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Type 1 Diabetes
High sugars - insulin not working?
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<blockquote data-quote="tigger" data-source="post: 1345292" data-attributes="member: 11023"><p>Lots of good advice above.</p><p></p><p>I'd also add 3 other things to consider.</p><p></p><p>1. Did you have a hypo at any point before the first really high blood sugar? If you did and depending on when you managed to stop it your liver may have produced glycogen which then sends you really high later.</p><p></p><p>2. I find that my normal correction factor has to be massively increased if I'm up in levels like that. Also drink lots if you're that high. Not only will you feel the need to but it moves the sugar through your system faster and dilates the blood cells which reduces your blood sugar faster. Insulins also work at different rates and you have to factor in that the bs reading on a meter is already 15 mins old so your levels may be increasing more since then. </p><p></p><p>3, How much in advance are you bolusing? Particularly if you have to reduce an already high pre-meal level you should consider doing it earlier. I don't know what insulin you are on but as an experiment you can try moving each bolus 5 mins earlier than you would have done until you hit on the right time to eat when your curve is going down but not too late so you hypo. Bear in mind that food with higher fat content will be released into your blood stream differently and roasts and yorkshire pudding may well be higher in fat than what you normally eat. Fat can delay the absorption of carbs so that may be why you're seeing a continual level. </p><p></p><p>Good luck in solving this. It's rotten feeling high.</p></blockquote><p></p>
[QUOTE="tigger, post: 1345292, member: 11023"] Lots of good advice above. I'd also add 3 other things to consider. 1. Did you have a hypo at any point before the first really high blood sugar? If you did and depending on when you managed to stop it your liver may have produced glycogen which then sends you really high later. 2. I find that my normal correction factor has to be massively increased if I'm up in levels like that. Also drink lots if you're that high. Not only will you feel the need to but it moves the sugar through your system faster and dilates the blood cells which reduces your blood sugar faster. Insulins also work at different rates and you have to factor in that the bs reading on a meter is already 15 mins old so your levels may be increasing more since then. 3, How much in advance are you bolusing? Particularly if you have to reduce an already high pre-meal level you should consider doing it earlier. I don't know what insulin you are on but as an experiment you can try moving each bolus 5 mins earlier than you would have done until you hit on the right time to eat when your curve is going down but not too late so you hypo. Bear in mind that food with higher fat content will be released into your blood stream differently and roasts and yorkshire pudding may well be higher in fat than what you normally eat. Fat can delay the absorption of carbs so that may be why you're seeing a continual level. Good luck in solving this. It's rotten feeling high. [/QUOTE]
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