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Diabetes - Type 1 Community
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Avatar universal

Blood Sugar won't go down

Well basically my blood sugar for the past 24 hours has been really high. average of 300 till 10pm last night, then it rose to 574. At 1A.M. it dropped  to 416 (I was asleep until then). I changed out at this time. I then stayed up till 7a.m trying to drop my blood glucose levels. At 2:45A.M  it dropped to 306. This is when my blood sugar began to rise again. At 3:50 it rose to 320, then 4:50 it rose to 438, it slightly dropped to 417 at 5:51 A.M, then soared to 537 at 6:56 A.M. I haven't been eating anything since 6P.M last night, and fully covered dinner. I checked for keytones, which came back negative. This insulin is also a brand new bottle and a brand new site. I'm honestly clueless on what to do now. My blood sugar right now won't go down and I'm currently doing a manual injection in my arm to see if it will drop at all. Does anyone know what I can do? Can I eat? I'm afraid my B.G going higher, so I haven't been eating.
8 Responses
231441 tn?1333896366
COMMUNITY LEADER
If you blood sugar is not going down with what you're doing you (and with the manual injection) you should have gone to the emergency room.

You can eat a little, but no carbs at all.  Just drink water.

It can quickly turn into an emergency (life threatening) if you can't get your sugars down.

Are you ok now?  What happened?
Avatar universal
Sounds like dka to me... unfortunately id say go to the hospital. Its deadly if they stay that high that long.
Avatar universal
well it finally went away, but it went back on the 21st, and same symptoms, but I checked my ketones on brand new strips, and I did have ketones. I tried all day to get rid of them, but they refuse to away until 3-5p.m. then follows my blood sugar. I drank 4-6 quarts of water between 6a.m.-4p.m, along with frequent urinations. I only had a bowl of cereal in hopes of the ketones going away, but nothing. This is extremely frustrating... Today and yesterday my blood sugar will go down, but only by around 50 or so, I might try a site change. Even though this a brand new site, and after dinner today my meter read "HI" which wonderfully, especially since I entered 100 carbs with only eating 60. I've had a sinus infection that I've been fighting, but I don't now how long we only found out a few days ago, could this cause all of this madness.
231441 tn?1333896366
COMMUNITY LEADER
Please go see your doctor.  Go to the emergency room.  Continued high blood sugars (particularly ones that won't go down) are very dangerous.  

You risk going into DKA, which can be life threatening.

Let us know, please.
Avatar universal
I'm thinking of just going at this point since it won't go down, and I can't stand another day like, this. I went to bed really hi because of dinner which I covered, tried a site change and slow dropped down my blood sugat. I just want to know what is causing this. I can't even bring my blood sugar down at this point. My doctor is seeing me friday, but I'll push for Tuesday.
231441 tn?1333896366
COMMUNITY LEADER
You should not continue with such high blood sugar.  Go to the ER!  
Don't wait until Thursday if your sugars won't come down (even with injections), you may go into DKA!

Btw have you tried a new vial of insulin?  Maybe the one you are using has gone bad?

let us know that you are ok and how you are going. OK!?
Avatar universal
Well I went into the ER etc, I'm fine now, but the cause was a bad site 2 in a row which was weird, but now I'm using the infusion sites that keep the needle in so I don't have to worry anymore.
Avatar universal
I know this an old post, but I am a type-1 diabetic for 15 years and I have had this same frustrating experience time and time again.  There will be times where I have complete control over my blood sugars and then out of nowhere that control is gone and nothing seems to be able to bring my blood sugars down.  When I was younger seeing a pediatric doctor for this she only accused me of constantly snacking.  This was not true though and she would not believe me, so her answer was to keep increasing my insulin.  I was at the point where I was 14 years old 170 pounds taking 1 - 4 insulin/carb ratio.  That didn't seem to do anything.  I struggled with this for a long time until I turned 18 and find my own doctor.  She took one look at my ratio and was astounded.  I explained to her why I was taking so much, but she still lowered my dosage by more then half.  Now I was taking 1-10 ratio.  That worked like a dream and I finally came under control of my diabetes for once.  However, I still had times where I lost control and the doctor I was seeing had moved states.  The new doctors I have been constantly seeing are just doing what my very first pediatric doctor is doing so I began to take it into my own hands now.  Any new doctor I see either don't believe me or have no clue on what to do about my seemingly abnormal way my body breaks down food or uses the insulin I inject myself with.  My unhealthy fix to these constant high blood sugars, which I still struggle with and it seems to be happening more and more at the moment, is to fast for a few days.  I don't eat anything and only drink water for about 3 to 4 days.  This does like a temporary reset and I begin to take control again, this only lasts for a week or two depending on my eating habit afterwards.  I realize how unhealthy this is and am still looking for a better way and a doctor who is willing to listen to me and try out of the ordinary solutions to my problem.  In no way is this post trying to answer your question and I hope you have found something that works for you.  I'm just reluctant to know that I am not the only one with this issue and it should be more known with endocrinologists.  From my experiences with endocrinologists they all seem so surprised that my blood sugars do not drop no matter the amount of insulin I give myself.  Before it is asked, I change my infusion set sites regularly (every 3 days), try to hit spots that I can't on my own so I receive help from my girlfriend for that, I keep my insulin out of light, refrigerated and dispose of it if it lasts over a month (this usually doesn't happen).  I exercise quite a bit and am a very active person, I was chosen to be a test for Medtronics new 670g insulin pump series which incorporated a new auto mode feature because of my high activity and intensiveness of my activities.  The activities being skateboarding and working out at the gym.  However, I have declined in activity in the past year, but I am slowly getting back into it.  Sorry for the long post and this post still isn't long enough to get out everything that I would like to say or share about my experiences, but I am very frustrated.  At this moment my blood sugar has stayed above 300's for the past two days and has reached into the 500s a couple of times, while just the week before I felt like I was under control with my blood sugars barely spiking into the 200's after a meal.  Anyone else who has this problem, you should share it to let it be known more by the doctors who specialize in the endocrine system but are flabbergasted when I inject myself with insulin and my glucose levels do not go down (in other cases it continues to go up).  I worry about my health when I get older due to my inability of being able to control my blood sugars for periods of time.  
2 Comments
I'm really sorry to hear that.  Does your doctor's office have a diabetes educator?
Please check out the book "Diabetes Solutions" by Dr. Richard Bernstein.  Also his utube series "Bernstein Diabetes University".  This is the best resource I know for troubleshooting and managing diabetes.

Other than that, have you been tested with different types of insulin?  I have heard of some people who have trouble with one type of insulin (ie. it doesn't work), but find that another works fine.

Wishing you well.  You may also make a new post if you want to discuss further in your own post, so we can also react.
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