Guess my blood sugar part IV?

Question

T1 male, 185#
Time 2:48pm; bg=362; pulse=75-80 bpm sustained
Time since last Levermir injection 22hours.
Insulin injected 8units Humalog, no carb intake. What's my bg in 2.5 hours?

Guessing is ok, but methodology will count for an extra 10mg/dl closer, i.e. if you list your methods and are off by 10mg/dl, but someone guesses correct 2mg/dl off the mark, you still win.

Forgot one minor detail
Levermir injection 22hrs ago was 30 units.

ridicur,
Good point. I'm running a little high at the start. I usually inject right after lunch which was noonish, however, I got distracted today and forgot to, not allowed myself to. So the scenario you are observing is a correction to get me back in line. However, I found this to be a good non-carbo weighted correction exercise. One highly variable parameter, eating, is eliminated.
Hence, a precision targeted outcome is more obtainable in this instance.
I encourage people who initiate a "Guess my blood sugar?" to challenge the participants with different scenarios. The collective purpose of these questions, ultimately, will help others learn how to control their diabetes rather than have it control them. I like to show diabetic freedom rather than diabetic regiment.

wiggles -
Read the 'additional details' and you will find the purpose. Plus, it IS a fun parlor game. Diabetics (and not necessarily diabetics, anyone can play) like to have fun too!

Well Yahoo's obligatory 4 hours are up and I applaud the actual TWO out of FIVE participants. I see the critics of "GMBS?" are dumbfounded to give an actual number, non even a wild guess. People out there can learn a lot from the two actual participants Anita and reginachick22. I have and I'm already smart.

Whoops, looks like I have to wait a little bit longer to click the 'WIN' button. So those who still have not given a number still can.

Answer 1

OK, I'll give it a shot (pun intended)...hehe... :D

First, I'll rule out the Levemir, because it's been almost 22 hours since your last shot of long-acting (Perhaps you should split your dose? This may be why you are running high around this time. Most T1's find that Lantus/Levemir does not last 24 hours for them).

It's really hard to say since I don't know your correction factor and target range *for sure*. If I assume 1 unit will bring you down 1.5 mmol/l (27 mg/dl) based on how much you took, then I can guesstimate that you will have about 3 units (about 40% give or take) left "active" at just over 2 hours.

I guesstimate you will be about 12.5 mmol/l (225) at 2.5 hours.
(Range of 180-234).

Provided none of the millions of "X-factors" that come into play don't affect my "educated guess". ;)

Answer 2

OK I will use some methodology based on your information plus some assumptions I make by some of your other answers. I don't have a nice formula as you. I can't understand that stuff anymore, I think I've killed too many braincells with too many lows.

1. I am assuming from another answer you gave that 1 unit of insulin will lower your bg aprox. 20 mg/dl. So 8 units would lower your bg to 202... but it is not that simple.

2. In a perfect word your levermir insulin would last 24 hours exactly (right?). I am going to assume that it does not so I am thinking that some of your humalog will be needed to cover your basal rate for 2.5 hours. Now if you injected 30 units and expected it to last for 24 hours, that would be 1.25 u/hr. However, I know you are a brilliant man and you probably know exactly how long your levermir would last, so maybe 22 hrs so that would be 1.36 u/hr.

3. I going to estimate that 3.4 units of insulin is going toward your basal, so now that only leaves 4.6 units to lower your bg.

362-96= 266 mg/dl

266 mg/dl my final answer

Unless you still have some carbs left over from lunch that we still need to deal with....

Answer 3

just curious. if you are so good at calculating your blood glucose; why on earth would you allow them to run so high?

i'm not being sarcastic. honest. as a brittle diabetic who is becoming insulin resistant, i cannot see the folly in this.

can you enlighten me?

blindnes and kidney disease are not fun to live with.

OKAY DR. EVIL INNOVATIVE? SURE. WHATEVER FLOATS YOUR BOAT. IF YOU CAN HELP ONE SUGAR BABY, IT'S ALL WORTH IT.

-----
oh geeze. forgot to guess. i'll say 123. just an educated hunch. i did some calculations the other day and you need about half the coverage i would typically need.

Answer 4

I'd like to know what the whole purpose of Guess My Blood Sugar is. The people who need to regulate their blood sugar don't, as a rule, make a parlor game of it. Or am I wrong and glucose levels are a parlor game, not reality.

Answer 5

Go ahead and complicate the matter, The Diabetic Regiment and Procedure are based on results.