These days, Elise's daytime numbers are pretty predictable. I can usually guess within about 30 points of where it's going to be at any given time. I guess that's because things have been pretty calm for the last month or two, and I've gotten pretty good at figuring out how many extra carbs to give her when she's active. The fact that we weigh everything and the foods she eats are pretty consistent doesn't hurt either.
But yesterday threw me for a total loop when her pre-nap number rang in at 397. What the CRAP? She's usually anywhere between 90 and 150. She had worked herself into a pretty good tantrum over wanting a pacifier (another "WTC" moment - she's NEVER taken a pacifier in her life, she just happened upon one that was left in our house by a friend), and I had figured she was just tired.
So I went down my checklist...
Ketones? Nope, 0.0 on the blood ketone meter.
Any other signs of illness? A quick swipe of the temporal thermometer showed no fever.
Any foods at lunch she doesn't normally eat? Uh-huh... homemade chicken soup, veggie chips, grapes and some drinkable yogurt.
Rebound from a low? Not very likely... she was 159 at lunch and I checked her about 90 minutes post-lunch. No signs of a low, and she usually gives some indication.
Not an insulin problem... she doesn't get a shot at lunch time, because her morning NPH covers her, and I know that insulin is still good.
So then what the what caused this huge spike? All I can think of is she got into some food (something she's never done), or perhaps I wasn't careful about the weighing (didn't tare the scale, etc.).
When she woke up from her nap 90 minutes later, she was 413 with 0.3 ketones, but in a much better mood.
I don't normally get so crazy over her numbers, but when one comes out of left field like this, it's always a brutal reminder that this disease is anything but predictable. Today, all her numbers have gotten back to "normal", coming in at 113 right before her nap.
That's more like it (but I'm still obsessing over that number from yesterday).
15 hours ago