Unexplained high blood sugar

Radioactive Man said:

Dawn effect can be ruled out because I did a fasting

bloodwork test

Quoted message said:

several weeks ago and my blood sugar held steady in the

70's for at

Quoted message said:

least 3 hours after waking up. That leaves 2 other

possible culprits:

Quoted message said:

pen malfunction/error or "nerves".

If not the dose then consider liver dump. You may not have
had enough insulin in your body from all the exercise so the
liver released glucose into the bloodstream.

Odd...Possibly a combo of pen malfunction and a hard stress
run??? I've used the pen in the past, and had no problems
with it. Perhaps you misdialed?

I would be surprised if the hard run was what raised your
sugars. Lifting weights can raise sugars because of the
release of lactic acid. But, running should have lowered
them. Perhaps your body thought it was about to go low so it
did a liver dump on you??

It's frustrating when you do what you are supposed to do and
your body doesn't cooperate!

Hopefully this was an oddball blip, and your sugars
straighten out for you. Steph

"Radioactive Man" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

At ~6:15 this morning, my blood sugar was 88. I injected 3
units of novolog (or at least thought I did) from a flex
pen and then started my drive to a 5k race I was doing.
From ~6:35 to 7:35 I gradually ate some granola bars,
totalling ~36 g of carbs, which is exactly the amount I
should have eaten for the insulin dose I used. I did a
short and easy warmup run and then checked my blood sugar
again at 7:50. I was very disgusted to find it was 178. I
took a drink of water, but no additional snacks or insulin
and then ran the race at ~6:00 per
mile (ahard pace for me) and came back and checked it
again at 8:30 and it had gone up to 218. At that
point, I injected separately 12 units of L for
basal coverage and 4 units of novolog to bring
down the high and eventually eat. After about 35
minutes, I did eat about 45 g from bagels and
granola bars. At 10:30 my blood sugar had gone
back down to 126. Clearly, the novolog had worked
the second time.

When I go out on an easy day and plod along at 10 minutes
per mile, my blood sugar normally goes through a gradual
drop. The same thing happens when I go out and ride a bike
at 15 mph or walk. I have read that high-intensity
exercise can actually cause a rise in blood sugar and I
suspect that is what caused the rise from 178 to 218 this
morning.

What I am not certain of is how it went from 88 to 178,
considering the slow rate at which I ate compared to the
speed of the insulin I injected.

Dawn effect can be ruled out because I did a fasting
bloodwork test several weeks ago and my blood sugar held
steady in the 70's for at least 3 hours after waking up.
That leaves 2 other possible culprits: pen
malfunction/error or "nerves". Given that I've never had a
spontaneous rise in blood sugar of that magnitude before,
I believe the finger points at me not getting the dose I
thought I was getting. In hindsight, I realize I hd just
started a new pen this morning. Although, I'm sure I
didn't inject air (because the bubble was at the top), it
is possible the pen was not mechanically primed when I
first injected. It did make the usual clicking sound.

Anyone had this happen with novolog (or other) pens
before?

Radioactive Man said:

At ~6:15 this morning, my blood sugar was 88. I injected 3
units of novolog (or at least thought I did) from a flex
pen and then started my drive to a 5k race I was doing.
From ~6:35 to 7:35 I gradually ate some granola bars,
totalling ~36 g of carbs, which is exactly the amount I
should have eaten for the insulin dose I used. I did a
short and easy warmup run and then checked my blood sugar
again at 7:50. I was very disgusted to find it was 178. I
took a drink of water, but no additional snacks or insulin
and then ran the race at ~6:00 per
mile (ahard pace for me) and came back and checked it
again at 8:30 and it had gone up to 218. At that
point, I injected separately 12 units of L for
basal coverage and 4 units of novolog to bring
down the high and eventually eat. After about 35
minutes, I did eat about 45 g from bagels and
granola bars. At 10:30 my blood sugar had gone
back down to 126. Clearly, the novolog had worked
the second time.

When I go out on an easy day and plod along at 10 minutes
per mile, my blood sugar normally goes through a gradual
drop. The same thing happens when I go out and ride a bike
at 15 mph or walk. I have read that high-intensity
exercise can actually cause a rise in blood sugar and I
suspect that is what caused the rise from 178 to 218 this
morning.

What I am not certain of is how it went from 88 to 178,
considering the slow rate at which I ate compared to the
speed of the insulin I injected.

Dawn effect can be ruled out because I did a fasting
bloodwork test several weeks ago and my blood sugar held
steady in the 70's for at least 3 hours after waking up.
That leaves 2 other possible culprits: pen
malfunction/error or "nerves". Given that I've never had a
spontaneous rise in blood sugar of that magnitude before,
I believe the finger points at me not getting the dose I
thought I was getting. In hindsight, I realize I hd just
started a new pen this morning. Although, I'm sure I
didn't inject air (because the bubble was at the top), it
is possible the pen was not mechanically primed when I
first injected. It did make the usual clicking sound.

Anyone had this happen with novolog (or other) pens
before?

I use a Novolin Pen 3. I've sat on the thing and bent it at
about a 15 degree angle, right where the cartridge housing
and mechanical portion meet. It popped back into place and
had no problems since. The Flex pen may be different, I've
never used one.

To do a dosage accuracy check: The cylindrical portion of
the outer needle cover on NovoFine needles is *exactly* 20
units. As for BD needles, I'm not sure. I keep a small
supply of NovoFine needle samples for this purpose. I use
the BDs 95% of the time.

HTH

Vicki

Stephanie Kolban said:

Odd...Possibly a combo of pen malfunction and a hard stress
run??? I've used the pen in the past, and had no problems
with it. Perhaps you misdialed?

It is possible that the plunger in the pen was not
engaged by the screw on the first dose. It has worked
fine since then.

Quoted message said:

I would be surprised if the hard run was what raised
your sugars.

From what I've read from various sources, that would make
sense. In training, I only go under 6 per mile for short
intervals and that's usually after a long and easy warmup.
That does not cause erratic blood sugars, just the need for
an occasional snack and a 30% reduction in insulin dose for
the meal that follows.

I believe what it boils down to is that for those of us with
type 1, the body makes more sugar than it needs when doing
high intensity exercise, but less than it needs when doing
low-intensity exercise. This would explain why I can get low
blood sugar from raking leaves long enough.

Quoted message said:

Lifting weights can raise sugars because of the release of
lactic acid. But, running should have lowered them. Perhaps
your body thought it was about to go low so it did a liver
dump on you??

It's frustrating when you do what you are supposed to do
and your body doesn't cooperate!

Hopefully this was an oddball blip, and your sugars
straighten out for you.

That makes sense. Numbers have been fine since then.

Quoted message said:

Steph

"Radioactive Man" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

At ~6:15 this morning, my blood sugar was 88. I injected
3 units of novolog (or at least thought I did) from a
flex pen and then started my drive to a 5k race I was
doing. From ~6:35 to 7:35 I gradually ate some granola
bars, totalling ~36 g of carbs, which is exactly the
amount I should have eaten for the insulin dose I used. I
did a short and easy warmup run and then checked my blood
sugar again at 7:50. I was very disgusted to find it was
178. I took a drink of water, but no additional snacks or
insulin and then ran the race at ~6:00 per
mile (ahard pace for me) and came back and checked it
again at 8:30 and it had gone up to 218. At that
point, I injected separately 12 units of L for
basal coverage and 4 units of novolog to bring
down the high and eventually eat. After about 35
minutes, I did eat about 45 g from bagels and
granola bars. At 10:30 my blood sugar had gone
back down to 126. Clearly, the novolog had worked
the second time.

When I go out on an easy day and plod along at 10 minutes
per mile, my blood sugar normally goes through a gradual
drop. The same thing happens when I go out and ride a
bike at 15 mph or walk. I have read that high-intensity
exercise can actually cause a rise in blood sugar and I
suspect that is what caused the rise from 178 to 218 this
morning.

What I am not certain of is how it went from 88 to 178,
considering the slow rate at which I ate compared to the
speed of the insulin I injected.

Dawn effect can be ruled out because I did a fasting
bloodwork test several weeks ago and my blood sugar held
steady in the 70's for at least 3 hours after waking up.
That leaves 2 other possible culprits: pen
malfunction/error or "nerves". Given that I've never had
a spontaneous rise in blood sugar of that magnitude
before, I believe the finger points at me not getting
the dose I thought I was getting. In hindsight, I
realize I hd just started a new pen this morning.
Although, I'm sure I didn't inject air (because the
bubble was at the top), it is possible the pen was not
mechanically primed when I first injected. It did make
the usual clicking sound.

Anyone had this happen with novolog (or other) pens
before?

"Radioactive Man" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

At ~6:15 this morning, my blood sugar was 88. I injected 3
units of novolog (or at least thought I did) from a flex
pen and then started my drive to a 5k race I was doing.
From ~6:35 to 7:35 I gradually ate some granola bars,
totalling ~36 g of carbs, which is exactly the amount I
should have eaten for the insulin dose I used. I did a
short and easy warmup run and then checked my blood sugar
again at 7:50. I was very disgusted to find it was 178. I
took a drink of water, but no additional snacks or insulin
and then ran the race at ~6:00 per
mile (ahard pace for me) and came back and checked it
again at 8:30 and it had gone up to 218. At that
point, I injected separately 12 units of L for
basal coverage and 4 units of novolog to bring
down the high and eventually eat. After about 35
minutes, I did eat about 45 g from bagels and
granola bars. At 10:30 my blood sugar had gone
back down to 126. Clearly, the novolog had worked
the second time.

When I go out on an easy day and plod along at 10 minutes
per mile, my blood sugar normally goes through a gradual
drop. The same thing happens when I go out and ride a bike
at 15 mph or walk. I have read that high-intensity
exercise can actually cause a rise in blood sugar and I
suspect that is what caused the rise from 178 to 218 this
morning.

What I am not certain of is how it went from 88 to 178,
considering the slow rate at which I ate compared to the
speed of the insulin I injected.

Dawn effect can be ruled out because I did a fasting
bloodwork test several weeks ago and my blood sugar held
steady in the 70's for at least 3 hours after waking up.

Nothng can be ruled out with diabollocks R. Because you dn't
have a rise in sugr one day isn't a guarantee that you won't
have one the day after or even the day after that. There's a
whole slew of varibles t cnsider, not least what you BG was
BEFORE yu woke up and which way it was moving. Don't count
something out from the result of ONE test.

That leaves 2 other possible culprits:

Quoted message said:

pen malfunction/error or "nerves". Given that I've never
had a spontaneous rise in blood sugar of that magnitude
before, I believe the finger points at me not getting the
dose I thought I was getting. In hindsight, I realize I hd
just started a new pen this morning. Although, I'm sure I
didn't inject air (because the bubble was at the top), it
is possible the pen was not mechanically primed when I
first injected. It did make the usual clicking sound.

As possible as any other scenario, and a scenario I've
encountered on a few occsaions myself, even when I've
PROMISED myself it wont happen again)

Quoted message said:

Anyone had this happen with novolog (or other) pens
before?

I've had it with EVERY pen I've ever used and every type of
fast insulin too. We get VERY complacent abut what and how
we inject, and for the most part, we get away with it, but
there are the times when we don't, and the result is the
same as you've just had.

Chalk it up to experience, and do a few more tests for DP
just so you KNOW you don't suffer from it.

Beav