Troubleshooting High Blood Sugar Numbers
This week we’ve been out in Missouri visiting Grandma. My two daughters and I are learning quilting from her, going to the pool, reading books from the summer reading list, and poking around overstuffed antique shops. August in the Midwest is like nowhere else – searing heat, yes, but also puffy clouds barely moving across the sky, slow-moving barges floating on the Mississippi, and even slower-moving people. As my brother-in-law likes to say, things here start out slow and taper off.
The most action we’ve seen – aside from a few quick hummingbirds out in the garden – has come from Annie’s blood sugar numbers. She’s been consistently in the 200-300 range since we got here. We stopped by Trader Joe’s on the way home from the airport and got a good supply of low-carb and low-glycemic index foods, so she’s been eating very well. The next suspect was that the insulin had turned bad, due to the extreme heat during our travels. I had kept all the insulin and backup surpluses with me in the air conditioning, but in 95 degree weather, maybe it just wasn’t enough and the heat got to it.
So I called home to our doctor and got a prescription for Novolog phoned in to the local pharmacy. (Of course, the insurance company refused to pay the $160 to cover it, because it was too soon for a refill. Six phone calls by me and three more by the pharmacist resulted – finally – in a “vacation override” and a lowered fee of $30. Arrgh!)
The bad news is, the new insulin didn’t change a thing. Still high. The good news is, she has no symptoms of being high, and no ketones. Exercise does seem to help, but not much.
The last time this happened, a month ago, I changed the meter too, thinking maybe it was off its calibration. No effect. Just as I was about to take her in to the endocrinologist, her numbers straightened out and were perfect. I never did call the doctor (“Her numbers were crazy, and now they’re fine, what should I do?” They’d think I was a nut.)
Now it’s happened again. I’m taking her in on Monday when we get home. The only other thing I can surmise is that growth hormone (she’s 11) is negating the effects of the insulin, which is also a hormone. I’ll keep you posted. I’m very frustrated.
FYI: We’re flying home on Saturday, from St. Louis to Baltimore. We’ll be carrying insulin in our carry-ons, but no other liquids. I’ll let you know on Monday how it went and anything you need to know if you’ll be flying in the next few weeks. I don’t mind the extra security hassle; I’m just glad they stopped another terrorist attack.
Published On: August 30, 2006