Enough said, tonight has sucked. Tomorrow I start fresh.
Sorry you had a bad afternoon/evening! Looks a lot like my Thanksgiving evening! On the good side, the TIR is ok. Don’t recognize the graph type, obviously a pump, but which?
Tconnect app for Tandemn pump. Patiently waiting the ability to bolus from the app.
Not OP but it looks like the Tandem app.
If this happens to me and I have glucose and my CGM is trustworthy, I’d use a rage bolus when it was climbing over 180. Like maybe 8u or 10u for me. If that worked, the BG would level off and turn down within 30-45 minutes. If it didn’t turn down, I’d be suspicious of the infusion site, consider changing it, and I’d take another big bolus, but by syringe this time. I’d keep giving large boluses by syringe every 20-30 minutes until the graph turned. It’s just me, but I can’t stand being over 180 for any length of time. The tradeoff is that I have to watch the CGM for the next 6 hours or more, and be prepared with lots of fast carbs if/when my BG starts plummeting. Like if in your graph I had rage bolused on the way up at 170, and the graph went like yours to 260 and turned down to 255, then 5 minutes later to 225, then 170, I’d start eating a couple glucose tablets every 10 minutes while watching for the graph to start bending flatter — trying to catch the falling BG before it actually reaches 110 and then shoots low.
Times like these I really appreciate Afrezza!
You won’t remember the high in a little time but you will remember the good times you had. . That’s the motto we live by… Can’t stop living and making memories because of diabetes, so as you said… Let the high roll off of you and think about the good times that caused those bgs. As long as you don’t stay high you’re fine.
What you’re not seeing in the graph is once things started going wrong I already had 10 units on board. So I had to be conservative in my additional corrections.
That’s where our techniques diverge. Your way is prudent and safe, and perfectly valid. My way gives the rage bolus via syringe repeatedly until I see a response—this solves the hyperglycemia relatively promptly, but stacking insulin means I must be vigilant because I will be needing fast carbs to stay out of trouble.
When I have a bad day my husband always says, “You’re doing the best that you can!” Some days are just like that.
yikes! that doesn’t look right
Looks like the needle hit Superman skin!