Boxing day and...ketones ?
Boxing day. When you think of this day, you think of shopping, discounts, crowded malls and parking lots.
Well for me, it was a whole other scenario. I was in an emergency waiting room, with high blood sugars and ketones.
How did I end up there?
On Chrismas Eve, I ate a LOT. Like a lot a lot. I couldn't even move at the end. My stomach was like a solid rock. This happens to me rarely but it did. I was so hungry and the food was TOO good!! So when I went to sleep (at 3 AM) my BG started rising after a low, and I ended up being at 17 mmol/L ( 305 mg/ dl). The thing is, I wasn't able to bring it down, even though I was shooting so much insulin.
The next day, it was lower. I was actually near a low. So of course a juice box came to the rescue. I didn't even drink all of it and then boom, two arrows up on my Dexcom. Ugh. But then I thought : ''Okay wtv it will go down eventually, it always does.'' And indeed, it did. There was a catch, however. Every time I would put something in my mouth and put the insulin dosage that my pump recommended, my BG would SKYROCKET like I didn't put one single drop of insulin.
The day went by, and then the night came. Same thing happened as the night before. I couldn't get it lower than 14- 15 mmol/L ( 260-270) even though I put almost 3x my usual dosage. And this time, I knew it wasn't the food because I barely ate anything, fearing it will spike again.
I woke up around 13 (250), which is pretty high for a morning.
Checked my ketones: medium. Oh no!
Drank a loooot of water. Waited 4 hours. Checked again.
Ketones: large. OH GOD NO!
I went there, and was smart enough to put a temporary basal of 40 % for 6 hours. That means that my hourly insulin was up by 40 %, which is a lot for me. I can get a low by putting 1 additional unit than I am supposed to.
While I was waiting, I was so dizzy. It was probably a mix of the ketones and the interrupted sleep. I was also so thirsty. My mouth was like a desert on a hot day. I was drinking so much water to evacuate the ketones. No need to tell you that I was in the washroom every 10 mn, literally.
When I saw a nurse, my BG was at 11.2 ( 200). She gave me a urine test to do to see if I still have ketones in my body.
Then, the wait began. I waited more than 2-3 h to see another nurse , and she told me that she still didn't have the results ( are you serious?). My BG was at 6.2 ( 110), just because I didn't eat anything and it was 4 pm.
I decided to eat a chewy bar to calm down my screaming stomach. It was 6 pm and I still didn't see the doctor. I got there at 1 pm. Talk about an emergency! ( I'm going to refrain from writing about healthcare here in Montreal or else this article will get tooo long and I'll be too mad :) ).
It's 6:30. The doctor finally sees me. My tests are normal. No sign of infection. I am not sick or near sick ( hopefully not). They didn't find glucose in my tests. YAY. He told me that there were 3 possible reasons why I was being so resistant to insulin and that my BG won't go down:
- My insulin had gone bad. The cartridges I was using were the ones I traveled to Toronto with. Even though I had an ice pack, they weren't cold enough when I got home. The insulin could have lost its efficiency. Honestly, I don't think this was the reason because I still had lows but we never know.
- My pump was malfunctioning. He suggested to bolus with my pen to see if I still spike after a meal.
- It could be a simple little virus just chilling in my body, and my body doesn't want it and it's telling him to go away cause he's not paying rent. In more serious words, my body might be fighting against a virus so it becomes resistant to insulin.
In my opinion, I think that it was third option. I am just happy to know that it is nothing serious.
Diabetes can be a scary thing, but a positive attitude can help you overcome it!
Picture from: pixabay.com