Type 1 for 10 years with no problems til last Thursday

[JJinWA]

I have had diabetes for over 10 years and up until late Thursday night never been in a hospital.

I got DKA and started getting some very strange reaults. My body seems to be producing sugar at a high rate. Like last night I did not eat anything and my sugars were at 307 around 6:40pm and over the next 3 to 4 hours I got them down to 140. I went to sleep without drinking anything but water and did not eat. I woke up at 5 am and tested and my sugars were back up over 300.

I had been in a hospital for 2 days with the DKA on an insulin drip and fluids and not allowed to eat or drink really minus ice chips. My confusion though is never in 10 years has my body just continually raised my sugars with food or drink and now it seems to be sky rocketing up and no idea why.

Oh and that is with 40 units of lanais in me as well. I'm just confused and would like to get back on track but no idea why this is happening and the docs really had no answer for me. Any ideas would be appreciated as this one has me stumped.

 

[CarbsRok]

Sorry to hear about your DKA are you sure your insulin is ok? Perhaps change to a new vial or cartridge just to make sure?

 

[JJinWA]

Sorry to hear about your DKA are you sure your insulin is ok? Perhaps change to a new vial or cartridge just to make sure?

Yes when I got home I opened a brand new vial. The Lantus was given to me at the hospital so I guess I assume that was OK but I just started a new one at home anyways.

The Humalog I took brought me down to where I was comfortable but for some reason I shot up again.

 

[Juicyj]

Hi @JJinWA Your BG levels can rise for a few reasons, infection or ineffective insulin, wrong dose, issues with injection sites. If you've been doing nothing different then first check is to change insulin, secondly check the body for infection, sometimes an underlying dental infection can raise BG levels but you may not notice this for a few days.

 

[Kristin251]

I know it I have a high bs rise it takes DAYS to return to normal. For some reason once it goes high it likes to stay high. I can bring it down with correction boluses but it bounces back up.

 

[catapillar]

@JJinWA did the hospital run any tests to figure out why you had gone high? When I was in hospital with dka the cause of it was blindingly obvious - my pump had come off overnight & the high sugars meant I did not wake up in the morning to deal with them so by the time I was awake I was too acidotic and confused to do anything sensible like corrections - the hospital was super keen to exclude any other reason for the high - theydid full blood count and investigations to rule out infection.

How long have the highs been going on for? Could you be coming down with something? Has anything else happened at the same time that could be a high stress influence?

If you are confident your insulin is ok, next step is checking out injection sites. Make sure to touch base with your DSN - they might also want to check out the reason for the highs and help you out with correcting.

 

[JJinWA]

Thanks for the suggestions everyone it gives me some info to go on. I did have the flu before this happened but did not test positive for anything once in the hospital.

They did lots of testing and came back that everything looked good once the DKA was gone the next morning.

This has never happened before so maybe something left over from the flu just strange cause every time in the past when I got the flu it was harder to keep sugars up but maybe something about this flu strain caused this.

I guess I will keep test and adjusting based on testing. Insulin is working again today so maybe just a weird sequence of events who knows.

Thanks again for all the suggestions they are appreciated.