So I have a question, partly borne of curiosity and partly borne of sheer frustration.
Do those of you who manage these amazing flatlines for days on end ever deal with random, persistent, extreme highs for days on end that just will not come down?
I feel like you all must not. The only highs I ever see posted about in this thread are highs caused by meals or by vacations and the like, and they are all highs that come down within hours.
If you do, I think it would be useful to discuss strategies for breaking persistent highs that last for days on end, or highs that come and go with normal blood sugars in between.
I was high for most of the day yesterday. I increased basal rates, decreased ratios, gave injections, changed sites, went for walks. Finally in the evening I came down only to wake up this morning high again. More basal adjustments (yet three or four nights ago I woke up with a perfect flatline overnight…?). Came dwon after breakfast and even ran borderline low for several hours, so I thought I finally had my basals set right (having increased by 0.4 units an hour over the previous 24 hours). Then this evening, without eating anything, it’s been another six hours of highs, with several corrections, two injections, and a site change later only bringing me down to 10.5 mmol/L (189 mg/dl) so far. I mean, I feel like I’m being aggressive, but then I think of others on this site who don’t seem to go through this (at least not that’s been posted about) and I feel like I’m not being aggressive enough. Yet, I don’t want to go low, and knowing my body this will all end just as quickly as it began in an indeterminate amount of time!
When I find myself in these situations I honestly sit and wonder how those of you who post with 90-100% of your readings in range prevent this type of thing from happening.