So today was a really weird day for me.
I woke up at about 250. I figured I had a pretty good day yesterday calorie wise, so I decided to skip breakfast and do a correction bolus.
Lunchtime - 350. Okay, this is weird, I check for ketones - none in urine, but it's really weird to have BGL behave this way, I check for ketones in blood - 0.1mmol/l - not significant at all. Having already skipped breakfast and contemplating skipping lunch, I change my insulin pump insulin and the infusion set. Doesn't look like there's a problem with insulin delivery due to ketones, but I'm growing anxious. I eat a very light lunch (usually 50g carbs, now 10g), not much fats either, basically something like 400 calories overall. Inject the usual correction bolus + mealtime bolus for 10g. I work near laboratory equipment, so I do a CRP test - slightly elevated, but no significant infection or inflammation/bleeding - the marker is not very specific.
Three hours pass and I'm at 300 still. By this time I've already injected about 13% of all my TDD as correction boluses, it's very weird. I'm not particularly thirsty and although urinating normally, there's not much glucose excreted (glucose in urine <2.5mmol/l). Besides, my GFR, creatine, BUN etc are very good. So everything is very unusual. I do a full correction bolus (now the correction boluses are 18% of my TDD).
It's dinner time and I'm back to about 250. Nothing makes sense. I decide to just not care for it and eat a carb based (faster digesting, 70g) dinner so I'd have time to correct before bed. Now it's 3.5hrs after my dinner and my BGL is 105 and there's 5-10mmol/l glucose in my urine. But basically my dose worked 100% as it should have.
I went all out today to find what was affecting my insulin factor or whatever, but nothing, NOTHING helped bring my BGL down until I ate more carbs than I ever do.
I am so confused, I don't think I've ever been this lost with T1. And since I'm aiming for <8.5 A1C in June, these days really are troubling. Does anyone have any input?
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