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  #1 (permalink)  
Old 01-24-2008, 12:05 PM
shiftzor's Avatar
Senior Member
I am a: Type 1
 
Join Date: Aug 2007
Location: UK
Posts: 565
Stress

Hey, I think I have an explanation for random sugar levels, i just wondered what is the best thing to do when feeling stressed? I keep fire fighting either through eating or corrections, which is making it harder to work and meet my deadlines. I have been trying different things but nothing appears to work its so illogical, increasing insulin leaves me low and decreasing it makes me high.
Attached Images
File Type: jpg Last2weeks.jpg (83.1 KB, 73 views)
__________________

Standard Deviation:
18.08.08-17.09.08 SD: 2.2mmol/L or 40mg/dl
18.07.08-17.08.08 SD: 2.5mmol/L or 45mg/dl
18.06.08-17.07.08 SD: 2.1mmol/L or 38mg/dl
18.05.08-17.06.08 SD: 2.5mmol/L or 45mg/dl

HbA1c:
21.05.08: 6.2 (7.9mmol/L or 143mg/dl)
29.11.07: 6.1 (7.7mmol/L or 140mg/dl)
23.05.07: 8.1 (11.6mmol/L or 211mg/dl)
Diagnosed 27.08.06: 14.8 (24.7mmol/L or 450mg/dll)
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  #2 (permalink)  
Old 02-12-2008, 02:06 AM
ant hill's Avatar
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I am a: Type 1
 
Join Date: Dec 2006
Location: Hastings Melbourne Australia
Posts: 3,110
Hey Shiftzor, Stress has always has been blamed for high BG's and I see that in the morning you're good but the fasting is higher than what you're were in the afternoon or the numbers in the bottom are the days of the week? as the dots are the tests. So in that case then early in the month you are good and then later you were getting those lows and then the highs.
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Peter
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Old 02-12-2008, 04:57 AM
Jill-O's Avatar
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I am a: Type 2
 
Join Date: Feb 2007
Location: Spotsylvania, VA (USA)
Posts: 1,431
I can testify that what they say about stress is VERY true. I've seen stress really spike my levels, even when I didn't realize I was very stressed... About 2 weeks ago, I had a horse w/ gas colic (first colic here since 1999 or 2000), and I wasn't really "very" worried. Had the vet out, horse is fine.

The day this happened and the day before, I had the exact same breakfast -- 2 no sugar added yogurts (24 carbs, 160 caories total). The day before my pre-lunch number was 85. The day of the sick horse, my pre lunch number ws 205!!!!!!!!!!!!!!!!!!!! The only thing I can attibute it to is emotional stress.

Not sure how to put it in context so it's understandable by other people, but his was an example that in my life is honestly more a routine "stress" and not an I can't sleep at night kind of worry. Almost along the lines of an inconvenience (since I sincerely felt the horse would be feeling fine soon -- and she was). Just a mild stress... so when something VERY stressful happens, or when the stress is "mild" but prolonged, I can only imagine the impact.
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Diet (carb aware) and Daily Exercise (walking and working horses)
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Old 02-12-2008, 07:46 AM
shiftzor's Avatar
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I am a: Type 1
 
Join Date: Aug 2007
Location: UK
Posts: 565
Quote:
Originally Posted by Jill-O View Post
I can testify that what they say about stress is VERY true. I've seen stress really spike my levels, even when I didn't realize I was very stressed... About 2 weeks ago, I had a horse w/ gas colic (first colic here since 1999 or 2000), and I wasn't really "very" worried. Had the vet out, horse is fine.

The day this happened and the day before, I had the exact same breakfast -- 2 no sugar added yogurts (24 carbs, 160 caories total). The day before my pre-lunch number was 85. The day of the sick horse, my pre lunch number ws 205!!!!!!!!!!!!!!!!!!!! The only thing I can attibute it to is emotional stress.

Not sure how to put it in context so it's understandable by other people, but his was an example that in my life is honestly more a routine "stress" and not an I can't sleep at night kind of worry. Almost along the lines of an inconvenience (since I sincerely felt the horse would be feeling fine soon -- and she was). Just a mild stress... so when something VERY stressful happens, or when the stress is "mild" but prolonged, I can only imagine the impact.
It sounds like I’m not the only one that stressed, doesn’t appear to be a lot that can be done about it other than relaxing and trying not to stress out I had the same thing, my regular breakfast that I have everyday suddenly started to give me grief for no apparent reason It must be the stress I can’t think of anything else.

Quote:
Originally Posted by ant hill View Post
Hey Shiftzor, Stress has always has been blamed for high BG's and I see that in the morning you're good but the fasting is higher than what you're were in the afternoon or the numbers in the bottom are the days of the week? as the dots are the tests. So in that case then early in the month you are good and then later you were getting those lows and then the highs.
The dates are along the bottom (January is the month) things where ok until the 18th to the 24th when I suddenly my bg went to extremes of both ends High/Low bgs just make the stress worse I found because not only was I dealing with the task in hand but also my bg levels.
__________________

Standard Deviation:
18.08.08-17.09.08 SD: 2.2mmol/L or 40mg/dl
18.07.08-17.08.08 SD: 2.5mmol/L or 45mg/dl
18.06.08-17.07.08 SD: 2.1mmol/L or 38mg/dl
18.05.08-17.06.08 SD: 2.5mmol/L or 45mg/dl

HbA1c:
21.05.08: 6.2 (7.9mmol/L or 143mg/dl)
29.11.07: 6.1 (7.7mmol/L or 140mg/dl)
23.05.07: 8.1 (11.6mmol/L or 211mg/dl)
Diagnosed 27.08.06: 14.8 (24.7mmol/L or 450mg/dll)
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Old 02-12-2008, 07:58 AM
xMenace's Avatar
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I am a: Type 1
 
Join Date: Jun 2006
Location: Rothesay, New Brunswick Canada, eh
Posts: 7,119
Can I assume the midnight hour is the date change? If so, it looks like you have a consistent increase in the late evenings. What's your basal? Could it be running out?
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In Defense of Food with Michael Pollan


T1 1975, MM 722 pump

10/08
A1C 7/08 6.1%
HDL - 1.74 (67)
LDL - 1.89 (73)
Triglicerides - 0.52 (47.0)


7/08
A1C 7/08 5.9%
HDL - 1.55 (59.9)
LDL - 1.76 (68.1)
Triglicerides - 0.44 (40.0)

John
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  #6 (permalink)  
Old 02-12-2008, 08:11 AM
shiftzor's Avatar
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Quote:
Originally Posted by xMenace View Post
Can I assume the midnight hour is the date change? If so, it looks like you have a consistent increase in the late evenings. What's your basal? Could it be running out?
I dont think it was basal running out the lantus was changed on the 28/12/07 which means by the 24/01/08 i had been using it for 28 days. It was then changed on the 26/01/08 which is 30days. Yes you are right change of date is late night/early morning.
__________________

Standard Deviation:
18.08.08-17.09.08 SD: 2.2mmol/L or 40mg/dl
18.07.08-17.08.08 SD: 2.5mmol/L or 45mg/dl
18.06.08-17.07.08 SD: 2.1mmol/L or 38mg/dl
18.05.08-17.06.08 SD: 2.5mmol/L or 45mg/dl

HbA1c:
21.05.08: 6.2 (7.9mmol/L or 143mg/dl)
29.11.07: 6.1 (7.7mmol/L or 140mg/dl)
23.05.07: 8.1 (11.6mmol/L or 211mg/dl)
Diagnosed 27.08.06: 14.8 (24.7mmol/L or 450mg/dll)
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Old 02-12-2008, 09:46 AM
Eddy's Avatar
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Join Date: Jan 2008
Location: Kansas, US
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Quote:
Originally Posted by shiftzor View Post
I had the same thing, my regular breakfast that I have everyday suddenly started to give me grief for no apparent reason It must be the stress I can’t think of anything else.
Any chance that you developed an allergy or something?

I used to eat an eight-grain cereal for breakfast. Covering with Humulin-R would keep my BG almost perfectly level.

One day... wham! 12.5 @ 2-hr post. I avoided the cereal for a few days...

...then tried it again. Felt bad, checked, and sure enough: 13.

Skipped it for a day, then tried again. BG ended up at 15. (Other than a May 2007 panic binge during my first 3.0-BG hypo, I've never been above 14 since DX.)

I've not touched the stuff since. I have no idea if it somehow picked up some mold, if I developed a reaction to the cereal itself, or what... but I've had neither the time nor the interest to mess around with it again.

The upside is that I've come up with a pancake recipe that I thoroughly enjoy.
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DXed 2007/04 = advanced-stage DKA, A1c of 12.9%, and BMI of 21.3
post-DX A1c = 5.4% @ 2008/07; 5.2% @ 2008/04; 5.3% @ 2007/12; 5.3% @ 2007/08
c-peptide = 0.0% @ 2008/07
current BMI = 26.0 (86kg on 182cm); want to get back to 23-24
basal = NPH and Levemir, ~35U daily (I really should start a thread)
bolus = 1:15 I:C ratio; varying mix of aspart, human R, human N

not a low-CHO eater... not even close!
last updated 2008/11/03

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Old 02-12-2008, 10:49 AM
shiftzor's Avatar
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I am a: Type 1
 
Join Date: Aug 2007
Location: UK
Posts: 565
Quote:
Originally Posted by Eddy View Post
Any chance that you developed an allergy or something?
Don’t believe so, it’s an interesting suggestion though. The deadline was the 25th January 2008. I have uploaded a more recent image, interesting having relooked at it and it may have been the basal after all, since the spikes at meal time don’t go away until after the 31/01/08. I increased my basal from 10units to 11units, seems it was a good move after all. I still think stress contributed to it . I still don’t have it perfect, Christmas has totally messed me up lol.


Sorry for the huge post.
Attached Images
File Type: jpg BGFun.jpg (87.1 KB, 35 views)
__________________

Standard Deviation:
18.08.08-17.09.08 SD: 2.2mmol/L or 40mg/dl
18.07.08-17.08.08 SD: 2.5mmol/L or 45mg/dl
18.06.08-17.07.08 SD: 2.1mmol/L or 38mg/dl
18.05.08-17.06.08 SD: 2.5mmol/L or 45mg/dl

HbA1c:
21.05.08: 6.2 (7.9mmol/L or 143mg/dl)
29.11.07: 6.1 (7.7mmol/L or 140mg/dl)
23.05.07: 8.1 (11.6mmol/L or 211mg/dl)
Diagnosed 27.08.06: 14.8 (24.7mmol/L or 450mg/dll)
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Old 02-12-2008, 07:36 PM
ant hill's Avatar
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I am a: Type 1
 
Join Date: Dec 2006
Location: Hastings Melbourne Australia
Posts: 3,110
Unhappy My Blood Glucose Readings

Still Shiftzor, That's not too bad as that your readings are very much in the green.
Have a look at mine as I have been all over the shop.


As you can see that I have to learn carb counting and so I just cannot wait in March to do this course.
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Sugar is allowed but buy how much.

Peter
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  #10 (permalink)  
Old 02-13-2008, 07:39 AM
Member
I am a: Type 1
 
Join Date: Oct 2007
Location: Scotland
Posts: 173
Shiftzor:

Since you are obviously using Winglucofacts, run the "modal day" for the data over about a 2 week period. That should make it a lot easier to pick out any trends (e.g. you seem to go highest late evenings).

I find that my basal requirements shift up and down a bit and as little as 2 extra units of Lantus can literally be the difference between generally decent control and apparently random wild swings.

Do you take your Lantus in the evening? A lot of people find it doesn't quite cover for 24 h, particularly if, like you, you are taking quite a low dose. The "shortfall" tends to show up around the time of injection where yesterday's dose is wearing a bit thin and today's hasn't got up to speed yet. One way round this is to split your Lantus dose into 2 and take your shots approximately 12 h apart. That way you end up with two smaller holes instead of one big one, which sometimes helps.

Joel
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  #11 (permalink)  
Old 02-13-2008, 11:43 AM
shiftzor's Avatar
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I am a: Type 1
 
Join Date: Aug 2007
Location: UK
Posts: 565
Quote:
Originally Posted by JJM335 View Post
Shiftzor:

Since you are obviously using Winglucofacts, run the "modal day" for the data over about a 2 week period. That should make it a lot easier to pick out any trends (e.g. you seem to go highest late evenings).

I find that my basal requirements shift up and down a bit and as little as 2 extra units of Lantus can literally be the difference between generally decent control and apparently random wild swings.

Do you take your Lantus in the evening? A lot of people find it doesn't quite cover for 24 h, particularly if, like you, you are taking quite a low dose. The "shortfall" tends to show up around the time of injection where yesterday's dose is wearing a bit thin and today's hasn't got up to speed yet. One way round this is to split your Lantus dose into 2 and take your shots approximately 12 h apart. That way you end up with two smaller holes instead of one big one, which sometimes helps.

Joel
I take it around 7 o clock, well ive thought of this idea but i really dont want to do an extra injection. Mornings arnt a very good time for me as i dont always get up. I couldnt guarantee that i would get up at 8oclock and do an injection every single day of the week. I think pumping is the answer. I might try increasing my evening dose to cover the hole, but thats going to be messy as i cant dose low enough on me novopen 3 demi could do with a half of a half unit 0.25units, just to plug that gap.
__________________

Standard Deviation:
18.08.08-17.09.08 SD: 2.2mmol/L or 40mg/dl
18.07.08-17.08.08 SD: 2.5mmol/L or 45mg/dl
18.06.08-17.07.08 SD: 2.1mmol/L or 38mg/dl
18.05.08-17.06.08 SD: 2.5mmol/L or 45mg/dl

HbA1c:
21.05.08: 6.2 (7.9mmol/L or 143mg/dl)
29.11.07: 6.1 (7.7mmol/L or 140mg/dl)
23.05.07: 8.1 (11.6mmol/L or 211mg/dl)
Diagnosed 27.08.06: 14.8 (24.7mmol/L or 450mg/dll)
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