soon after and it's too slow acting. Your morning bolus maybe. I've been known to make oopsies like that.

Whatever it was, it's why we test.

[MJM]

I know when you go on the pump that you should have a better chance of dealing with highs and lows. The meal bolus that pumpers use (at least that I use) changes for each meal I take. i.e. Breakfast I might have a Carb Ratio of 13 : For Lunch it could be 18 to 20 and for Dinner it might be anywhere from 12 to 15. It changes with the weather and that changes a lot over here. Yeah! it goes from wet to wetter and then to even wetter again. I bet you're green with envy. You could be right about insulin sensitivity because at times in my situation I reckoned that that's what was happening me, but I don't know for sure. Kit, the harder you push for a pump the quicker you'll get it so start thinking down those lines now and start throwing shapes and make them sit up and take notice.

[grace girl]

Kit, when I was taking lantus in one dose, only in the morning, I had the exact same thing happen one day...for no reason whatsoever....it never happened again, but it really freaked me out. I was high that morning, and I went from 250 to 40 in less than an hour...and I KNOW I took the Lantus, not the Humalog. Perhaps you should think about splitting it up....I think it works better that way.
The only other explanation I can think of would be the monthly low thingie....

[johgn]

I'm new here and was reading and thought about something.
I've had one or two times where I shot humalog into a muscle instead of
fat, which causes to react in minutes sometime into the future (for me it was like 4-5 hours later).

[LantusFiend]

Yeah, if the lantus gets in the wrong place it acts faster and wears off faster.