Type 2, Humalog plus Levemir
My protocol as ordered is to measure my blood glucose before meals then administer a variable amount of Humalog just before eating. So yesterday afternoon, did my finger stick which returned a reading of 148… low end of normal for me. So I took 16 units of humalog.
Made myself a lunch consisting of two small chicken salad sandwiches (small hamburger buns with chicken salad from the grocery store refrigerated section) and about 8oz of whole milk. Ate that at my desk and after I finished I left the computer to adjourn to my easy chair to read for a while. About a minute after hitting the chair, I started to feel those symptoms of a hypoglycemic episode… starting to sweat, feeling chilly.
I recognized what was going on and prepped for dealing with it. I live alone so there’s nobody to baby sit me when these things happen. I got up and unlocked the back door then went and got my meter and measured my blood glucose once again. 69. I immediately called my buddy, told him what was going on, and asked him to come over just in case I needed help. He’s done that for me a couple other times so he knows what’s going on.
I keep cans of sliced fruit in heavy syrup in the refrigerator for just this situation. So I grabbed one, tore the top off and started drinking the heavy syrup. After drinking most of it, I started eating the sliced pears and right about then my buddy arrived. Fortunately, I caught it before it became too dangerous. We talked for a while and I started in on a second can. After a while, I could feel that my blood glucose had returned to normal and the ordeal was over.
So, I’m positive I didn’t accidentally double-dose myself, thus I can’t see any reason for this event to have happened. However, a little while ago, it occurred to me that even though I’m using the very short pen needles, maybe the needle just happened to stick into a vein near the surface and the insulin went directly into my blood system. So I decided to wander in here and see if that’s possible and if anyone else has had something like that happen. Thoughts?