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Joe Zeff
Jul 30, 2014, 1:20:13 AM7/30/14
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This morning was my last day as a lab rat. It almost wasn't. At the end
of the study, I was expected to go through the same test that started it,
coming in fasting, taking a measured dose of carbs and checking my blood
for various things over the next four hours. However, in order to get
proper readings, my blood sugar at the beginning had to be no more than
160.
And that, of course, was the problem. You see, for about half a year,
they've been trying to control my numbers almost completely with mealtime
insulin and trying[1] to keep it from getting too low by lowering the
amount of Lantus I got every night. This meant that before breakfast, my
reading was rarely below 250, which meant that my lunchtime reading would
be high and I'd be constantly increasing my breakfast insulin until the
doctor in charge lowered it, at which time the cycle would start over.
Four days before I was due to come in, the penny finally dropped and my
nighttime dose was increased from 8 to 12 units.[2] Monday, when I came
in for the test it was 245. They asked me to take about a mile long walk
and tested again: 270. An hour later, it was 300. As the test takes
over four hours, the doctor told me to lower my mealtime doses and raise
my Lantus to 16; twice what it had been a week ago. We agreed that I'd
call in and leave a message if it wasn't under 200 the next day and we'd
try again. (There's a limited window for this; if we couldn't get it
done by Thursday, we'd have to finish without it.)
This morning, at 6 AM, it was 117. By the time I got there at 8:30, it
was 170. I drank a bottle of water to see if my kidneys could flush some
of it out and 30 minutes later it was 159, just inside the range.
I still have a diary to take back next week, but that's only to report
any new hypos or other issues, then one or two phone calls, but I'm back
to my old regime of Glargine, Glypizide and Lantus with only two blood
tests per day. And there was much rejoicing.
[1]without much success
[2]Before I started, it was 18.
--
Joe Zeff -- The Guy With The Sideburns:
http://www.zeff.us http://www.lasfs.info
Sure we Brits know what summer is. It's those two days in August
between the thunderstorms and the sleet
of the study, I was expected to go through the same test that started it,
coming in fasting, taking a measured dose of carbs and checking my blood
for various things over the next four hours. However, in order to get
proper readings, my blood sugar at the beginning had to be no more than
160.
And that, of course, was the problem. You see, for about half a year,
they've been trying to control my numbers almost completely with mealtime
insulin and trying[1] to keep it from getting too low by lowering the
amount of Lantus I got every night. This meant that before breakfast, my
reading was rarely below 250, which meant that my lunchtime reading would
be high and I'd be constantly increasing my breakfast insulin until the
doctor in charge lowered it, at which time the cycle would start over.
Four days before I was due to come in, the penny finally dropped and my
nighttime dose was increased from 8 to 12 units.[2] Monday, when I came
in for the test it was 245. They asked me to take about a mile long walk
and tested again: 270. An hour later, it was 300. As the test takes
over four hours, the doctor told me to lower my mealtime doses and raise
my Lantus to 16; twice what it had been a week ago. We agreed that I'd
call in and leave a message if it wasn't under 200 the next day and we'd
try again. (There's a limited window for this; if we couldn't get it
done by Thursday, we'd have to finish without it.)
This morning, at 6 AM, it was 117. By the time I got there at 8:30, it
was 170. I drank a bottle of water to see if my kidneys could flush some
of it out and 30 minutes later it was 159, just inside the range.
I still have a diary to take back next week, but that's only to report
any new hypos or other issues, then one or two phone calls, but I'm back
to my old regime of Glargine, Glypizide and Lantus with only two blood
tests per day. And there was much rejoicing.
[1]without much success
[2]Before I started, it was 18.
--
Joe Zeff -- The Guy With The Sideburns:
http://www.zeff.us http://www.lasfs.info
Sure we Brits know what summer is. It's those two days in August
between the thunderstorms and the sleet
Joe Zeff
Oct 25, 2014, 6:58:21 PM10/25/14
to
On Wed, 30 Jul 2014 05:20:13 +0000, Joe Zeff wrote:
> I still have a diary to take back next week, but that's only to report
> any new hypos or other issues, then one or two phone calls, but I'm back
> to my old regime of Glargine, Glypizide and Lantus[1] with only two
> I still have a diary to take back next week, but that's only to report
> any new hypos or other issues, then one or two phone calls, but I'm back
blood
> tests per day. And there was much rejoicing.
It's been a while since I've been able to post. My Usenet feed got
> tests per day. And there was much rejoicing.
bought up by a bigger company that renumbered everything. This messed up
my newsrec, causing everything to be marked read. By the time that was
fixed, there were other things distracting me, but I'm going to try to
get caught up now while there's time.
My blood sugar numbers got high enough that for a while I was taking 25
units of Glargine every night, and they weren't coming down. I was
referred to Endocrinology. They took me off of Glypizide and put me on
Repaglinide. I'm also taking 10 units of Glargine before breakfast and
10 more 12 hours later. So far, so good.
[1]Yeah, I know it's a tad odd to put a footnote into quoted text, but
that should have been Metformin.
I generally support rugged individualism, but only when it is backed
by clue.
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