This weekend has been one of the most challenging since moving to the pump. Over the past week or so, I have been waking with BGs in the 200s, which until this week, has not happened. I met with my CDE late in the week and we had a plan in place to determine what the heck was going screwy with my AM numbers. However, since Saturday morning, I’ve been “chasing the high.”
I awoke on Saturday morning and generally "felt" that I would again have a high number. This time it was in the mid 300s and as I was up for a bit, felt terrible. I corrected and hoped to be feeling better soon. However, I spent the rest of the day barely eating and trying to get my numbers below 200, which never happened. It seemed that any corrective bolusing I did, would not bring me back down to the ground. I've also gone through the "what could go wrong, will" checks, changing my infusion site a few times, changing my reservoir, changing my insulin supply (which I had used before without any issues). Today, with night time boluses, I again awoke above 300. With hourly testing and aggressive shot boluses, higher than my estimates, I was finally able to stop "chasing the high."
By Noon I was back in my normal range and was able to enjoy lunch and the afternoon without my numbers rebounding too severely… you know, the “low always follows a high” theory. My numbers stayed between the 80s and 90s for the rest of the afternoon following a well calculated carb count for lunch. Unfortunately, we decided to grab pizza for dinner, which for Sunday night was an easy choice for the normally “kids go crazy” end to the weekend. Knowing what I had encountered all weekend, I was diligent in counting, using all the resources I could from the Internet food sites and nonstandard bolusing on my pump. My 2 hour post has be back up in the 300s and I’m cursing myself for eating pizza. I need to stop this bloodletting! Fortunately, I’ve been able to keep the keytones at bay. Tomorrow I need to check in with my CDE and/or my doc to see what is up with this. I don’t like “chasing the high.”