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Long Lost Member
md_conrad
Total Posts: 3
Registered on: ‎12-28-2009

Can't get my blood sugars below 300 <img align="absmiddle" src="/images/smileys/Blush.gif" border="0" title="Blush">

I have been diagnosed Type I Since 2005. I use an insulin pump. I haven't had an endo for about 2 yrs. I stupidly did not have my pump attached for about 4-5 days and now I cannot get my sugars below 200. What should I do? I have called a local endo to set up an appt and am waiting for them to call back but until then..... Is there ANYTHING I can do to get my sugars down? I have not checked ketones because I have no strips and cannot afford them. Help. Please.
Established Contributor
kellywpa
Total Posts: 2,750
Registered on: ‎10-31-2009

Can't get my blood sugars below 300 <img align="absmiddle" src="/images/smileys/Blush.gif" border="0" title="Blush">

You can get some ketone strips at WallyWorld for about $5. I would suggest if you can, do that or make a trip to the ER. If you go into DKA, that can be deadly and you don�t want that.

Make sure you drink a lot of fluids.

I don�t use a pump but I know others with pumps will take a syringe and manually inject some insulin. If your BS starts coming down by doing that, you know it is a pump problem.

It could also be bad insulin so if you have a new vial of insulin, try using that for your injections
.

Kelly
www.kellywpa.wordpress.com
Type 1, Diagnosed January, 1984
Dexcom Seven Plus CGMS

Pumping With Animas PIng & Apidra Since June, 2010

Super Advisor
Pam01
Total Posts: 2,148
Registered on: ‎11-02-2009

Can't get my blood sugars below 300 <img align="absmiddle" src="/images/smileys/Blush.gif" border="0" title="Blush">

Michael - I'm not really clear on what's going on. Do you have the pump attached? have you done correction boluses and they're just not working? Do you have good insulin?

When my sugar won't come down (and I just had a day like that), there are a couple things I do.
First I would do a correction bolus based on what the pump said. I would stop adding more carbs to the equation by not eating and drink water (best) or other non-caffeinated, sugar free beverages.
Humalog for me lasts about 4 hours, so I have to be patient, but I would also expect to start seeing the numbers drop. however, high numbers often require more insulin and take longer.

But if that wasn't working, I would probably change everything on the pump - new insulin in the reservoir, new site, and do another correction bolus after 3-4 hours.

Another option would be to do one manually with syringe or insulin pen. It's a good option if you have the supplies (which every pumper should have as back up), but I always prefer to make sure my pump is working.

Many people use exercise as a way to bring your sugars down, too. The only thing is you want to make sure you have some working insulin in your system.
Pam

Diagnosed Type 1 at age 16 months, over 45 years now
Minimed pump and cgm since July '09. Metformin (insulin resistance), levothyroxine(thyroid), losartan (BP)

I have traveled cross country, and to Canada, UK, Kenya, Mexico, Jamaica, Equador/Galapagos islands, and lived in Egypt for a year.
Long Lost Member
md_conrad
Total Posts: 3
Registered on: ‎12-28-2009

Can't get my blood sugars below 300 <img align="absmiddle" src="/images/smileys/Blush.gif" border="0" title="Blush">

Pam, first thanks for responding. Secondly, the pump is attached. I just changed the site yesterday and I opened a new bottle of insulin.

Since this morning I have given myself a total of 29 units.
My blood sugars have been
242 @ 6:50
281 @ 8:25 (had a 60 gram carb breakfast)
354 @ 10:00
348 @ 10:45
291 @ 12:20
241 @ 13:10 (had a 60 gram carb lunch)

So, what you're saying is to suck down as much fluid as possible and not eat?
Super Advisor
Pam01
Total Posts: 2,148
Registered on: ‎11-02-2009

Can't get my blood sugars below 300 <img align="absmiddle" src="/images/smileys/Blush.gif" border="0" title="Blush">

Truthfully, I don't worry as much about the fluids but it seems to be what everyone always recommends! I also have a very hard time not eating - so again, some people on here would absolutely not eat when their sugars are elevated, but I'm not as strict as many.

However, I'm pretty sure that if I was 281 I would never have eaten 60 grams of carbs for breakfast - maybe some scrambled eggs and low carb toast. Your 350 after breakfast shows a rise of 70 points after breakfast - which wouldn't be SO bad if you had started at 70 and hit 140. So obviously we all want to get our pre-meal blood sugars down before eating.

I also think when I saw my numbers finally coming down (as it shows 291 to 241 in less than an hour) I would have waited it out for lunch. Or again, eaten very low carb

Are you on a meal plan of the same number of carbs for each meal? (Since you ate 60 grams at both)? Or do you have an insulin to carb ratio so that you can adjust your boluses to match the carbs you want to eat (or skip, as the case may be)?

I get the sense that you are eager to get this under control. The more info you post the more helpful people can be (i.e. what insulin did you take in relation to these numbers? What kind of plan does your doctor have you on?)

Pam

Diagnosed Type 1 at age 16 months, over 45 years now
Minimed pump and cgm since July '09. Metformin (insulin resistance), levothyroxine(thyroid), losartan (BP)

I have traveled cross country, and to Canada, UK, Kenya, Mexico, Jamaica, Equador/Galapagos islands, and lived in Egypt for a year.
Long Lost Member
md_conrad
Total Posts: 3
Registered on: ‎12-28-2009

Can't get my blood sugars below 300 <img align="absmiddle" src="/images/smileys/Blush.gif" border="0" title="Blush">

When I was first diagnosed as Type I in late 2004 I went to all of the classes and saw a nutritionist who promptly put me on a 2500 calorie a day diet. I was 42 yrs old at that time and weighed about 210 lbs. Within a month of following that diet to the letter I went back in for a follow up visit and weighed 175 lbs. That was 35 lbs.s I did not need to lose as far as I am concerned considering that I am 6' 4'' tall. So......the nutritionist upped it to 3500 a day but I was not putting the weight back on. (It has ALWAYS been very easy for me to drop weight by simply cutting back on how much I eat) So...we decided to just let me eat what I normally eat and cut out the refined sugar (soda, candy, et. al.)
So now, I am not taking care of myself the way I should, not checking my sugars the way I should and not eating the way I should. Yes, all of it my fault. I have been in denial.
So now I just want to get my sugars back down and keep them there.
Super Advisor
_julie_
Total Posts: 991
Registered on: ‎11-01-2009

Can't get my blood sugars below 300 <img align="absmiddle" src="/images/smileys/Blush.gif" border="0" title="Blush">

Michael,

I hardly ever get a bad site, but when I do, I see numbers similar to yours.

Julie
Julie
Type 1 since January 2008
OmniPod Insulin Pump/Dexcom G4 CGM/Apidra Insulin/Dabbling with Symlin
Contributor
acidrock23
Total Posts: 1,362
Registered on: ‎10-31-2009

Can't get my blood sugars below 300 <img align="absmiddle" src="/images/smileys/Blush.gif" border="0" title="Blush">

I would suggest that maybe you need to up your basal? The 'delta' or change in your BG is not totally off the charts, a lot of us would probably run up 100 points from a huge breakfast, but the starting point is off and I think that'd be the place to attack it? One thing, given your timeline, is that if you never jacked up your basal when the honeymoon was over, you would likely end up short and high, if that makes sense?
Established Contributor
kellywpa
Total Posts: 2,750
Registered on: ‎10-31-2009

Can't get my blood sugars below 300 <img align="absmiddle" src="/images/smileys/Blush.gif" border="0" title="Blush">

There are 2 books that you might be interested in getting when you can - I don�t know if you would be able to get them from your library or not. One if Pumping Insulin by John Walsh and the other is Think Like a Pancreas.

Like Acid said, you might want to change your basal also. I recently had to up my basal - the cold weather itself can cause that
.

Kelly
www.kellywpa.wordpress.com
Type 1, Diagnosed January, 1984
Dexcom Seven Plus CGMS

Pumping With Animas PIng & Apidra Since June, 2010

Long Lost Member
nanie
Total Posts: 17
Registered on: ‎11-01-2009

Can't get my blood sugars below 300 <img align="absmiddle" src="/images/smileys/Blush.gif" border="0" title="Blush">

I'm not on the pump but when I go high like that it would takeat least 5 units to bring me down. When I get to 300 the muscles at my knees start hurting and it is hard to walk so I try to never get that high.

Hope you get it down soon.