Went to a music festival over the weekend. No cover or shade. I had a hat, wore sunscreen and drank a lot of water. But I had the classic symptoms of dehydration: muscle cramps, sweating, nausea, etc. We did everything we could to stop it, but my BG escalated and was unaffected by numerous doses of bolus. (Know the insulin had been fine since setup.) Anyway, changed the infusion set when we got back to the hotel.
Even with corrections and shots I had a meter reading at 4AM of 371. That is SO out of the norm for me. I set a 200% temp basal, and took 5 units by syringe. Four hours later, I meter tested at 219. Got home, changed the infusion set and used a new bottle of insulin. Took 2 more units by syringe and have left the temp basal in place.
My CGM is highly confused so I am watching the ISIGs more that the BGs. Even though very inaccurate, it is the only way to follow–I have done about 18 BG readings over the last 24 hours.
In the last 24 hours since this started, I have taken 15 correction units and 17 basal units. I have eaten nothing, so none of this is food related, unless these is glucagon dumping, as my body is sure it is starving. My normal daily basal is 9.2 and my daily totals are around 15 units. I have no ketones and my kidneys are functioning well and I have continued to hydrate.
We had to come home and are missing the second day of concerts as I write this. I was able to give my VIP tickets and parking pass to a very excited young 20 something, so that was good…
I am terrified that this will right itself and I will crash. If that happens, it will be hard and fast, if my past experience is any indicator.
Ideas? Solutions? Should I eat something?