i was told if its 400 or above to go to the hospital. what causes problems is prolonged high blood sugars. mine are alot worse than yours it sounds like, so don't worry. just keep it the way it is and you'll be alright

Who said that? What are they gonna do for you at the hospital? Maybe I misunderstood, but a simple shot of humalog would fix it (eventually)... surely not something worth going to the hospital.

Don't forget you can put your bgs in a target range of what you want it to be! My doctor always had me at 100 - 100 which to me was impossible, so I just recently with my changes put me at 100 - 150.



I agree. I had been told to go to the hospital when I was at 600, when I simply told them I could correct with a shot of Humalog and continue to check and treat.

i was just answering the poster's question. they told me that at the Joslin Diabetes Clinic in Boston. I never go to the hospital for anything, infact when I was diagnosed my blood sugar was 1008, obviously I was putting it off going to the hospital then too. My sugar since then has probibally been above 600 couple dozen times, never once did I go to the hospital. Oh, except for a low blood sugar one time after having a bad seizure..

My BG was 1200 when I was first diagnosed. I was getting to where I couldn't swallow when I FINALLY decided to go. I've only been to the hospital twice since I've been diagnosed and once was after taking Nyquill when I had a real bad cold.

Hi! About spikes. . . . Of course, they do happened for most of us as already mentioned. However. . . .

You might consider reviewing the following. . . .
* Keeping a Daily Log will assist you to perhaps be able to "see"
a pattern developing ; a correlation between amt. of insulin and carb choice and amount that may need adjusting or to avoid?
* If after 3 days if I have had two days of spikes, then a bolus adjustment is usually needed? Perhaps 1/2 to 1 unit more bolus pre meal?
* If after a week and the spikes continue to appear then I not only adjust the bolus but check out the basal. The basal should level us out after two hours if it is correct but..... there could be other issues developing like gastroparesis, of Dawn Phenomenon??

I had and still have some serious spikes like this morning with a 300. Where it came from I haven't' any idea even after reviewing the past two weeks of Logs. However, I first think a low grade infection, or allergies that affect me negatively every year! Sigh...or perhaps I have a slight cold.

The next thing I look at is what I ate the previous day. This is often helpful but not for me today. Usually I watch my carbs carefully but occasionally, I like a change and to see if my system will tolerate the carb. Then there are carbs or other food choices that just suddenly affect me so it is a guessing game, isn't it, always???

The last option also helped me a great deal:
I split my basal in two about 3 years ago: 1 shot at B'fast(8:00 A.M.) and another at 10:00 P.M. It usually holds me quite well. Then there was this morning -- -- oh dear!

For this morning I increased my bolus by 1 unit, tested two hours post meal: The result was 374! Even higher! So my next move will be to test again in 1 hr; if it begins to drop I will do nothing until Noon meal time. If it does not begin to drop I will take another 1 unit of bolus. After so many years as a T1 my system is a bit sluggish so I give it plenty of time to adjust itself.....there is a limit, however!!

Also, I think that some areas where I inject there is too much scar tissue; I may have accidentally hit one of these areas this morning!

My endo told me to always correct in small doses; it is easier for our system to adjust to and if we make an error, easier to correct! Made sense to me.

I have had several of these huge spikes lately and believe I do have some low grade infection. Have a call into my doctor now. It has been a couple of weeks with over 300 a bit too much - which is highly unusual for me.

Hope the above helps in some way
Lexie
Type 1 Dx: November 1957

Lexie - I just wanted to post because I was having the exact same problem, which lasted for months earlier this year. I found that my BG's were extremely high in the mid-morning. If I woke up at 110, I would bolus and eat breakfast and would be at 350 2 hours later. And correction boluses tended to make the bg go UP. I tried everything - increasing bolus, increasing basal, eating fewer carbs at breakfast, eating no carbs at breakfast, eating no breakfast. It always seemed to even out by lunch time, but it was EXTREMELY frustrating. Eventually, a GI dr. had recommended I dramatically increase my fiber (both soluble and insoluble fiber) intake. When I started eating a bowl of Fiber One cereal with almond milk for breakfast, it suddenly started evening out. (Fiber One has 25 grams of carbs, 13 grams of insoluble fiber and 2 grams of soluble fiber.) I bolus for the entire carb amount, (Any other time of the day, I subtract fiber if it is over 5 grams.) and 2 hours later I'm around 150.

Don't know if this will help you at all, but it was my experience. Good luck!

I don't believe there is any number that is considered a danger zone for complications. I have had type 1 for 30 years since childhood. Through my teen years of course I paid no attention to my diabetes, had no complications at all. Today I still pay attention, but I also know my body very well and how much I can handle, I am complication FREE. Anything under 200 has worked for me all my life. Everyone is diffrent and there is no way to predict who will or will not get complications. I know diabetics who have had type 1 for 40 years and never took care of themselves and still have no complications. A friend of mine just passed away after having diabetes all her life and she was only 40, even when she was young her body just was not made to handle diabetes. Keeping your blood sugar in normal range is necessary, but all diabetics know that it is nearly impossible to do this 24/7. All I can say is just be aware of your limits, how you feel and how your body reacts. This is not a full time job...just try to do the best that you can do....