BG stay high after corrections

[nessa1970]

Ok Was that 6 week period when you were really focussed on control? If so, that shows your BS can be controlled, so that's a positive thing. This is a bit of a different situation and I'm not sure how long it woukd take for your BS to come down. Indeed, it may be best to get it down gradually. With sugars that high, you will be very insulin resistant so your normal correction ratio won't work as it normally would.

Also azure when I test bs again at 3 hour if it's 20 is it then ok not to have to hospital? What is an ok drop from hi with 7 units correction to being ok. I took enough to drop to 10 bs

 

[Brian_123]

Hi. I started back on my insulin Saturday. My bs are 28 etc and so I do a correction mine is 1-5. And test again and again it's still the same so I redo it and no change. Insulin is new I use a new needle and I change the sight. I don't know what to do now so I'm just giving my normal regime and recording bs and that's all of can do. Any suggestions welcome of course. Cheers

Hi your BG levels are far too high, work out what your BG levels should be, I have a target of 7 > 7.5 each unit of QA ( quick acting ) insulin usually reduces your BG by 3, check your BG levels every 2 hrs, do not over correct as you could go hypo, QA insulin usually works over a period of 4 hrs, if you are well in yourself apart from your high BG it should reduce soon, colds, flu and other situations cause high BG levels, check your BG during the night if necessary your basal ( slow acting ) insulin may need adjusting, from whatever your ratios are, you should eat low carb or carb free foods, drink plenty of water, you may want the loo a lot don't worry, if necessary consult your diabetes specialist nurse, consultant or GP, my name is Brian, been a type 1 for nearly 65 years, try not to worry too much as stress can cause high BG along with other routine conditions and illnesses, persevere you will get your BG down in time.

 

[novorapidboi26]

When I was on injections I worked out separate correction ratios depending on BG levels.....

if I was above 17mmol/l I needed 1 unit for every 1mmol........so if I was 31mmol/l I would need 25 units or so to get me back on target.

You shouldn't do what I have done as you will almost definitely be different to me but it will give you an idea of what amount of correction you might be short and hence the slow drop back down.....

I hope you feel better soon....

 

[azure]

Also azure when I test bs again at 3 hour if it's 20 is it then ok not to have to hospital? What is an ok drop from hi with 7 units correction to being ok. I took enough to drop to 10 bs

I'm loathe to say don't go to hospital because you've said you're feeling ill and you know I worry. If your BS is going down, then that's a positive sign. You don't want to stack insulin, but you may need a higher correction dose. A doctor could make suggestions about an appropriate amount (if you phoned the ER).

 

[nessa1970]

Okay I'll test in 40 min that's 3 hours if it's still high I'll ring healthline for a correction change I won't do another one without speaking to them.

 

[nessa1970]

Hi your BG levels are far too high, work out what your BG levels should be, I have a target of 7 > 7.5 each unit of QA ( quick acting ) insulin usually reduces your BG by 3, check your BG levels every 2 hrs, do not over correct as you could go hypo, QA insulin usually works over a period of 4 hrs, if you are well in yourself apart from your high BG it should reduce soon, colds, flu and other situations cause high BG levels, check your BG during the night if necessary your basal ( slow acting ) insulin may need adjusting, from whatever your ratios are, you should eat low carb or carb free foods, drink plenty of water, you may want the loo a lot don't worry, if necessary consult your diabetes specialist nurse, consultant or GP, my name is Brian, been a type 1 for nearly 65 years, try not to worry too much as stress can cause high BG along with other routine conditions and illnesses, persevere you will get your BG down in time.

Bs target 4.5 to 7.5.
Correction 1-5. I took 7 unit as I thought that would drop me to at least 10. I am drinking water . I'm not sick as in a bug or anything. Just very very dry mouth thirsty an bit nausea as I'm hungry but can't eat till I've tested at 3 hours after correction. 30 min to go. I'm just bit weak in the body is all.

Also azure when I test bs again at 3 hour if it's 20 is it then ok not to have to hospital? What is an ok drop from hi with 7 units correction to being ok. I took enough to drop to 10 bs

 

[nessa1970]

When I was on injections I worked out separate correction ratios depending on BG levels.....

if I was above 17mmol/l I needed 1 unit for every 1mmol........so if I was 31mmol/l I would need 25 units or so to get me back on target.

You shouldn't do what I have done as you will almost definitely be different to me but it will give you an idea of what you amount of correction you might be short and hence the slow drop back down.....

I hope you feel better soon....

Thank you. I didn't realize you could correct so low. I'll wait till I've spoken to a nurse

 

[nessa1970]

I'm loathe to say don't go to hospital because you've said you're feeling ill and you know I worry. If your BS is going down, then that's a positive sign. You don't want to stack insulin, but you may need a higher correction dose. A doctor could make suggestions about an appropriate amount (if you phoned the ER).

I just tested bs 22.5. Bit early but that's good right been nearly 3 hours. So I'm good to eat asparagus boiled an not take fast acting? I don't need to ring healthline now do you think?

 

[shivles]

That's good you've come down a fair bit now hew:

Yes I would eat something low carb skip rapid for now, 4hrs from your last dose of rapid it should be out of your system so reassess and possibly give another correction

 

[azure]

I just tested bs 22.5. Bit early but that's good right been nearly 3 hours. So I'm good to eat asparagus boiled an not take fast acting? I don't need to ring healthline now do you think?

Keep testing to see if it continues to come down as hopefully it'll drop a bit more over the next hour or two.

Depending on what level it gets down to, you may still need to phone healthline for advice.

And yes, eat your asparagus

 

[nessa1970]

That's good you've come down a fair bit now hew:

Yes I would eat something low carb skip rapid for now, 4hrs from your last dose of rapid it should be out of your system so reassess and possibly give another correction

Yup I ate asparagus cheese tomato cucumber. So I'll test in another hour then crash. Thank you for advice

 

[nessa1970]

Keep testing to see if it continues to come down as hopefully it'll drop a bit more over the next hour or two.

Depending on what level it gets down to, you may still need to phone healthline for advice.

And yes, eat your asparagus

I rung.she said to go hospital within 2 hours as too high an doesn't want me correcting on my own.if it's drops lower tho I'll not go as I won't correct it or take anything else cept my 9 lantus. I'll reevaluate on fasting bs in morning if still 21 should I go dr or maybe see how day goes

 

[novorapidboi26]

I would probably say you should go in so that your levels can be brought down quicker than they are doing at the moment...

its really too long to be running that high....

Normally, if one has had the education, you would be correcting as well as taking increased levels of basal as well to help.....so it would be good to ask about getting training of some kind to help you deal with these situations in the future...

 

[shivles]

I agree if they say go in then go, they will be able to bring you down in a more controlled manner

 

[azure]

I rung.she said to go hospital within 2 hours as too high an doesn't want me correcting on my own.if it's drops lower tho I'll not go as I won't correct it or take anything else cept my 9 lantus. I'll reevaluate on fasting bs in morning if still 21 should I go dr or maybe see how day goes

It's really good that you gave them a call I know you really don't want to go to hospital and I sympathise because I'm no fan of hospitals myself, but if your BS stays high then they'll be able to get it down for you in a controlled manner and rehydrate you too. I was not keen when I was in hospital after diagnosis (BS was 25 at diagnosis) but within 24 hours I felt a lot better. I thought I felt OK when I was admitted but it wasn't until my BS got down that I realised just how **** I'd been feeling. The hydration drip alone made me feel much improved.

Don't rule it out. It would be easier for you and would get everything sorted pretty quickly. You may also be able to take the opportunity to speak to a consultant and get expert advice on your insulin doses so that you don't have problems like this in future

Keep us updated and take care X

 

[nessa1970]

It's really good that you gave them a call I know you really don't want to go to hospital and I sympathise because I'm no fan of hospitals myself, but if your BS stays high then they'll be able to get it down for you in a controlled manner and rehydrate you too. I was not keen when I was in hospital after diagnosis (BS was 25 at diagnosis) but within 24 hours I felt a lot better. I thought I felt OK when I was admitted but it wasn't until my BS got down that I realised just how **** I'd been feeling. The hydration drip alone made me feel much improved.

Don't rule it out. It would be easier for you and would get everything sorted pretty quickly. You may also be able to take the opportunity to speak to a consultant and get expert advice on your insulin doses so that you don't have problems like this in future

Keep us updated and take care X

Thank you. I spoke to dn she changed correction to 1-4 an lantus 11 evening an morning. Hi again so corrected 8 as I don't no what number hi equals. I have a question as my c.peptide test came back in mortal range an I did alot of Google work albeit above my head most of it. But type 1 has low c peptide type 2 normal to high. Now I know I'm type 1 endo says so an dn cause of those antibodies... so how come my c.peptide is normal? I mean I see it as great as this is why I didn't get this dka thing right? As the sub dn was surprised I didn't get it 10 days no insulin... I feel like somethings going on. Anyway that's the update fasting bs was 18. Dn said I'm to correct and be vigilant with this but to do it with meals and before bed set alarm for night time testing not to correct under 4 hours from a correction. Eyes roll shoulders up. Ffffff ok so I'm trying. X

 

[azure]

You're trying hard I absolutely know you are, and how frustrating this must be for you - every aspect.

I've never had a C Peptide test myself and I'm not a doctor or a scientist, so all I can do is give you my opinion as a layperson with Type 1. When I was first diagnosed, I was upset and the surgery got an older Type 1 to phone me. She'd been diagnosed three years. She told me that she went through phases of having hypos just before lunch for no reason and I was to,watch out for this. She had had a C Peptide test and it showed she was still making some imsulin of her own, even three years after diagnosis. She was diagnosed as a young adult and was told that Type 1 comes on slower the older you are (ie slower than in children).

So that could be what's happening to,you. I've also read that some people still have some functioning islets many years after diagnosis. So - you can be Type 1 and still have some insulin production of your own. In addition, I've read that Type 1 is not solely a 'lack of insulin' - it's a disruption to that whole endocrine system. In simple words - the system that controls your blood sugar is totally messed up.

You said you were low carbing and yet your BS was so high the meter couldn't read it. So, to my unprofessional mind, that shows only too clearly that you need insulin. Online there is information that says DKA can take varying lengths of time to develop in those with Type 1 who don't take their insulin. This can vary from a day or so to a few weeks. But whether DKA develops quickly or slowly, high blood sugar is causing damage in the meantime.

I know you hope that your diagnosis may be wrong. You're not alone. I'm sure most Type 1s dream and hope that too. But accepting Type 1 means you can get on with your life. It doesn't mean liking it. I hate Type 1, but I accept I have it and I deal with it because I want to stay healthy.

Best wishes as always @nessa1970 X

 

[nessa1970]

You're trying hard I absolutely know you are, and how frustrating this must be for you - every aspect.

I've never had a C Peptide test myself and I'm not a doctor or a scientist, so all I can do is give you my opinion as a layperson with Type 1. When I was first diagnosed, I was upset and the surgery got an older Type 1 to phone me. She'd been diagnosed three years. She told me that she went through phases of having hypos just before lunch for no reason and I was to,watch out for this. She had had a C Peptide test and it showed she was still making some imsulin of her own, even three years after diagnosis. She was diagnosed as a young adult and was told that Type 1 comes on slower the older you are (ie slower than in children).

So that could be what's happening to,you. I've also read that some people still have some functioning islets many years after diagnosis. So - you can be Type 1 and still have some insulin production of your own. In addition, I've read that Type 1 is not solely a 'lack of insulin' - it's a disruption to that whole endocrine system. In simple words - the system that controls your blood sugar is totally messed up.

You said you were low carbing and yet your BS was so high the meter couldn't read it. So, to my unprofessional mind, that shows only too clearly that you need insulin. Online there is information that says DKA can take varying lengths of time to develop in those with Type 1 who don't take their insulin. This can vary from a day or so to a few weeks. But whether DKA develops quickly or slowly, high blood sugar is causing damage in the meantime.

I know you hope that your diagnosis may be wrong. You're not alone. I'm sure most Type 1s dream and hope that too. But accepting Type 1 means you can get on with your life. It doesn't mean liking it. I hate Type 1, but I accept I have it and I deal with it because I want to stay healthy.

Best wishes as always @nessa1970 X

Thank you very much for that. I'll take it as soon positive I'm still producing insulin tho mystified at why bs would be high an insulin corrections are going up an up still regardless of c peptide being normal. Yes I'm doing everything I should be water being my new friend lol. Will keep posted can't wait to see my dn next Friday.. have a great day and thank again x

 

[shivles]

How are you today? Have you managed to bring your BS down any?