Correcting a 120 couldn’t kill you if you did not administer too high a correction dose (which, I admit, could be quite a challenge without a pump).
And for the record, I’m probably older. I’m 58 (and “older than dirt” as far as my 14-year-old daughter is concerned!)
sorry. i appreciate your thoughts but I’ll leave it there. I’m fully aware of the process, Endogenous vs. Exogenous insulin, the pancreas, liver, etc…please don’t explain this to me.
no, IMO, correcting at 120 is ridiculous…any way you look at it, it’s a normal blood sugar. and no, I’m just very fit, an athlete and look young (or so I’m told) I’m not too far off. my profile pic is new…I just look young I guess. Oh well. ciao.
yes and yes. I’m good…thanks!
Terry4 (and the majority of endocrinologists and quite a few other folks here on TuD besides Terry and myself) would definitely disagree with your statement. 100 is an example of a normal blood sugar. 120 is not a normal blood sugar. The “official” cut off point for a diagnosis of Type 2 diabetes (among other criteria) is a fasting blood sugar of 126 or higher, a mere 6 mg/dL higher than your “normal” BG of 120. High is high, no mater the Type of diabetes.
I’m sorry this simply is silly. If one’s blood sugars continue to rise, either on MDI or pump, regardless of corrections, and corrections won’t really work if basal isn’t enough, also ICR if basal is too high, can be effected, too. read over and over on this site how if basal is too high or even right some can lower their ICR and/or ISF or even eat some carbs without a bolus (especially on a pump as it’s the SAME insulin whether dripped slowly or injected and used over a 3 - 4 hour period as a bolus isn’t used all right away either), these are just facts. If our numbers continue to rise, we take and need MORE BASAL, basal lowers blood sugars, it is what keeps us in our range…the correction doesn’t keep us in range, it burns out in 3.5 or so hours…if we didn’t have ‘basal’ to lower our blood sugars (stopping the liver from dumping too) we would be correcting all day long. tomatoe or tomato, LOL, if you want to insist basal impedes our BG’s from rising. ah…OK. I’ll just simplify the message and say it lowers BG’s. We also all know the higher our BG’s the more insulin we need, typically, to bring them down, i.e., if one’s basal is set too low and BG’s keep rising we’re gonna need a larger correction factor too. Both work together.
You’re not understanding what I’ve posted, as evidenced by the fact that you are arguing about several points with which I agree. I’m going to follow Sam’s lead and bow out of this thread. Perhaps you can find a textbook that will address your questions and comments in a way that makes more sense to you. I wish you all the best!
wow, this stuff is horrible. WTH? I went up to 10u last night, blood sugars at 200’s all day, correcting all day and overnight, hardly ate i’m at 254 now…can it be that taking too much basal does the opposite? I cannot wake to a good BG and it’s not DP, I’ve been high for 2 days straight now. Basal is not supposed to keep my in the 200’s. DEXSept 1, 2016.doc (158.5 KB)
You may just need a little more— as you said you really didn’t know how much to start with-- so it’s to be expected to be some trial and error to get your dose dialed in.
What did you go to bed at?
200’s all day, correcting it won’t come down. this concept where basal is
just supposed to keep me at 200’s is crazy. the basal is supposed to keep
me at what I lower it too or lower it. do I do 12 tonight?
Don’t know what to tell you-- I’d ask your doctor
yep, thanks
The concept isn’t that basal should keep you at 200— it’s that it should kee you steady at any level… So that if you’re at 200 it would stay steady at 200 unless you correct it down.
Maybe your doc practices an alternative strategy if that’s not what has been working for you in the past–
Can’t really give specific advice in terms of how much to take bc I’m not a doctor but I can say that I still recommend giving whatever dose you/ your doc go to a good 3 days…
And that if it’s keeping you steady, even steady at 200, when you’re not eating, that’s what I would consider a proper dose in my own case, and I would be taking bolus to correct the 200
If you’re correcting it down to target levels and it immediately and consistently starts rising back upwards even when you’re not eating, you need more basal. I don’t really have any way of knowing how much more.
The concept isn’t that basal should keep you at 200— it’s that it should kee you steady at any level… So that if you’re at 200 it would stay steady at 200 unless you correct it down
Yes…exactly…but if I’m just correcting correcting and it won’t come down. I need more basal.
thanks…this feels yucky. LOL…incisions and my donor sites are so impacted by these high BGs. will discuss with Endo. thanks!
That’s a good point-- if you just had surgery your body could be in all sorts of chaos and it might be an extraordinarily difficult time to figure out the correct basal dose
Sounds like you’re having some of the same problems as a former member. This thread presents a similar issue: OVER - INSULIN Side Effects
Yes, I have the exact same issues. Up to a point my basal will lower my fasting blood sugars. Past that they will increase as if it’s driving my body to react by outputting more glucagon and hence more glycogen from the liver. I can force it to go down if I take a large shot of short acting but then it goes low and defeats the purpose. This was my issue when I had DP, I was taking too much Lantus basal at night which also has a peak in it.
If I ever hit this, I lower my basal by one or two units a night to see how my numbers change.
YEAH, it’s like the more I take the worse this gets, I start to retain water, too…and it doesn’t do anything…almost like I become resistant to it…so, where are you now, Allen? Do you go to bed at a certain number and wake to that number give take 20 - 30 points. I know it’s not a science but what are you doing now - how much…is tresiba last for your all day? This is so frustrating. And, basal testing during the day, fasting - doesn’t really do anything if we’re on MDI…cuz…we’re on MDI (LOL) and taking one dose tresiba…so, we use our overnight fasting number as a gage, I guess. IDK. I feel awful…my mouth gets so dried out too, like sores on my tongue. I tried 6 units and I stayed flat at 130 overnight but was high all afternoon and evening…and BG’s wouldn’t come down…SO I went back up again. IDK. I’ll go back to 8. What the heck…I just feel sick.
Basal testing works exactly the same on MDI… Except more simple. If you skip meals and your bg consistently rises, your basal is too low— if you skip meals and it consistently falls it’s too much basal. This is the best way to determine if MDI basal needs to be adjusted. There are additional variables like dawn phenomenon overnight— so that’s not as good as meal skipping basal tests.
I can not stress enough that it takes 3 full days for any dosage adjustment to take full effect
yes, I understand…my point is…if we’re on MDI and our basal is ‘steady’ and good overnight…but it varies during the day, maybe later in evening, etc…then it’s not like we can adjust that…because we’re on one shot of basal…maybe if we adjusted that then our overnight fasting number might be messed up. there’s only so much one can do on basal MDI, if we’re just taking one shot. thus, the reason most go on pumps, for the adjusting of basal rates for DP and every other damn thing…ha!