Rocky Mountains (low valleys and HIGH peaks)

Seems to me like some protein and fat would help you get through the night, because of their long digestion curves? Like some cheese, or (heaven forbid) a dab of ice cream?

Ha, Im an expert at juicing the last of a reservoir out. When MM came out with the new reservoir I was bothered because the suction worked better on the new ones than the old. If you can get some air in the reservoir you can push the 12-20u out of the tubing that is usually left. I hate wasting insulin. LOL

Well, Im glad you get a reminder out of this. Good job on learning from the mishaps. Although, I think things like this are out of our control sometimes. Lord knows it happens to us all enough.

Agreed, Danny - I think this may be my favorite part of this group - being part of the honesty and reality that we post of what life with diabetes looks like. And even as we strive for our best, it’s not a cure. We fight the good fight every day. We are not robots that can be programed for perfection, despite what my drs and insurance may think :slight_smile:

Natalie, way to survive a rough day! And yep, I count 3 peaks, but good job keeping it from one huge Mt. Everest! Hope tomorrow flattens out for you!!

I’ve had some fatty meat every night. Hmmm some high fat boston cream pie with a dab of ice cream?

Boy, what a rough ride! The low is my old middle-of-the-night crash - seems to have reappeared. 39 for 1 1/4 hours and the dex didn’t wake me up. Grrrrrrrrrrrrr.
The peak is my breakfast today that I tried to TAG on the run. Went up to 159. I think I missed LOL
The nice flat is a 1:00 lunch that I TAGed. Ended up at home from the terrier trial at a comfortable 87. Dumb beginners luck?


Was just one of those days… Stayed ‘flat’ around 160 even through several corrections, so finally set a temp basal of 125%.and bolus for a snack and it finally came down. Did an infusion set change on Sat,so may be just not absorbing insulin as well. Later had some extra carbs for exercise that led to the peak over 200 (meter at 209).


I forget – are you on a pump? A low like that makes me think a lower basal for the first part of the night, and then higher when it begins to go up. It would take staying up a few nights to check (and for me, that doesn’t really help, because if I’m awake, the lows don’t happen), but that kind of a low is better avoided if possible! (And other people surely have better advice than I do!) :slight_smile:

Well, join the “less than perfect club!” I really wish our bodies were like machines where input X always leads to output Y, but it just ain’t in the cards. But as Danny says, tomorrow is a brand spankin’ new day! Good luck!

Yup, on a Ping. This kind of low happened a few times last week, adjusted basals and it went away Last night I was flat as a pancake hovering around 70 the whole time I was sleeping. I think I’ll go back to peanut butter before bed. 20 minutes after I got up I was 83 and rising slowly. No, it wouldn’t work for me to stay up - my bg would stay up. I can’t find any explanation for why this happens sporadically with no change in what I’m eating or anything. Blech.

So I went out yesterday to fly a kite with my daughter. After running around for an hour trying to get the stupid thing to stay in the air, we got attacked by a pinecone which proceeded to eat about 1/4 of the string and then we gave up and threw away the kite, haha. Much fun was had, but we lost track of time and before i knew it, i was feeling off. dex said 108, but when we went back home meter said 58. Sigh, munched some tabs, leveled out almost at 150, took nap and it settled back down. Will have to try a new kite in few weeks, and eat carbs before i go running amok this time.



Circle is after correcting dex with 58 meter reading. it was still showing down arrow trend too… which caused me to slightly overcorrect, but it’s better to be a tad high and safe i suppose.

Question for you, do you feel like you went low overnight? I know dex says you did, but it could just be false low? Depending on where you wear the sensor and how you sleep, it may give false lows. I used to wear mine on side of tummy, but whenever i slept on that side, it’d give me lots of crazy readings. Something to do with pressure on area with sensor and blood flow and technical mumbo jumbo I don’t understand etc. Since i moved my sensor to my upper arm i haven’t had any strange overnight lows that i couldn’t readily explain away at least, heh.

Good questio Ken. I’m pretty sure it was right. Last week when I got a bunch of these lows I did a fingerstick a couple of times and the dex was a bit low but not much - meter said low 40s. I keep it on my nighttable, sensor is on my stomach - I sleep on my back or sides. Guess I should fingerstick if/when it happens again instead of just guzzling juice :wink:

Sounds like fun, albeit frustrating! Good catch Ken, looks as if you corrected immediately. I’d rather be a tad high than that low too!

Sounds like a great day, Ken! I would say your number look pretty good too! I’m not sure I would have lasted an hour running around after a kite and would have hit the deck sooner and harder. Your rebound didn’t skyrocket. Looks like you may have hit 150. If Danny were posting he would tell you that this is an EXCELLENT DAY OF DIABETES!

Set changes are such a pain. Really I wish our bodies would just accept the cannula and insulin without issue. Its hard enough figuring all the numbers without all the absorption guesses. I think that is my least favorite part these days. That said, you caught it and managed it well.

The great part about this trend is no lows. You handled both those elevated trends wonderfully. The sign of well managed PWD. Nice work.

Any chance of you setting an alarm for 1am to check the LBS with a finger stick? This low is very perplexing. Id be curious to see what some fast acting carbs would do before bed. Those will last you about 2-4 hours (maybe a fat / carb mix) that would take care of the low.

Do you food / exercise logs from the days where the nights go low?

Great days trends Ken! Curious the low seems to be a single reading on the Dex.

"after correcting dex with 58 meter reading."
Do you mean you calibrated the Dex with the 58 fingerstick reading?

Yup, onesaint. Not really sure what the dex was doing yesterday. It was around 100-110 for an hour leading up to my war on pine cones, then standing in the sun, trying to untangle string for 5 minutes… i started to feel off, glanced at dex, said 110 and flat arrow which i knew was way off wrong, and 1pm which meant i was late for lunch! Scooped up my daughter and headed home (park is across the street! very convenient =) , soon as i got home, i started to feel light headed, lightly blurred vision, did fingerstick which showed 58. entered bg into dex, it recalculated at 60-70 something, i forget, with down trending arrow. I immediately ate 2-3 tabs, plus some sticky rice and red bean paste. Of course, my daughter kept shoving food at me so i over shot a bit from that as well, we took nap afterwards and i woke up at decent number so it ended ok. I know the dex only requires BG entries every 12 hours, but i find that i almost always enter my BG from fingersticks, is that a bad thing? As in messing up calibration? I am always amused by what it calculates, since i measure my BG and know what it is via meter, why it gives higher/lower reading instead. I’m guessing it tries to compensate for lag time, plus current reading plus entered BG and then adds a safety buffer for margin of error, etc. Magical bean counting is what it is!

my little girl like to count out the reese’s / jelly beans for my lows. =^) Arent kids awesome?



These are my findings on the Dexcom.



The Dex should only be calibrated twice daily and preferably during flatlines. There is a trick with the algorithm and handing it too much information (more than 2 calibrations) which makes from less accurate results. Additionally, calibrating while low or high will lead to trends going lower or higher, respectively.



The lag time is 10-20 min. (i find it to be 10 most times). I dont believe the dex makes provisions for this. It just reads the numbers as they come in and hands them over with the calibration algorithm. So, when looking, think "10 minutes ago."



Personally, I do my best to only cal. when Im flatlining, even if that means I only get the cal. in every 15 hours as opposed to every 12. So, if I see a trend where Im 95-99 for 30min, Ill calibrate. Sometimes, less timing wise maybe 15min would work too.



Also, if your gunning for tight accuracy, per myself and Helmut, test multiple times to ensure a maximum of a 5 point variance from the meter test 1 to meter test 2 or from meter test 1 or 2 to the Dex (E.g, meter 1 - 99mg/dl, meter 2 - 104mg/dl = calibration input of 102mg/dl or meter 1 - 99mg/dl, Dex = 104mg/dl = cal. of 99mg/dl). Please let me know if that doesnt make sense. My dex is usually off by a maximum of 10 mg at any given time. Usally its off by less.

Sometimes I don’t go to bed till 1am lol. But sure, I can test 2 hours after I do go to bed. I usually have a spoonful of peanut butter or some lunch meat before bed, but will try adding a cracker to it and see what happens. Nope, no logs. I keep promising myself to start sigh Exercise is about the same every day, except for terrier trials when it’s way high (like yesterday/saturday).

Determined to figure this out! I do drop as soon as I lie down, and rise as soon as I get up no matter what time, but not THIS low!