Weird things are happening to me- and right now I’m feeling like I’ve hit a wall without input from my Endo. Two days ago, I ended up going onto a second day without sleep due to a work scheduling conflict. Well, that day, my morning BG was slightly elevated. I took my morning dose, had breakfast and went about my day. I am testing about every 2-3 hours- my BG is extremely reactive, and the smallest things make it go way off. Well, that day without sleep, I couldn’t get out of hypo. I was hitting hypo (3.8 - 4.4/mmol) every few hours. I wasn’t taking too much insulin, and I even scaled back a unit or two from what I expected to take. My after-meal sugars were lower than my before-meal sugars.
That night, I got a good sleep. My morning sugar was elevated again (I’ve been trying to compensate by adjusting my NPH dose for morning and evening to get my morning sugars down). I’ve also been waking up at 4am every morning to test and adjust if necessary. All day, my sugars were elevated and I couldn’t get them to come down all morning. They didn’t come down until after 9:30 last night (despite taking a dose every two hours all day), when I finally hit 7.7/mmol just before bed. I woke up just before my nighttime dose alarm, in really extreme hypo. I was wet with sweat, shaking really hard, and totally freaking out. I managed to test alright, and my BG was 2.9/mmol. I have never seen my BG that low. So on one hand, I was impressed after being so high all day, but really unhappy that it was so low. I had a few sips of grape juice and went back to bed. When I woke up, my BG was 15.3/mmol. I didn’t drink much juice- just enough to get me out of hypo.
What is going on?! I’m really frustrated that my BG is so reactive for no reason- it’s making getting even BG through the day really difficult. Every time I get within range, I find that almost every time it is offset by a ridiculous high later- even if I haven’t changed anything and am dosing properly. Oh, and the edema I had in my legs last week is back with a vengeance. :S I keep having to keep my legs elevated. I am going to make an appointment with my Endo, because at this point, I’m not sure what it is I’m doing wrong or how to stop the peaks I’m having. I’m working really hard to bring down my A1C and level out my graph. I get so depressed when I peak.