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Insulin not working

C

CIarebear

Active Member
Messages
36
Type of diabetes
Type 1
Treatment type
Insulin
Woke up with high blood sugar. First insulin dose was 18 units as seen on chart, next 3 were 8,8,4 (20 total) then 10, then 10 again! Meaning I’ve done 58 units in the last 3 hours and I’m still at 21! I’ve had covid in the last week but im on the mend now. My insulin is fiasp. And long acting tresiba.IMG_4238.png
 
Have you spoke to your DN or Doctor about this ?
Of course the covid will have had some effect on things.
maybe see in another week
 
Haven’t spoken to doctor as of yet as assumed it would come down with insulin. My control whilst having Covid has been okay. But today is just off the scale.
 
CIarebear said:
Haven’t spoken to doctor as of yet as assumed it would come down with insulin. My control whilst having Covid has been okay. But today is just off the scale.
Click to expand...
OK see how it is after a few days if still high then speak to your Dr or Diabetic Nurse
 
Have you checked ketones according to your sickday guidance? careful of potential crash, stacking... might be wise setting alarm a little higher than normal due to several correctional doses in relatively quick sucession. 45min to hour before fiasp can reach its peak be careful for next 3-5 hours whilst iob.
 
Have you tried changing the cartridge or doing a refill if you’re using a pump? Fiasp is notoriously flaky, it can decline early or react badly to extra heat.
I’ve very recently had to change a cartridge when mine seemed to have stopped working. It fixed the problem.
 
Thanks for all your comments and sorry it’s taken me so long to reply.

Shortly after posting it finally started to come down. I monitored the situation and luckily there was no crash. Managed to keep it pretty stable for the rest of the day and I’m pretty much back to my normal levels now (which aren’t ideal but not 22!)

Still cannot believe the amount of insulin it took to reduce it, I’m still using the same cartridge which seems to be fine. Just a very strange blip I guess.
 
Fiasp is 'a bit duff' at high BGs - I tend to need a lot more than normal for it to start working. I found Lyumjev about the same, novorapid needed more but not as much as Fiasp (which is slightly odd as its the same stuff with bits added).

Main thing is you got it down in a controlled manner - it can be a challenge when BGs go high, just one of the joys of T1
 
Last year i had an injection in my shoulder and it caused havoc for me.
I had 10 units to cover my evening meal and i ended up in the 20s (this is virtually unheard of for me) so i took 5 more units and went for a yomp. That would fix it.......it didn't so i took a taking a further 15 units totalling 30.
I was at a loss and the evening was getting on and city were on.

I have a stick with handles at each end that i use for physio.
I did not want to take anymore novorapid as it was 8 pm and having 30 units sloshing around my system which is 3 times my normal amount.
I put the football on and used the stick like oars and got about rowing watching city.....i had to leave the curtains open as they were in the way of the oars so goodness knows what anyone walking passed would have made of me is anyones guess.

I went to bed in the teens and woke up in the 8s.
Exercise with insulin works well for me normally but it just shows what can happen but at least i knew it was the injection.

I survived and just added it to my 50 years of experience.

Good luck

Tony
 
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