Have Currently just finished taking two doses, two weeks apart of epidural corticosteroid injections for spinal stenosis. Had them 9 years ago in my neck and they worked , high blood glucoses for about three-four days, and then I was ok. and never had the pain again.
However, this time was NOT the case. Pain and tingling are worse, I am sometimes incontinent,have swollen feet and ankles, leg cramps and my blood sugars have been incredibly high for about two weeks. I, get this, injected/bolussed a total of 117 units in one day, yesterday; because I knew I was going out to dinner and as low carb as I could try to be at a restaurant there are always "hidden carb"s. That would have been enough insulin , in one day, to KILL ME just two weeks ago.
I have to give myself Massive correction bolusses of 20-25 units through the pump supplemented by the syringe and then I am constantly checking the CGMs. I am so insulin resistant that even with a basal rate of 2.25 units per hour, which is three times my usual daytime rate of .75 an hour, I can rise to over 170-180 as a fasting blood glucose without eating anything,if I am sitting watching tv for an hour, or on the internet. I can spike to over 300 after almost every meal, with wha I thik are super adequate bollusses.I have gone to eating nothing but meat and veggies, no starches/carbs at all. Today I just ate nothing except a table spoon of pimento cheese for breakfast, a cup of decaf for lunch, and a spoonful of peanut butter ( 5gms carb)( which I bolussed 4.5 units for). Had normal sugrs all day but am spiking now at 179. Until I can find a way to control my blood sugars, I plan to eat as little as possible.. Maybe even fasting with just water . green tea, my viatmin supolements,and sugar-free crystal Light. iam trying to get my sugars down to "acceptable for now ranges" all day ( say a pre meal bs less than 150 and a post prandial less than 220).
I can only get normal ranges like before, if I do not eat at all.I have to stop the "rage bolusses" though. I got down to a 45 yesterday . Fortunatey for me , I have a CGMS and am NOT hypo unaware. I slip slowly into the gnarly dragon's mouth of low blood sugar and am generally always able to treat anything at 40 or over on my own:I am so hyperglycemic and insulin resistant now, that I just do not think I will slip slide away into unconsciousness from a low. But I cannot be foolhardy. I guess I now have symptoms of "double diabetes". GRRR....
Needless to say, I will NOT be taking anymore corticosteroid injections ANY time soon.
A bit Grumpy and a lot hungry, but this too, shall pass.