Today is the first full day that we switched back to diluted Humalog. We finally got rid of the ketones about midnight last night, but she crashed at about 4:00 am with a BG of 49. We gave her some DH in her bedtime N shot, and I am so surprised at how far her BG came down (from 476 at 9:00 pm to 49 in 7 hours).
She woke up at 166 this morning and stayed at about 150 until after lunch. Her BG before naptime was 371 (usually it's in the high 100s). This is telling me she probably needs her morning N adjusted, but that I can handle.
My brain is hurting trying to figure out why the full strength Humalog made her BG go so high, and the diluted makes her numbers normal. The only thing I can think (and you wily veterans please correct me if I'm way off base) is that the full strength made her BG so low that her liver was kicking out a tonne of extra glucose. That is the only thing my pea-brain can think of.
Even the on-call endo last night was puzzled. Now I don't feel so bad.
10 hours ago