Crazy High Fastings

Well, I did it! Or actually, "overdid" it. After 2 weeks waking up in the high 200s and even 300s, then two days at 178 and 168 I woke up this morning at 56!! So I'll tune back the dose a tad and hopefully will be smooth sailing...unless I've course I've "undeveloped DP" in which case I'll be chasing the numbers back down the other way..lol

Finally! I was a perfect 103 this morning! I went up, up, up, clenching my teeth the whole way then had to come down just a tad. I ended up at a 35% increase for the hours from 1AM-7AM. I want to thank everyone who helped me figure out that yes, I really did have DP now and then how to fix it! It might not stay that perfect every morning - I'm just not that stable, but at least I'm free of those hellish morning highs! This thread for me has been a great example of how we can help each other on here in ways I can't imagine getting from any doctor! Gracias,mis amigos!

That's great news. I must say that this thread helped me as well. I'm dealing with a chest cold this week and when a temporary rate of 120% didn't do the trick, I bumped up to 140% and have had pretty good control. Hearing all those voices (including my own) saying be careful but not timid was a useful reminder of things that I already think I know.

Maurie

Zoe - It's good to read that you've got this one "reeled-in." I know it's a cliche to say that diabetes control is constantly changing.

I find that some of the changes, however, are relatively low in frequency but they persist until they are addressed. In the past I've responded half-heartedly and slowly. Now, like you just did, I try to fix these things in a more timely fashion.

I recently had problems with lows in the 60s from midnight to 3 a.m. It took me about a week to ten days to fix but it's definitely worth it.

You not only fixed a problem but also added to your portfolio of expertise. Congrats. Who needs brain puzzles when we can successfully wrestle with the formidable big D!

Thanks, guys. Yes, it does seem to be a balance sometimes between being cautious but not overly so. For me, it's also always reminding myself I do have a modicum of control and not to resign things that are not what they should be (and least not without a fair try!)

Wow, Jen. Hate to say it, but it is SO nice to hear that it all changes for you. I get so frustrated--I do everything right, get all the readings in line, then KABOOM, it all changes.

wonderful news ...and being one's " own specialist " with help from a supportive care giver or 2 or 3 or many works wonders :)

Or 29,000 helpers! Thanks Nel.

Just thought I'd let you all know the "final" results of this situation. I decided everyone was saying it was DP and it could happen all of a sudden when it hadn't been a problem previously. Made sense given the rise in BG around 1-3AM. So I slowly raised my basal rates for those time zones until finally my fasting numbers came back into line. I went from basal rates in the .500's to a peak of .900 before I saw good results. And then, nearly as soon as I got fastings where I wanted them they started going really low...as in waking up in the 40's. Not good! Especially for someone who lives alone! So I started backing into reverse and slowly took my basal rates back down. I am now back where I started with basals in the .500's - a total back to 13.50 from 15.60 and perfect fasting BG's. Don't know what the heck that was all about, but I guess I don't actually have DP - again!

From my experience, only the liver can nail the glucose up fast from its own glucose buffer. Digestion output to me always seems very gradual and explainable.

I have found weird situations watching cgms and seen bizarre liver glucose extra unexplainable dumps by liver even when fingertips are at 140 to 200.
For me in those cases, if metformin is up to strength in blood, these dumps get stopped/restrained.

Anyways glad you were able to identify/explain your own situation.

I actually didn't identify or explain anything jims, but my numbers are good so that's what counts. Thanks, though.

Hi Zoe,

It sometimes just sucks and weird sh** happens. For me, sometimes when the seasons change all my basals have to change. Just think of it as the diabetes doesn’t want you to grow bored or forget about it so it has to mess with you every once in a while. (In all seriousness, I would want to know of any food changes pre-bed that may have been pushing you higher?). Otherwise I say their is some diabetes fairies that you may have to give a smack down to.

Thanks, David. No food changes; the rise in numbers was gradual over time as was the return down. I think the diabetes fairies is good bet - I'm non-violent by nature, and especially not gonna even talk mean to the fairies!

Seriously I'm just as glad to have my insulin use back down and not to have the dread DP!

and we all learn and keep on learning ...thanks Zoe !!

Actually, there are things that can affect DP. Aggressive exercise can cause overnight growth hormone increases which exaggerate DP. Disturbed sleep (this is my bane). And I know that it seems strange, but even mild sickness and inflammation (like allergies).

No sickness; I have mild seasonal allergies but they haven't arrived or disappeared during this period. And I sure as hell don't engage in aggressive exercise..lol.

It wasn't a question of "affecting my DP". I didn't have DP (not everyone does). Then I started to develop it over a period of time, raised up doses accordingly and just when I got to the working dose it disappeared again and I was waking up in the 40's until I got my dose back down! My doses now don't have any higher rates for nighttime/early morning. People mentioned having it suddenly appear after years of not having it, but I don't think anyone mentioned not having it at all, getting it and then having it disappear completely again!!

I wasn't expecting any answers, btw, just, since this thread was pretty extensive, thought I'd report back on my results.

Welcome back to your old baseline. Maybe the gremlins just decided to find a new home.

Maurie

Thanks. Those guys are charter members of Couch Surfers International.