What’s interesting is there are carb entries but no bolus entries. In fact the last time I took novolog was 8:55 pm Tuesday night. A whole 8 units. And despite no novolog for a day and a half I was low at 51 this morning.
I have also cut back my basal Toujeo from 36 units twice a day to 24 units twice a day.
@Thomas It looks like an initial increase after each carb entry, followed by the decrease an hour later.
I can only surmise that this is the basal insulin doing this. This is also how a normally functioning pancreas would act.
If this continues I’ll be cutting basal down incrementally just to see what happens. If I cut the basal down much farther though I would consider myself cured.
What is startling though is that just two weeks ago I was taking over 100 units of novolog every day for the same amount of carbs with a slightly worse track.
The only difference I can see is that I’ve cut carbs about 20% in the past couple of weeks. From about 100/day to more like 80 or so/day. So I’m basically now LCHF, but certainly not zealously.
@docslotnick, it strikes me that this could be valuable to a researcher to look at. This is almost unheard of, particularly given your insulin resistance.
This is really amazing, there is clearly something changing in your body. It will be awesome to understand what it is. That track without bolus insulin is spooky.
@Michel I am absolutely amazed at this myself. I am very anxious to see what happens as I reduce basal even more.
It’s frustrating that my endo seems to have retired or just left practice as I cannot reach him. I am trying to get an appointment with another endo ASAP.
Doc, someone should really look at you right away – there is something to discover in this adventure that could profit us all. What is your normal TDD? You are down to my son’s kinda bad days – he has worse, and he is 12 years old.
Bear in mind - I am not disagreeing - I am honestly curious what is going on and causing this. It doesn’t make sense to me. [Granted - I am not an Endo - lol - so lots of stuff doesn’t make sense to me]
@Thomas Injected basal is like slow release insulin. Ideally a 24 unit basal injection would release at the rate of one unit per hour. It doesn’t work exactly like that, but that is the idea.
If exactly the right amount of basal is taken, then no exogenous carbs are needed to cover it, the body’s normal function will use it. If too much is taken then it will drive Bg too low, necessitating eating some carbs.
So, in my case, it is obvious I was taking too much basal as it covered my meals.
Ok. So not so much that the basal was correcting for the food but rather that you had excess basal and the food was correcting the basal to prevent lows?
Perhaps same thing and just looking at it from the other direction.
In any case would you surmise that if you had not eaten food (ie fasting basal test) that you would have hit significant lows from excess basal?