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Re: more weirdness - low AND high BG? (was Higher temps during IC-wean?

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> 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

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