Monday, February 28, 2011

Sick Day Insulin Resistance

Yesterday I was congested and sneezing and sick. Also running high. I went to bed early, around 10 PM, taking 12 units of Lantus instead of the previous night's 10. I also took three units of Novolog because I was around 220 heading up.
I woke up at midnight with a blood sugar of 260 and took three more units, went back to sleep.
I woke up at three with a blood sugar of 250, took three more units and went back to sleep.
I woke up at five with a blood sugar of about 250, took three more units and went back to sleep.
I woke up at 6:50 with a blood sugar of 156 (Hallelujah!).

My breakfast ratio these days is around 1 unit Novolog to 12 grams of carbohydrate. I figured that given how my night went, I should expect to need about twice as much insulin. I injected 14 units of Novolog, which seems like a lot to me. I had a cup of pedialyte (6g), and a bowl of cereal (25-29g carbs of cereal plus 10g of soymilk). Total carbs: 41-45g.

Then I felt really sleepy. My blood sugar was already spiking upwards, so I went to rest on the couch. I set the low alarm on the Dex to 100, and hoped I'd wake up soon.
I didn't wake up until 10:30. I was drenched in sweat and figured I'd gone low. My Dexcom disagreed- it said 150. But in the following twenty minutes, it showed me dropping to 90. I checked my meter. It said 98.

So, assuming that 14 units lowered my blood sugar about 60 mg/dl and covered 45 grams of carbohydrate, I figure that gives me an insulin: carb ratio of about 1:4. Maybe 1:3.

I tried an early lunch at a 1:4 ratio and so far it looks like I'm gonna need some more insulin.


And on an unrelated note, a nurse from the gastroenterologist's office called today. She says the endoscopy showed inflammation of the duodenum and the stomach, but that the biopsies didn't show any bacteria. She says there are multiple possible reasons for the inflammation, including some medications I don't take and some foods I started avoiding a long time ago because they make my stomach hurt.
She says she left a note for the doctor to see if he wants me to take anything for it and she expects he'll get back to her this afternoon.
So, I'm not sure what this means other than that my stomach hurts.


htimm=) said...

Sorry about your sick day. My son has had all kinds of tummy trouble and we haven't had a scope done yet but he was dx with dyspepsia (technical term for tummy ache). Not having answers is frustrating becuase it means you just have to suffer with it. With answers at least something can usually be done to help. I hope your stomach gets better on it's own and the aches go away just as quickly as they started.

Reyna said...

Geez Jonah - I am bummed that you still don't have a definitive answer on your gastro issues.

Also...BUMMER on the sick day. Joe is just getting over a cold...he was riding in the 200s for a few days straight last week. I hate long stretches of highs. I feel like I can literally see his hemoglobin glycosylating.