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Frequent Advisor
withloveandagun
Total Posts: 211
Registered on: ‎09-28-2011

Bad Insulin?

Could there be any chance I have a bad insulin pen? For 3+ days now it seems like my fast acting insulin is NOT working. It feels like I'm just not responding to it. I haven't forgotten to take a single dose of my Lantus, but I'm going into meals higher than normal and just not responding for long periods of time. I took 14 units before breakfast, ate less carbs than normal and 2 hours later I'm sitting in the mid 200s when I normally spike to 140-150s after breakfast and quickly fall back to around 100 before lunch. I'm just not budging even though I took a correction dose of 10 units over an hour ago! Normally I would've started plunging by now and I'm just sitting here staring at my sugars doing nothing.

 

Could this be the case or is it just that I'm pregnant and my body sucks lately? It just doesn't seem right that this would continue happening for a couple of days but just start happening seemingly out of the blue. Should I open another pen and just try it? I cannot stand sitting out of range for this long!!!

 

I've already put a call in to my Endo but I haven't heard back.

_____________________________
06/2007 - Tested positive for GAD 65 auto-antibody (49.02)
12/2008 - Diagnosed Type I; PCOS with Insulin Resistance
09/2011 - DKA; Diagnosed with Peripheral Neuropathy
06/2012 - Potential Hasimoto's Thyroiditis diagnosis

MDI
Lantus 28 units morning; 28 units nighttime;
Novolog I:C Ratio (1:5g); Sensitivity Factor: (1:30mg/dL)
Metformin ER 1000mg 2x/day
Synthroid 50mcg
08/2011 - A1C 14.8
09/2011 - A1C 13.5
01/2012 - A1C 8.5
04/2012 - A1C 7.6
06/2012 - A1C 8.3 (EUGH!)
09/2012 - A1C 7.2
10/2012 - A1C 7.3
01/2013 - A1C 5.7
03/2013 - A1C 5.6
Pregnancy Related Medications:
CitraNatal 90 DHA
Centrum Pronutrients Fruit & Veggie 2 pills 1x/day

Frequent Advisor
sunritef
Total Posts: 2,554
Registered on: ‎11-30-2009

Re: Bad Insulin?

I'd guess the hormones, but if you try another pen, I'd see if you have a box from a different batch.  If the insulin was exposed in transit, the entire load could have been exposed.....



You go to school to learn, not for a report card.
You use your meter to learn, not for a report card

Type 1 (LADA).. Novolog/Levemir

Adult onset T1
Frequent Advisor
withloveandagun
Total Posts: 211
Registered on: ‎09-28-2011

Re: Bad Insulin?

It was the last pen in my batch. I just filled my script yesterday. I may try using another pen when I get home from work. This is just absurd. I'm just now starting to come down. 2+ hours after my correction shot.

 

I'm really nervous about doubling my insulin for meals. These hormones really suck!!!

_____________________________
06/2007 - Tested positive for GAD 65 auto-antibody (49.02)
12/2008 - Diagnosed Type I; PCOS with Insulin Resistance
09/2011 - DKA; Diagnosed with Peripheral Neuropathy
06/2012 - Potential Hasimoto's Thyroiditis diagnosis

MDI
Lantus 28 units morning; 28 units nighttime;
Novolog I:C Ratio (1:5g); Sensitivity Factor: (1:30mg/dL)
Metformin ER 1000mg 2x/day
Synthroid 50mcg
08/2011 - A1C 14.8
09/2011 - A1C 13.5
01/2012 - A1C 8.5
04/2012 - A1C 7.6
06/2012 - A1C 8.3 (EUGH!)
09/2012 - A1C 7.2
10/2012 - A1C 7.3
01/2013 - A1C 5.7
03/2013 - A1C 5.6
Pregnancy Related Medications:
CitraNatal 90 DHA
Centrum Pronutrients Fruit & Veggie 2 pills 1x/day

trisha01
Total Posts: 6,342
Topics: 307
High Fives: 673
Blog Posts: 62
Solutions: 72
Registered on: ‎10-31-2009

Re: Bad Insulin?


withloveandagun wrote:

Could there be any chance I have a bad insulin pen? For 3+ days now it seems like my fast acting insulin is NOT working. It feels like I'm just not responding to it. I haven't forgotten to take a single dose of my Lantus, but I'm going into meals higher than normal and just not responding for long periods of time. I took 14 units before breakfast, ate less carbs than normal and 2 hours later I'm sitting in the mid 200s when I normally spike to 140-150s after breakfast and quickly fall back to around 100 before lunch. I'm just not budging even though I took a correction dose of 10 units over an hour ago! Normally I would've started plunging by now and I'm just sitting here staring at my sugars doing nothing.

 

Could this be the case or is it just that I'm pregnant and my body sucks lately? It just doesn't seem right that this would continue happening for a couple of days but just start happening seemingly out of the blue. Should I open another pen and just try it? I cannot stand sitting out of range for this long!!!

 

I've already put a call in to my Endo but I haven't heard back.


 

 

Mari,

 

Check your Lantus vial/pen first. Going into meals higher than normal, indicates it could be the Lantus. But, it is also really, a combination of all of it.

 

PLEASE do NOT stack!         But do follow your endo's orders when he calls back.

 

Try not to be stressed - yeah, I know it is easier said than done, but you stressing out, will also stress the baby out. You, and baby, need to stay as relaxed as much as is humanly possible. OK?

 

Sending some cyber mom type hugs for you!

 

Trisha

 




Trisha

IDDM (Type 1 Autoimmune) 30+ years ~ Currently using MDI & Minimed CGM ~
Check out my diabetes blog!

  All brittle means, is that one has great fluctuations, which is pretty much hallmark for Type 1's. Some more so than others. - me
  First light brings a new day, new hope, new wisdom, and a chance to start fresh again. - me

If everyone were dealt the same amount of cards, there would be no challenges in life. Challenges are part of life's lessons, to teach us to grow in all aspects, and to learn what we need to learn, to make it in this world. Life was not meant to be fair. -me



~ New Type 1 Info ~ Insulin, Test Strips, Lancets, and other meds ~ Kidney Damage Info ~


Frequent Advisor
withloveandagun
Total Posts: 211
Registered on: ‎09-28-2011

Re: Bad Insulin?

It's seriously just in the mornings that it's been happening. The past couple of nights I'm fine. So this morning I finally woke up at 85mg/dL and stayed level. I took 10 units of insulin and waited about 1.5 hours before eating and it finally worked!!! No spike!!! I don't know what has been up, maybe my bedtime Lantus needs to be adjusted up? I mean, I was towing the line around 80 all night long so it seems like it's working. I think my body just doesn't like to process insulin in the morning. Whatever it is, I haven't been above 150 since noon yesterday. Very pleased!

_____________________________
06/2007 - Tested positive for GAD 65 auto-antibody (49.02)
12/2008 - Diagnosed Type I; PCOS with Insulin Resistance
09/2011 - DKA; Diagnosed with Peripheral Neuropathy
06/2012 - Potential Hasimoto's Thyroiditis diagnosis

MDI
Lantus 28 units morning; 28 units nighttime;
Novolog I:C Ratio (1:5g); Sensitivity Factor: (1:30mg/dL)
Metformin ER 1000mg 2x/day
Synthroid 50mcg
08/2011 - A1C 14.8
09/2011 - A1C 13.5
01/2012 - A1C 8.5
04/2012 - A1C 7.6
06/2012 - A1C 8.3 (EUGH!)
09/2012 - A1C 7.2
10/2012 - A1C 7.3
01/2013 - A1C 5.7
03/2013 - A1C 5.6
Pregnancy Related Medications:
CitraNatal 90 DHA
Centrum Pronutrients Fruit & Veggie 2 pills 1x/day

Advisor
Dragonstar
Total Posts: 1,102
Registered on: ‎11-01-2009

Re: Bad Insulin?

I read in the other post where you said you were eating cereal for breakfast.  Could it be you can't handle that many carbs in the mornings now with the baby?  Alot of people have written where they can't even eat cereals anymore because of the spikes they get or they'll eat them later in the day when their bodies can handle that many carbs at one time. 

 

Maybe try something a little lower in carbs a few days to eat then.  This might give you an idea if it's the cereal(s) bothering you that early in the morning or not.  I know it's quicker and easier to get ready and eat, but if you can't handle it that early then it would be time to change.   Maybe have some boiled eggs *so you don't have to smell them cooking* and 1 piece of low carb toast?  Filling but more easily digested and lower carb.   Plus, you can get a panful cooked and keep then in the frig a few days so you don't have to cook every day.   Good luck, I hope your numbers become more managable soon.  You take care of yourself and that little one.  :smileyhappy:


Mother of Courtney, Dx'd Type 1 in 2006 at age 14.

Self: Dx'd "Pre"-Diabetic 8/8/14 *and we all know what that means*
New Member
Ameykons
Total Posts: 1
Registered on: ‎01-31-2013

Re: Bad Insulin?

Several months ago my 12 yr old daughter woke up on a Sunday morning sky high, sick, treated as a sick day and called doctor on call at children's hospital and sugar gradually came down through the day. Next morning was the same sky high and took her to doctor, have antibiotic for flu. Again sugar gradually came down during day. Tuesday morning the same, called her diabetic doctor at Riley children's hospital was told to switch her Lantus pen and get from a total new box. Wednesday morning saw a little improvement and then by Thursday everything was back to normal. Called lantus and sent in her "bad box" to be tested.
Advisor
morningglory1
Total Posts: 118
Registered on: ‎09-14-2012

Re: Bad Insulin?

When I was pregnant my insulin requirements decreased in the first trimester. Then they began to increase. In the 20th week of pregnancy the placenta began releasing higher amounts of hormones that sustain pregnancy but made my insulin (injections) less effective. This continued until the end of the pregnancy. During the last 2 trimesters I had to aggressively increase my insulin under the supervision of my endo in a way I never would have imagined. My requirements litierally multiplied throughout the pregnancies. With careful and aggressive management of my insulin requirements I had a 7 lb baby (4 weeks early) and a 6lb15oz baby (5 weeks early). How many weeks are you? I was fortunate to have an endo who was particularly interested in pregnancy & was in touch on a weekly basis after 20 weeks. Best wishes to you and your beautiful baby, -Gayle
Frequent Advisor
withloveandagun
Total Posts: 211
Registered on: ‎09-28-2011

Re: Bad Insulin?

Gayle, I'm 24 weeks tomorrow. I couldn't believe it either! I need to take like 20-30 units of fast acting for a snack!!! And it mostly started right around 20 weeks. I also have to take my insulin wayyyyy before a meal, and usually have to take a second smaller shot after the meal. I've been going low at night, and stupidly been treating with food so I end up high in the morning. Will be reverting back to glucose tabs whether I like it or not.

 

My I:C ratio went from 1:15 to 2:15 to 1:5!!! So crazy. Been seeing some higher number lately and am not pleased, but I'm working on it.

_____________________________
06/2007 - Tested positive for GAD 65 auto-antibody (49.02)
12/2008 - Diagnosed Type I; PCOS with Insulin Resistance
09/2011 - DKA; Diagnosed with Peripheral Neuropathy
06/2012 - Potential Hasimoto's Thyroiditis diagnosis

MDI
Lantus 28 units morning; 28 units nighttime;
Novolog I:C Ratio (1:5g); Sensitivity Factor: (1:30mg/dL)
Metformin ER 1000mg 2x/day
Synthroid 50mcg
08/2011 - A1C 14.8
09/2011 - A1C 13.5
01/2012 - A1C 8.5
04/2012 - A1C 7.6
06/2012 - A1C 8.3 (EUGH!)
09/2012 - A1C 7.2
10/2012 - A1C 7.3
01/2013 - A1C 5.7
03/2013 - A1C 5.6
Pregnancy Related Medications:
CitraNatal 90 DHA
Centrum Pronutrients Fruit & Veggie 2 pills 1x/day

Advisor
Ronin1966
Total Posts: 217
Registered on: ‎10-08-2012

Re: Bad Insulin?

Before assuming its "bad insulin", let's explore a couple easier possibles... I too assume its likely massive horemones.

 

However, lets check and make sure the pen is a) attached and b) working correctly. Dial up 2 units and shoot them into the air. If you get no insulin out of the syringe, you have an easy solution. Pens can get jammed up...

 

Did you use the 6 second rule (ie keep the syringe in your skin a full 6 seconds after plunger has been fully depressed) ? Any chance you didnt get the full injection amount? Some insulin came back to the surface perhaps?

 

 

Merely my opinion, I could surely be mistaken

J
T1