The last week has been a blood sugar disaster.
After scheduling an appointment at the diabetes clinic with the acquisition of an insulin pump in mind, I decided to try one more time to get my morning sugars down by increasing my nighttime Lantus dose. I have tried this in the past and found myself either going low at night or spending the day eating in order to avoid daytime lows. I don’t know why I thought it would be different this time, but since my waking blood sugar levels have been between 130 and 180 for weeks, I decided that correcting this couldn’t wait for an insulin pump. And anyway, I’m still not totally sold on the pump and I’m even a little bit afraid of it.
So Monday night, before going to bed I checked my blood sugar. It was 120. I took 18 units of Lantus. It had been a long time since I’d taken more than 16 units. When I woke up the next morning I was happy to see my BS at 125. Not perfect but much better than the 177 and 180 of the previous two mornings. So the next night with my blood sugar at 133 I again took 18 units of Lantus. This time the result was more in the line of my usual morning blood sugar levels -144. Too scared to try a larger dose I stuck with 18 units of insulin on Wednesday night, too. When I woke up I felt terrible and when I checked my blood sugar I understood why. It was 259. An hour later after spending 45 minutes working out it was 251.
Was my high blood sugar a result of an overnight hypo? The next day was even worse. I had a terrible low after dinner, though I’d eaten the exact same meal I had the night before and took the same amount of insulin. At around 11:00 p.m., three hours after dinner, I suddenly felt terribly woozy. I checked my blood sugar. It was 40 and dropping. I quickly ate some fruit and had a glucose drink (a sample I got from a friend). My blood sugar stabilized and fearing another low, I decided to cut the Lantus dose back down to 14 units. I woke up the next day 190.
Last night, again trying to get my morning numbers down, I took 16 units of Lantus. I woke up the first time at around 6:30am because Adam was making noise. I felt like I was in a total daze. I couldn’t move so I fell back to sleep. I kept trying to get up but I could hardly move. Jess got Adam quiet, and finally, after about an hour I was alert enough to check my blood sugar – It was 61. I think my liver was pulling me out of an early morning low.
I think it’s now safe to say my attempt to stay pump free has failed.