Author Topic: Bleh!  (Read 393 times)

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Offline Pattidevans

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Bleh!
« on: 09 November 2018, 05:37:06 PM »
Yesterday, for the one and only time since diagnosis, I went out without my meter - or in my case my pump handset.  I had thought it was in my handbag but after ordering a panini for lunch in a cafe in town, to my horror I discovered it wasn't.  I did however have my Libre reader with me, so no probs... scan BGs - do standard bolus, calculating for myself.  Paninis of the size that turned up (it was quite small) are usually somewhere near 40g carb.  However to my surprise BG was 13.7 which was really quite high considering I'd only had a slice of Burgen toast smeared with butter and Marmite at around 10am.  So I calculated 1:8g carb to be 5u plus 2u correction, being cautious because it was only 1pm and I could still have some insulin still on board from brekkie.  I was a bit surprised at 6pm to scan and see 19.4 but figured it was a combination (given where I started at 13.7) of miscalculation and stress (was very upset at the time by some news from a friend).  Bolussed for dinner properly with handset... and up it went.. next scan showed it off the meter it was so high.  By that time it dawned that there was "something wrong".  I have no idea what, except the insulin vial I'd filled the pump from the day before had been dragged all round Spain (albeit in a Frio pouch). 
So bit the bullet and changed the pump, filling from a new vial that had been in the fridge all the time.  It took me until 11am this morning to get it down to 6ish as I didn't want to do mad corrections just before bed when I was down to 8.9.
Thing is the Libre is showing just what horrible spikes 1 slice of Burgen is giving me... 2 slices with a bowl of veggie soup (approx 40g carb) for lunch, despite giving bolus 20 mins before lunch took me up to 11.3 from 5.7.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline sedge

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Re: Bleh!
« Reply #1 on: 09 November 2018, 09:22:17 PM »
So how long did you take to get back down to 5 or 6?
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: Bleh!
« Reply #2 on: 09 November 2018, 11:04:15 PM »
After lunch?  8pm.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline himtoo

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Re: Bleh!
« Reply #3 on: 10 November 2018, 08:14:14 AM »
i suppose there is a positive in this story and that is the libre is showing you what is happening whereas before you might not have tested continuously so wouldn't have known.............information is power as they say
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6) 04/18 46 (6.4)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline sedge

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Re: Bleh!
« Reply #4 on: 10 November 2018, 03:00:33 PM »
Well, clearly you need more insulin upfront with that lunch then - however you could try one slice first - but what I have in mind is borrowing some of your basal for a couple of hours after lunch, and converting it to lunch bolus to avoid the spike at + 2hrs (or whenever the spike happens)

Do 2 slices of Burgen plus protein rather than more carb, have the same effect, or have you tried buttering the bread to slow the whole lot of carbs down?
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Liam

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Re: Bleh!
« Reply #5 on: 10 November 2018, 05:06:30 PM »
I lost my first reply to your post.

Anyway, just thought I'd say I had a cannula go bad the other day. It started with me waking from a hypo at about 3-4 am. I go a bit mad treating it and go back to bed. I wake the next morning needing the loo badly and very thirsty. I test after sorting that and get "Hi". I thought I'd really over treated the hypo so I do a correction.

About an hour later I'm still test "HI" and I throw up. Decide then I have to change my cannula. I do that and correct again. I then slept for a couple hours (my partner was checking on me while I slept) I wake in the low teens and correct again.

Had a few cannula fails lately, with them bleeding alot when changed. Thinking about trying legs or bum and seeing if that helps.

I guess you need too decide if you can accept that much of a rise, and if not if you will bolus more before or not eat that.

DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline Pattidevans

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Re: Bleh!
« Reply #6 on: 10 November 2018, 06:17:24 PM »
Well, clearly you need more insulin upfront with that lunch then - however you could try one slice first - but what I have in mind is borrowing some of your basal for a couple of hours after lunch, and converting it to lunch bolus to avoid the spike at + 2hrs (or whenever the spike happens)

Do 2 slices of Burgen plus protein rather than more carb, have the same effect, or have you tried buttering the bread to slow the whole lot of carbs down?


 Super bolus, that is worth a try Sedge.  It does happen with protein instead of soup e.g. a ham or meat/fish sandwich.  Oh and the bread was thickly spread with butter.  That’s what I love, the bread and butter dipped into hot soup.  Thinking again about the super-bolus, I have so little insulin in the early afternoon because of hypoland descending at around 6pm as a trend... I will have to analyse this and think carefully about it.  As Paul says, the Libre will be invaluable in sorting this out.  May have to skip lunch to do a basal test.  That would seem sensible.


Liam, you have my sympathies.  Good thing your partner was able to keep checking you.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline GrammaBear

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Re: Bleh!
« Reply #7 on: 12 November 2018, 01:26:56 PM »
Patti - I would be most interested to know how a super bolus works for you should you decide to try it?  I've been having some wonky numbers here myself.  I get a bit upset with myself and am tempted to do a "rage" bolus because my numbers are unpredictable at the moment.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.3% ~ Sep 2018

Offline Pattidevans

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Re: Bleh!
« Reply #8 on: 12 November 2018, 11:57:57 PM »
Gramma when I try it I will let you know.  Today my BGs rose to 15s after a lunch of croissant with ham and melted cheese.  Carb counted properly.  3 lots of supermarket shopping later it was down to 8.9 and I could have corrected.  However, it dropped down to 4.1 2 hours later. No idea what's going on.  Sunday we went to the cinema.  Did nothing unusual after that.  Carb counted quite accurately, went to bed in the 6s.  BG rose to 11s after 3am.  Have no idea what is going on!
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Pattidevans

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Re: Bleh!
« Reply #9 on: 13 November 2018, 12:11:47 PM »
... and  last night, after smoked Haddock in a cheese sauce, buttered spinach, peas and a few new potatoes there was barely a rise and I have been in the 5s all night... completely straight line on the Libre reader.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Liam

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Re: Bleh!
« Reply #10 on: 13 November 2018, 03:28:05 PM »
I'm sure you were pleased with that! Wonder if it was the cheese sauce slowing down the carbs that did it?
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline Pattidevans

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Re: Bleh!
« Reply #11 on: 13 November 2018, 05:24:28 PM »
TBH Liam, there were not that many carbs in the meal at all... the portion of peas was very small and only about 2.5 small new potatoes.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline himtoo

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Re: Bleh!
« Reply #12 on: 14 November 2018, 07:19:38 AM »
sounds around the 15-20 carb total mark from your description... i am usually able to prevent spikes on a low total such as that  :)
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6) 04/18 46 (6.4)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Pattidevans

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Re: Bleh!
« Reply #13 on: 14 November 2018, 10:03:52 AM »
I forgot, I had some fruit after the meal strawberries/raspberries and Mango.  Bolussed for 35g carb.  So according to your estimate Paul that was just about right.  I need to keep a food diary I think as I have difficulty recalling what I ate sometimes.


Last night we went next door for drinks and by the time we got home neither of us was very hungry, so instead of the planned chicken stir fry with veg, we baked a part baked baguette and had it with a cheese platter Stilton, rouille, cheddar and dolcelatte.  Predictably BGs trundled along in the high 7s, low 8s all night.


Tonight we have to attend a committee meeting where I take the minutes, should get home around 8:30 (have to leave home about 5:15, too early to eat before).  So we got a “curry in a box” from Tesco so I don’t need to cook,just warm stuff up.  I expect it’ll be full of carbs and fat, so that should be interesting.  I cannot remember when we had a curry not cooked from scratch by me.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans