View Full Version : Confusing numbers tonight??
Sallysweets
03-11-2008, 03:38 AM
My daughter was running higher today in upper 200's at dinner (5:30) she was 245 then at 8:30 it said 78 rechecked to make sure and it said 98:confused: so I didn't give any food. At 9:15 it said 178 gave lantus and put her to bed then checked at 12:20 it said 478 washed hands and rechecked it said 468 gave correction and checked for ketones and there was none. Any ideas to what could be going on?
parentsofk
03-11-2008, 08:46 AM
When stuff like this happens to Katherine (also 5) we go back over dinner carb counts to make sure we got it right, and make sure we gave her all her insulin.
Another factor could be that she had food at dinner that digests over al long period of time. For Katherine, things like Pasta, a large piece of hard protein (fish, turkey burger) or beans do this. In fact, in such cases she will tend to go lower initially (like your daughter did), and then spike up higher as the evening goes on and the food starts getting digested.
Hope this helps some!
Paul
This happened to us a few times on Lantus for different reasons each time!
We miscounted supper
The Lantus bled out - she had a spayer!
We gave the shot and it caused a bubble under the skin - somehow - it got put between the skin and the muscle and did not absorb well at all!
The Lantus was bad - maybe time for a new bottle?
Also - we were lucky and didn't have this happen since we had a pen for Novolog and a syringe for Lantus - but - could you have mixed up the bottles???
There- how is that for some could be's :D - I probably have another 500 out there!
twodoor2
03-11-2008, 11:23 AM
The Lantus bled out - she had a spayer!
It's funny you mention the "spayer." This used to happen to us all the time. I tried a million different things, including reinjecting another quarter unit. However, it did sometimes account for high numbers during the day. Now to alleviate that, I inject the Lantus very very slowly and count to 20 after it's all injected before I take out the needle very very slowly (I know, I'm the meanest mother in the Universe). Elizabeth used to complain, but now she's used to it. It just turns so viscous after it's injected, that it just loves to run back out of the injection site.
There could be a million different reasons for the high numbers though. We probably need more details on what she ate at those times, to make a better judgement call. It could be a fat spike too, or a Lantus leak. How much Lantus does she get. If it's a small amount, and if it leaks back out, it could make a big difference. Also, where you are injecting the Lantus makes a difference as well.
Sallysweets
03-11-2008, 03:46 PM
She had salad and tortellini for dinner at her dad's house so I am not sure how many carbs she got or how much insulin...tried calling him haven't heard back. I gave her two and half units of lantus in the upper part of her butt...I know I didn't mix up the bottle because one is tall and purple and the other one is short and orange plus I keep them in different parts of the fridge. I have had it come back out after giving a shot before but did not see that happen last night. Also I gave her correction last night and she was still 244 this morning:confused: Also the lantus and novolog are only a week old. If dinner was at 5:30 and he did miss count would it not show up until 12:30?
Heather(CA)
03-11-2008, 03:55 PM
My daughter was running higher today in upper 200's at dinner (5:30) she was 245 then at 8:30 it said 78 rechecked to make sure and it said 98:confused: so I didn't give any food. At 9:15 it said 178 gave lantus and put her to bed then checked at 12:20 it said 478 washed hands and rechecked it said 468 gave correction and checked for ketones and there was none. Any ideas to what could be going on?
How long do you feel it takes her insulin to stop working? It could have been a rebound (She kept dropping then went back up after her body kicked out glucose)...Has the high been easy or hard to get back down???
twodoor2
03-11-2008, 04:02 PM
I like to look at the overall big picture on things as far as Lantus goes. I just want to make sure, are her numbers usually steady overnight? When I say that, between midnight and wakeup, do they deviate quite a bit? The one little problem could be a symptom of a bigger problem, and you don't know it. In particular if you're struggling to gain control which I read on another thread of yours.
She sounds very insulin sensitive as well if she's only on about 2 units of Lantus a day, so any carb amount that was not precise could also have a very large impact. Like Heather indicates, rebounds can happen as well if she went too low at one part of the night, and then jumped really high.
Sallysweets
03-11-2008, 04:02 PM
Usually I think it takes 3 to 3 1/2 hours to stop working. So far she has not been back in range yet so I would say it has been hard to get back down...she is resting in the middle 200's even with corrections. She was doing so good until yesterday so I'm not sure what is going on.
twodoor2
03-11-2008, 04:06 PM
I live in Illinois as well, in the Chicagoland area. If you want to give me a call tonight, I can try to talk to you about it over the phone. Just PM me for my number. There can be so many different things going on here. Your correction scale or ISF could be off, your Lantus could be wrong, you carb ratios could be wrong, the carb counting could be off. It's really hard to determine the exact problem without knowing all these things.
saxmaniac
03-11-2008, 04:58 PM
She had salad and tortellini for dinner at her dad's house so I am not sure how many carbs she got or how much insulin...tried calling him haven't heard back.
Could be lots of things, but this sticks out the most to me. If Dad isn't up on care enough to let you know what happened, then it's not a long shot to missing the bolus or guessing carbs.
Heather(CA)
03-11-2008, 05:03 PM
Usually I think it takes 3 to 3 1/2 hours to stop working. So far she has not been back in range yet so I would say it has been hard to get back down...she is resting in the middle 200's even with corrections. She was doing so good until yesterday so I'm not sure what is going on.
This makes it sound more like a rebound since it's not coming down...This is going to seem weird, but at her next meal add up all the normal amout of insulin you would normally give her, includin correction. Then subtract 1 unit. That will give her body the chance to take the glucose back so she can come out of panic mode...I bet she will be back to normal in about 3 hours:cwds:
If the normal is a ways away, you can do it sooner with a snack too...