Guest guest Posted January 19, 2008 Report Share Posted January 19, 2008 > I ate a small brunch (12 carbs) and the usual 1.5 units Novolog, > and BG went from 78 to 136! Well, after 1 unit insulin (BG at waking was 99, which went down to 78 after 1/2 unit, and I don't *seem* to have a dawn rise, so I arrived at 40 points/unit. It should actually be less than that, because that was co-dosed with 1 pill Insulow (100 mg R-ALA and biotin supplement) which generally increases the effect of insulin taken within about half a hour. So the 136 *should* have gone down to about 90 or 85.. Should being the key word. If there was a dawn rise, then the 40 points/unit would be to low - as the insulin had to overcome DR-induced insulin " apparent " resistance. (I say apparent because it might or might not be due to to celllular resistence, but to increased gluconeogenesis, increased insulin removal by the liver, or something else - I'm not sure *anybody* really knows - or cares) And of course if my pancreas can still create insulin, then the 136 would probably induce that too. And I think it surely must be able to with such small bolus use and basal of only about 10 u/day (this was on maybe-adequate cortisol supplementation too). One doc said the beta cells are quite good at shutting off insulin production once normal BGs are reached.. But my logs don't seem to show that if indeed I am making insulin - and glucagon production is thrown off in T1 diabetes as well, which could make insulin " overshoot " without normal couter-reg action. Anyway, BG went down to *45*. I took 1.2 g glucose (assumming 10 points/0.4g - based on a rise from 68 at 1 AM last night to 99 this morning at about 10 on 1.2 g glucose - but that included that strange low-cortisol reaction last night, so it's probably wrong too). 20 minutes later, BG was *down* to 36! (What? My BG goes *down* when I take glucose?? I thought Phase I production was *gone* in T1D?) So now I just ate an ounce of potato chips (about 15 grams carbohydrate - first potato chips I've eaten in about a year and a half!), and an egg custard (somewhere around 3 grams carb).. Low cortisol causes hypoglycemia, and I've been thinking basal probably needs to go down since my temps are definitely trending downward and presumably general metabolism as well. But then why did I get the high rise to 136 (unless it was a fluke injection mistake - I'm thinking it was) Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2008 Report Share Posted January 19, 2008 But then why did I get the high rise to 136 Adrenaline! It is the one substance the body produces that will release more glucagon by FAR than cortisol. -- Artistic Grooming- Hurricane WV http://www.stopthethyroidmadness.com/ http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/ Quote Link to comment Share on other sites More sharing options...
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