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The Question
Thu Nov 01 11:14:11 EDT 2012

Can my body be preventing me from going too low?
Asked By: tc47121  

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I've had T1 for 3 yrs. and use an insulin pump and a CGM. I was recently laid off from a desk job. Since then I have added lots more activity to my days and frequently treated lows. I started work as a CNA 3 days ago-very active days! My CGM shows a drop after eating breakfast, but without explanation goes soaring above 250 about 3-4 hrs later. I did not feel low and the CGM shows around 115. The nurse I work with just retired and her replacement isn't available for a month. Next Dr. appt. isn't for a few weeks. I would like some help understanding what is happening.
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Expert Answers (1)
2012-11-05 13:29:55.0

Hello Casa
Thank you for bringing your concern to dLife. It sounds as if your activity level has drastically increased. Your glucose levels are fluctuating. No doubt that your basal and bolus doses of insulin need to be adjusted to this new activity level. I suggest you keep a diary of your food intake, activity level and glucose readings. Your provider will most likely need to adjust the basal rate of insulin your pump is administering. You may also need to determine just how much insulin you need per grams of carbs. It might be different since your activity has increased.

You asked if your body might be preventing your glucose level from going to low. If you have good liver function, when the glucose level gets low, the liver will produce glucose to try to be sure your cells have fuel.

read about gluconeogenesis.

Answered By: Rita Juray
Accreditations: RN, MLT-ASCP, CCM, CDE
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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