Blood sugars from normal to HI

[Dragonflye]

Wow been on pump since June and immediately sugars were good, only had to make small changes... Fine up until just over a week ago and then my sugars have gone through the roof.

Yesterday the lowest my sugars got was 12.4 and today i managed to get it down to 8 (almost double the insulin it would have required a few weeks ago) but now its gone back up

i've increased my basal by about 0.5 units per hour (i was only on 0.6 before) and my sugars are still running high

I've redone infusion set at about 1 a day, changed the insulin im using and I am still at a loss to what on earth is going on

My HBA1C before the pump was 6.7 and now im dreading how high it's going to get before my next appointment, with the way things are going in my life at the moment they will take the pump off me :cry: and i fought for 3 years to get it!!!

 

[iHs]

Hi

I think it's common for bg levels to be ok for a while when first pumping but then the fun and games start and we then have to make changes.... lol

Remember autumn is coming and you could well need more insulin than you did in the summer. Also you say that hubby has just lost his job so that is going to give you more stress and could also increase your bg levels.

Not sure what other pumpers will say but I think I would for the time being put the pump on a TBR increase and monitor the changes. You can always change the basal rates for good once you know whether the bg rise is due to stress or change in weather temp. Not sure what pump you use but you should be able to create another profile if you wanted to and keep the old profile for the summer weather.

 

[jopar]

dragonfly

No it isn't common for this to happen,,,

If you are using humalog insulin, get a new supply in as there has been on batch number, which apparently been causing problems something to do with storing issues within the chain, the batch as been recalled from suppliers... I see if I can find the batch number for you and pm it if I can..

Another area to look at, is check the batch number of your sets and use a different batch no if possible, sometimes set's can cause problems as in the batch is duff, not just a single set..

As I said it's not that common most pumpers once they've pinned down their basal etc, will only get a slight movement and just need to tweak basal once in a while, hence the need for regualr basal testing..

If you feel that your basal does need changing, first consider is your control being affected by more than normal stress or perhaps you are coming down with something both these can wack up insulin needs..

Sometimes it pays to hold off from making changes to your basal profile for a week or so and use the TBR until you know that this is a sort of perment change and not something caused by an underlying glitch such as stress, illness etc..

A tip

When you aren't 100% sure if it's a change of needs etc, set up another profile with your current profile and make adjustments to this profile, so if it is a glitch you always have your orginal profile to return to! It's a good idea to always to this if you'll adusting the basal profile, then when you've worked out the correct setting swap this to your old profile..

 

[Dragonflye]

Hi, well i started at 13 today and now steady at 15...

I have been stressed which is why I initially put it down to that but I have now gone from approx 30units of insulin a day to 70 so I'm thinking it may have something to what you said jopar...

I am using Humalog bah if it is a bad batch I have my sugars are going to me messed up for at least another 2 days before another prescription would be ready!!!!

That's a great tip Jopar, lucky I remember what I was on so should be easy enough for me to change back

After a fiasco I had with infusion sets (and a bad batch) I learnt that lesson of trying different ones already

 

[iHs]

Hi Dragonflye

I didn't realise you are using Humalog. There has been some concerns just very recently over a batch of Humalog vials A86402 as a few people have posted msgs on another forum about high bg levels. It's only some people though as many are using the same batch and haven't had any problems. If you are using the batch, then you need to return it to the pharmacy and get them to replace it prompto especially as your bg levels are higher than you would expect them to be.

Have you not got a Humalog pen at all that you could use and some background Lantus or Levemir if the problem is the batch no you are using?

Hope things get better sorted for you and you let us know what was wrong.

 

[Dragonflye]

Batch im using is 864072, spoke to Eli Lilly and they wernt aware of any issues with the batch I'm using however i have changed batches and my sugars have now gone down to 3.4... lol

my hubby forgot to pick up my prescription of glucogon from chemist... with the way things are going I can just see that I am going to need it tonight, all I need would be for him to have to call an ambulance :lol:

 

[Riri]

Hia dragonfly - I hope things settle for you soon. What I'm curious about (I'm getting a pump in 3 weeks time) is when you say you'll go low tonight. I thought it was much easier to reduce or even stop insulin on a pump? With the current MDI your stuck with long term effects of the 24 injection but I thought pumps were far more flexible. I'm hoping all of this will become clear over the next few months. Best wishes.

 

[Dragonflye]

Hi riri... my comment regarding the lows tonight wasnt based on the pump going through a bad patch atm in my life so was just saying it would just be my luck... however in the couple of month i have been on pump for, i now get symptoms of hypo during the day... but nightime i need assistance from my hubby at about 1x per week the lows during night are unpredictable so i may have 2 weeks of perfect results and then loose it, get good results following night and the go hypo again, therefore find it next to impossible to change basal amount, if i do then my sugars are too high