Thursday 15 March 2012

Blindsided by Highs

Diabetes is anything BUT predictable, meaning what works today may not work tomorrow. Yet we must trust that when we regularly check blood glucose levels, count carbs accurately, change infusion sets every few days, and don't drastically change activity or stress levels, that numbers should be in range, at least MOST of the time, right? Wrong...

Yesterday morning we returned from a 4-day train trip to the Rocky Mountains and back. Just over 500 miles each way, with a lot of sitting and eating. But we kept a close eye on Dyl's sugar level and he was in range almost the entire time. All day yesterday glucose was good, then Dyl tested right before bed and...WHAM! 18.2 mmol/l (327 mg/dl). Um, hello high, where did you come from? We decided to change his infusion set, then bolused for the high. He went to sleep and I rechecked him just over two hours later (yes, I should have checked sooner, but I totally thought the set change and bolus would take care of it...stupid mistake). Rather than having come down quite a bit, as he should have, he was up to 28.8 mmol/l (518 mg/dl)! Holy crap, I don't remember the last time we saw a number anywhere near that high. Another bolus, this time of 7.1 units (which at night is enough insulin to scare the sleep right out of me) and we checked again an hour later. This time 24.5 mmol (441 mg/dl). Finally coming down.

Cut to this morning and his sugar was right back where it should be, and I am left wondering what happened? We did everything just as we always do and yet the result was drastically different. The only major change in our routine was the train trip. Delayed reaction to decreased activity? Perhaps. Just another day of riding the diabetes roller coaster? Definitely.

1 comment:

  1. Oi...those highs at night drive me crazy...corrections and corrections and it just creeps down.