today i woke up 199. a little high gave my self 1.5 i go to school. at lunch i'm 341! I had NOTHING to eat or drink. then I ate had 62 carbs and took 7.1 and the 1 hour later before gym i'm 477! i sat in the nurses office (i am forced to eventhough i am suposed to exersize to bring it down. and i had no ketones) and i took 4.5 correction and i went up to 589! and then i went home and i was 232. can anyone help me explain this! this happens ALL the time!
Hey Adriana,
I have a similar problem. If I wake up in range, have as few as 5 (!) carbs, then I will shoot up above 200 or 300.
I think Ginger has talked about the problem--I also think that decreasing your ratios would help. It was scary at first for me to decrease my ratios; for most of the day, my ratio is 1:10, and for breakfast it's 1:4!
It's also important to bolus before you eat. I try to bolus my breakfast about half an hour before I start eating since I seem to spike really fast with breakfast.
Hang in there!
Maggie
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Hi Adriana,
This happens all the time? Then we definitely to figure it out ASAP! It can't feel very good to be going that high all the time!
Some initial questions:
1. When was the last time you checked your insulin-to-carbohydrate ratio with your doctor?
2. When was the last time you increased your Lantus insulin dose?
SEE THIS ARTICLE: Is it normal to need to adjust my insulin doses?
No matter the cause: it is VERY clear that your body needs MORE INSULIN. As we get get older (I'm talking Middle School --> to High School ---> to College), our insulin needs will definitely increase because you're GROWING, you're getting taller, gaining overall bodyweight, etc....so you'll need more insulin.
Have you discussed this with your doc?
I think this is a combo of not enough background insulin (lantus or long-acting) AND not enough insulin for your meals. Even a small adjustment can make a huge diffference.
When I was in high school, my body started needing much more insulin in the morning that it had for the 4 years before that, possibly because I was producing more growth hormones, more estrogen, and more cortisol -- all things that blunt our sensitivity to insulin.
-Ginger
well last time i changed it it was 1:10 but then it was 1:7 but that was too low. I'm on a pump so i don't take lantus and my endo keeps playing wiht my basals. do you have any sugesstions on how to try to prevent this? thanks!
YES. You're not preventing anything, you're treating a problem and the problem is that you're not getting enough insulin.
Remember, be patient! Think of it all like a science experiment, and make small adjustments as you notice the results.
I think your I:C ratio is too low because after you eat a meal, your BG goes even higher. But your basal rates are also too low if you're waking up around 200 all the time, and your correction insulin isn't helping.
Only make one change at a time.
For starters, as your Endo has been recommending, begin to increase your basal rates. As your endo for help -- hopefully he/she will suggest increase all your basal rates by at least .2 to .4 units.
Watch the results of this for a few days.
If you see improvements, but you're still going high after meals, then begin to increase your I:C ratio.
Do you think you can do this? Does this make sense?
-Ginger