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03-20-2008, 04:21 PM
|  | Junior Member
I am a: Type 1 | | Join Date: Dec 2007 Location: Edgewood,MD
Posts: 24
| | | Experimented
Decided to take the pump off for the day because I needed to fast anyway for bloodtest. So last night around 10:00pm I tested my blood and was 97 mg/dl and the last time I ate and bolused was around 6:30pm. Woke up in the morning around 6:00pm and immediately knew I was high.Tested and was an astounding 578mg/dl  . Immediately corrected and kept testing for the next four hours until I was good again. Got home about 6:30pm, tested again and was 105mg/dl . So apparently at night I got allot more going on than in the day.
__________________
"DEREK"
Diagnosed Type 1 April 1994
Medtronic Minimed 715 Pump
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03-20-2008, 04:24 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Jul 2004 Location: Livonia, MI
Posts: 521
| | | Completely took off the pump? No basal insulin to replace your pump's basal deliver?
__________________
.scott.
.clear paradigm 722 w/ cgms.
.symlin when i remember.
4.23.08 A1C 6.2
1.23.08 A1C 6.5 |
03-20-2008, 04:38 PM
| | Junior Member
I am a: Type 1 | | Join Date: Dec 2007 Location: Edgewood,MD
Posts: 24
| | Quote:
Originally Posted by solox316  Completely took off the pump? No basal insulin to replace your pump's basal deliver? | Yeah, I know stupid. Was just curious how much it would fluctuate without food.
__________________
"DEREK"
Diagnosed Type 1 April 1994
Medtronic Minimed 715 Pump
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03-20-2008, 04:56 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Aug 2007 Location: North Texas
Posts: 1,818
| | | I know I go up an average of 50 points per hour without any basal insulin. Don't ever do that again you nut!! (Just messin' with you, but really don't experiment like that!) Ask questions on DF instead!
__________________  Type 1 since 1979
Pumping with MM 522 since Feb '08
HbA1c 6.1 - April '08 |
03-20-2008, 04:59 PM
| | Junior Member
I am a: Type 1 | | Join Date: Dec 2007 Location: Edgewood,MD
Posts: 24
| | | I was actually suprised at 578 mg/dl, I even woke up.
__________________
"DEREK"
Diagnosed Type 1 April 1994
Medtronic Minimed 715 Pump
|
03-20-2008, 06:51 PM
| | Senior Member
I am a: Type 1 | | Join Date: Aug 2007 Location: North Texas
Posts: 1,818
| | | Derek,
Is that the highest you've ever been? I feel horrible that high, but I'd never thought about not waking up. When I first used the pump about 4 years ago, the cannula wasn't in when I went to bed, and I woke up in the 500s and madder than _____! It all turned out to be user error. Were you just trying to make sure you were diabetic?! I think you learned well the principle of basal insulin! Once when I was about 19 or 20, I quit eating for several days and quit taking insulin. So I can't call you crazy!! I was hoping beyond hope that I could starve and not need insulin.
I'm glad you are ok.
__________________ Type 1 since 1979
Pumping with MM 522 since Feb '08
HbA1c 6.1 - April '08 |
03-20-2008, 07:04 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Jun 2006 Location: Rothesay, New Brunswick Canada, eh
Posts: 6,842
| | I'm curious what your basal rates are for those 12 hours.
Let's see (578 - 97) / 12 hours equals about 40pts an hour, the equivalant of about 8 grams of carbs. Interesting  |
03-20-2008, 08:04 PM
|  | Member
I am a: Type 1 | | Join Date: Oct 2006 Location: ChicagoArea
Posts: 165
| | | I am glad it was twistedtexan who did the experiment - thanks for the lab report.
While I am MDI and not pump, plus I do lantus at breakfast, I still have some basal in the system when I go to bed. I cannot imagine I have enuf in the system to overcome a reading of 578. I can go to bed at 150 and wake up at 90. I presume that I am without basal for 4 hours from 3AM to 7AM, as most report lantus is 20 hours long. By your experiment, I could really rise in that amount of time, but I don't think I do... am I talking myself into an experiment? - No thanks! |
03-20-2008, 08:22 PM
| | Senior Member | | Join Date: Sep 2004
Posts: 5,604
| | | Ok, no offense, but is your basic diabetes knowledge really this lacking?
You're lucky you didn't end up in DKA. |
03-20-2008, 08:23 PM
| | Senior Member
I am a: Type 1 | | Join Date: Jul 2004 Location: Livonia, MI
Posts: 521
| | Quote:
Originally Posted by Twistedtexan Yeah, I know stupid. Was just curious how much it would fluctuate without food. | I wasn't calling you stupid, just was making sure I understood your post. I can imagine how crappy you felt at 578, and what you had for ketones...
__________________
.scott.
.clear paradigm 722 w/ cgms.
.symlin when i remember.
4.23.08 A1C 6.2
1.23.08 A1C 6.5 |
03-23-2008, 12:28 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Jan 2008 Location: Kansas, US
Posts: 1,055
| | | Uhhhh....
Uhhhh....
Uhhhh....
Curiosity kills more than just cats.
Next time, consider decreasing your basal dose by a small amount. You wouldn't have doubled it just to see what happens, would you?
Be careful, please.
I'm curious what an unbolused 2L of Mountain Dew would do to me. (I used to do that all the time pre-DX!) However, I'm not curious enough to find out... knowing what a bolused 12oz can did to me[1], I don't do the Dew, even when correcting hypos.
[1] Fasting BG was 113. Injected 4U Humalog, walked around 30 minutes, drank 3U Mountain Dew. Twenty minutes later (nearing Humalog peak), I was up to 180. I'm scared to think what was happening pre-DX.
__________________ Eddy
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 = 4U human N @ 0630, 7U human N @ 1130, 7U human N @ 1630, 17U detemir @ 2030
bolus = 1:15 I:C ratio; varying mix of aspart, human R, human N
not a low-CHO eater... not even close!
last updated 2008/08/26 - playing with daytime basal again!
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03-23-2008, 01:17 PM
| | Junior Member
I am a: Type 1 | | Join Date: Dec 2007 Location: Edgewood,MD
Posts: 24
| | | I know what I did was stupid but I was curious to see what would happen, did not expect it to rise that quickly. It's just very strange to me that my night time insulin needs are so high compared to my daytime. I thought it may just be something I was eating or eating to late at night but even with fasting I see I still require alot of insulin at night. My nighttime basal is triple what it is during the day.
__________________
"DEREK"
Diagnosed Type 1 April 1994
Medtronic Minimed 715 Pump
|
03-24-2008, 05:29 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Dec 2007 Location: Landenberg, PA
Posts: 1,245
| | Derek,
Have you gotten use of a cgms? My endo set me up with minimed's 3 day unit a couple of times. The overnight activity is very interesting. Safer to do it that way than what you did too!
Glad you could report at least as a warning to others! 
BTW, when you are looking at endos in your area (from other post) ask about staff: pump specialists & nps. Sorry I don't live close enough ('bout an hour north) to have a recommendation.
Mike
__________________ 
Type 1 since '88
Pumping since 2002 |
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