Today is the first full day that we switched back to diluted Humalog. We finally got rid of the ketones about midnight last night, but she crashed at about 4:00 am with a BG of 49. We gave her some DH in her bedtime N shot, and I am so surprised at how far her BG came down (from 476 at 9:00 pm to 49 in 7 hours).
She woke up at 166 this morning and stayed at about 150 until after lunch. Her BG before naptime was 371 (usually it's in the high 100s). This is telling me she probably needs her morning N adjusted, but that I can handle.
My brain is hurting trying to figure out why the full strength Humalog made her BG go so high, and the diluted makes her numbers normal. The only thing I can think (and you wily veterans please correct me if I'm way off base) is that the full strength made her BG so low that her liver was kicking out a tonne of extra glucose. That is the only thing my pea-brain can think of.
Even the on-call endo last night was puzzled. Now I don't feel so bad.
I think you are on to something there Joanne . Yes I do believe that the full strength pushes the liver and there is a possibility that her liver is still kicking some insulin out and that the full strength stuff pushed it into high gear which is possible . Just a theory though not an expert by any means here just might be a theory we have here . Oh well much love dear and get some rest please .
ReplyDeleteI try not to figure out things that hurt my brain...unless I don't have a choice. You did the right thing...you followed your gut, and now you are on to an easier puzzle to solve. One that won't make your brain explode. :)
ReplyDeleteThinking of you a lot lately. Sending good thoughts your way.
Thanks phonelady and Meri... we seem to be headed back in the right direction. I know I need to stop thinking about it, but I hate when things don't make sense and I'll drive myself crazy trying to figure out what the deal is.
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