God I hate GI bugs!

Just spent 3 days in hell with a GI bug. All the usual stuff at both ends, I’ll spare you the details.

The illness and all the sick feeling, gas, bloating, cramps, etc. is the worst of it, of course. But a close second is the havoc these illnesses play with BG control.

It’s like coming down with GP temporarily. Digestion is totally unpredictable, stomach emptying (in the direction you want it to empty) is highly variable. All the habits, nuance, secret protocols, magic, art, and everything else we all learn over the years to try and keep that BG in line goes out the window.

And I always forget, blissfully pre-bolusing, etc., then winding up with a serious low adding those bad feelings on top of being sick. Happened 3 times in the last 3 days, dropped down into the 40s one time.

Each time I go, “oh yeah, when like this, just have to wait for BG to start to rise (sometimes 2 hours after eating carbs) before administering insulin; depending on what happens with what I ate, I might not need the insulin!”

And then just live with the higher BGs (i.e. chasing them down all day, rather than getting ahead of them like I usually do).

I’m doing much much much MUCH better today. GAWD! So much better. But what an awful three days.

MORAL OF THIS STORY: Don’t forget to be more cautious with your insulin when you’re sick. You can’t just follow the usual bolus strategies for eating – you may wind up hypo. Over and over. And over.

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Happy to read that you’re feeling better, Dave. Diabetes does get so much harder when the digestive system gets upset. The only thing that I could think that might mitigate uneven and unpredictable digestion is fasting. The symptoms you describe may have naturally lead to some fasting.

Thanks for the kind words, Terry.

Fasting? Well, I held out as long as I could, not because of diabetes so much but because food wasn’t too compatible with the other stuff going on. Thing is, when I get really hungry these days, it hurts. Bad. Then, if I wait too long, I’ll get that “hungry nauseated” feeling, and can actually vomit after eating solids (again, if I’ve waited too long to eat), so have to “nurse” my stomach back to accepting regular food by starting with liquids (usually a glass of milk). BTW, this is not my “normal” hunger – it’s when I go 6-8 hours without eating, usually because I’m so engrossed in something I just keep putting off mangia. I find easily accessible beef sticks are good way to combat this.

So, I can only go so long without eating before it gets agonizing. It was the perfect storm of suffering for a few days. Don’t know if it was the flu or not – I don’t think so, no fever, and I had a flu shot – but who knows?

Anyway, it’s almost over – yay!

Damned if you do – damned if you don’t, between a rock and a hard place, choosing the lesser of two evils; it seems to be an essential aspect of the human condition. We have so many ways of expressing this struggle, you’re not alone.

Ugh! I’m glad you got through that unscathed. Something like that is one of my worst fears. I haven’t had any type of stomach bug in years, but any type of illness always creates problems with highs, ketones, and dehydration, and having lows thrown into the mix would just make things even more horrible. I had several peers growing up who ended up in DKA because of stomach bugs, which I find terrifying. I’m glad everything worked out well for you in the end!

Yeah, @Jen, these things really mess up everything you’ve figured out.

Part of my motive for posting this was just to remind people that, when you have a GI illness going on, all bets are off in terms of insulin administration. It’s safest to tolerate the higher BG (I’m talking up to 200 sort of “higher”, not DKA-land), and administer insulin reactively, rather than proactively – for the duration of the illness.

Geez, there was one moment (I think it was thursday) when I downed 29g carb of apple juice, usually a “turbo” shot of glucose to my system that hits within 15 minutes or so detectable on the Dexcom. Didn’t start to affect my BG for 90 minutes.

Then there’s the Immodium I kept throwing up. Yeah, that was real effective. As you can guess, NOT!

And unscathed? Well, if you consider practically being crazy-glued to the “throne” for two of the three days “unscathed” then I guess so. Thank goodness I’m a voracious reader :grin:

[quote=“Jen, post:5, topic:57007, full:true”]
I’m glad everything worked out well for you in the end!
[/quote]I was going to make a joke about this line, but I think it stands well on its own :smile:

Well, I really meant that you didn’t end up in the hospital or anything like that. :slight_smile:

Honestly, my mind just does not even go to these places until people like you point it out!

[quote=“Jen, post:7, topic:57007, full:true”]

Honestly, my mind just does not even go to these places until people like you point it out!
[/quote]I’m one sick puppy.

They allow me to continue to post here as some sort of site mascot.

Or crazy relative chained up in the basement. I haven’t figured out which.

:stuck_out_tongue_winking_eye:

I definitely agree that I wouldn’t be aiming for super tight control during times like this (heck, I find it difficult to aim for that even under normal circumstances!). But one of the things I find scary is that, in these circumstances, DKA isn’t so much a matter of BG level as it is a matter of ketone level. I’ve heard many times of people going into DKA at blood sugar levels at 200 or even lower.

Whoah, I didn’t even know that was possible… I always thought you had to be over 250 or so before it became a concern.

Being T2, DKA just isn’t omnipresent in my bag of concerns most of the time. I still make enough insulin to keep DKA concerns at bay – I THINK. I could be whistling past the graveyard on this, though, and probably should get some ketone strips so I can check next time I’m chronically over 200, just to see.

Did you have a flu shot this year? Just curious. I never get it and I always get the Flu Shot lecture ( e.g. you’re likely to die without it).

What a coincidence that you bring this up now. I am just getting over a severe Giardia attack. It’s a parasite found in well water or streams or animal feces that get into the water, I live in a rural area but my husband is fine so I don’t think it’s the water. But it was very violent & sudden. Feeling better now I have started the pills to kill it. But my BG shot down & it seemed like glucose was having no effect so I assume it just wasn’t getting absorbed. By the way they don’t test for Giardia until they have eliminated other causes.

We allow you to post here as a public service. If we didn’t, you might go somewhere else, and then we’d feel responsible . . . [chortle] [guffaw] [cackle]

Turning momentarily serious, it seems like any sort of digestive imbalance plays hell with BG. My periodic bouts of IBS sure do.

I had food poisoning a few years back. It got so bad I had a roommate drive me to the E.R. because I couldn’t keep anything down. Yuck! I feel for you, man.

Reak person sick is the worst sick of all

@Dave26 is correct. All bets are off. We had a stomach bug go through the family. A standard bolus resulted into a scary few hours of trying to raise my son’s BG. The effects lingered for a good week–even when feeling better. We even took him to eat syrup drizzled IHOP waffles with NO bolus needed. Good post.

The only thing GI bugs are good for is the few days’ aftermath during which you might be able to “pretend” your D was “cured”.

Not worth the hassle, IMO…

I did.

Pretty sure it wasn’t the flu… no fever, mostly lower GI.

You raise a very good issue – caretakers for child diabetics. @ClaudandDaye? If you weren’t aware of this issue, dial it in my friend! If the little guy gets sick, be aware all the usual techniques you have for BG control – especially pre-bolusing – must be taken with great care!

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Last time I had a go-round with stomach flu was back when I was still on R/NPH, and of COURSE the sickness came on after I’d already had my morning combo-shot: a whole day’s worth of IOB and no way to keep any food down. Only choice was to go to the hospital–actually the university health services clinic, because we were covered through MIT at the time. And it was mid-summer, which meant no students around, which meant I had the place to myself for the 24 hours I had to stay. Which sounds fine but actually was ludicrous because they were fully staffed up with RNs who had no one but ME to work on. They wanted me to stay another day but no way–couldn’t get any rest there with all vitals-testing and BG-poking by nurses with otherwise nothing else to do.

That was pushing 20 years ago and I haven’t had it since, knock wood. Though now it wouldn’t require a hospital trip, so at least there’s that.

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