Glucose Control from injury

So I worked out a plan with my Endo’s Nurse coordinator. I’ve wanted an insulin pump for years so that I could micro dose. Before meals. Bolus dosing was’t working for me. DOSE, GO HIGH, GO LOW. RISNSE AND REPEAT. So. I came up with a micdosing plan. It was working quite well.
I wanted to keep my average between 150-140 and this was working quite well. 9 month Clarity average was 144 NO lows A few out of range highs

Well all GOOD THINGS have to come to an end One Sept 11 I tripped over my own feet in the driveway. Ended up breaking my left femur and fracturing my Pelvis… almost instantly Glucoses went from 145 to above 500. Laid up in Masonicare Rehab… with large insulin doses 10 to 16 units, so far maintaing a 200-250 range. And on top of this my Hemoglobin rage has dropped.

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John, I’m so sorry about your recent injury! I encourage you to stay engaged in your glucose control to the extent you are able. As you well know, better glucose levels will help with all the healing you need. Please keep us apprised of your status. Good luck!

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I am so sorry to hear that!!! I fell and broke my wrist last January and insulin was like water especially the first few days. Within a couple of days I did have a plate put in because it was a bad length type fracture. But if I remember correctly my usage did taper off by about a week. But in my case it was just my wrist. I need to have that plate taken out now!

But one of the first things they did at emergency is give me a steroid shot, small dose in my case because I react so badly to them but they wanted the swelling to go down. My wrist was crooked and it got to hang in the air trying to make gravity straighten it out! I figured my higher BG reaction and needing so much insulin was in good part due to the steroid shot than the actual injury because that is how I’ve always reacted to steroids. Do you know if maybe they gave you a steroid shot or oral pills? That certainly makes control a lot harder and you need more insulin.

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Omg, we fell & incurred pelvic fractures only 2 days apart. I’ve had the same experience with BG rapidly shooting high. Spent 4 nights in hospital; once home things started to improve. As I’m healing, BG is also doing much better. Hospital staff wanted to do MDI; I resisted and they agreed to let me use my pump. It was still a battle of high BG readings, but better than with injections. It’s hard–it hurts to walk, sit, cough, move in any way (and you have more bones to heal than I do). I had the same issue with Hemoglobin; mine was still below normal, but “stable”, so was able to be discharged. You know how to manage your BG–don’t concede. I’m confident it will continue to improve as you heal. Keep us updated on this forum—lots of good ideas, true empathy and positive healing thoughts!

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Thanks for the good words. Now home. I stared to stabilize. The issue I hade with the Renab, facility, was the arbitrary stared me on various other, I used navalog. The chose Humalog, and Junnovia as well as blood thinner meds.

John70:
That sounds absolutely awful, I actually winced when reading your first post.

Nothing to add re bg management, but just wanted to add my wishes for a complete recovery.

Yea I was totally unaware of what severe trauma could do our Glucose levels.
I will be a long road home.
Thank for your response

Ow ow ow! I can’t imagine what you are going through! I hope you get better soon!

But this also raises a question that I have had for some time. Has anyone ever injured themselves during a hypo? And without help come out of it due to your body’s response to the injury? I had this happen to me when I dislocated my shoulder. I had blacked out and then came out of it as my blood sugar began to sore. Eventually, stopping at 325. Or was it just a fluke?