Diabetes does not drop 400 after fast insulin

Hello,
I am my grandmother's caregiver for more than a year, an 84 -year -old person totally dependent (Alzheimer) with diabetes.A week ago he caught a cold and as a result of this he has uncontrolled sugar (about 300-400).They gave us fast insulin, this week we put it on and lowered the sugar.
Today, unintentionally, for poor communication with my mother (caregiver too) we have put him twice, at 15h because he was at 520 -12 units;and at 4pm because it was at 416 - 6 units.I just looked at the sugar, it's 18:40 and follow 402.
I have called Emergency in the center where it corresponds to us because it does not seem normal to leave a person at 400 all day, and all they say is that they may have hypoglycemia (an issue that I already knew because I have read it in these forums andThat's why I was controlling, thanks!).But they don't tell me anything about 400, they don't care, it's sweating a lot, and it's not having a great time.
To an ex -companion of floor that has diabetes, from 34, to reach 500 one day they entered it.
Is it normal to leave such a person?Or simply no matter because he is an older person?
Thanks in advance

Hello @alba_mur8,

What happens is that many times not even the center knows how to deal with these issues ... unfortunately it is so.

You should know that when the body has for example a cold or any discomfort, insulin resistance rises a lot and even if you put doses and dose of insulin barely lower the levels.

For these cases, it is best to lower the intake of hydrates in the diets to avoid high peaks and if you can, walk even if it is half an hour.

Obviously if it continues in those high values ​​I imagine that they will end up entering.

marine said:
hello @alba_mur8,

What happens is that many times not even the center knows how to deal with these issues ... unfortunately it is so.

You should know that when the body has for example a cold or any discomfort, insulin resistance rises a lot and even if you put doses and dose of insulin barely lower the levels.

For these cases, it is best to lower the intake of hydrates in the diets to avoid high peaks and if you can, walk even if it is half an hour.

Obviously if it continues in those high values ​​I imagine that they will end up entering.

Hello, Marine
Thank you very much for your answer!
You have explained to me more in that answer than the doctor and the nurse.

We will try to lower the intake of hydrates, to see if we can control it a little more.

Walking is impossible, it is headed and has no mobility of its own.And has an amputated leg by diabetes.Many more complications are added in addition to diabetes ...

Really, thank you very much for your comment.

Hello @alba_mur8,

I regret that your grandmother is in this situation, another thing that occurs to me is that she drinks quite liquid another natural form of the body to eliminate excess sugar is through urine.

@Alba_mur8, I don't know if slow insulin is put, but perhaps it would be what suits you to lower those values.In such older people it is usually safer that they are somewhat high to avoid hypos, but not so much.
Tell the doctor the resistance you are having, because 400 cannot follow.

Hello!Sorry to answer.
Thank you very much to both:
Yesterday and today it has already been lower, about 200, so well.She although she is with Alzheimer's and is not usually very conscious today was great, laughing, following the conversation, saying that she was better ...
@marine I followed your tips on hydrates and it was very good, I think that is what has been improved, that and that the cold is going, thank you very much: Smile:
@Regina yes, we are combining slow and fast, before cold only used slow and not every day because there were many who were normal.The doctor and the nurse disregard a lot, and they don't give us any information ... and this is in the town, we cannot choose others.Luckily I found the forum.
Again, thank you very much!

Good @alba_mur8 I'm glad it is better, 200 is already a bearable value.

I also think of more things so that I can improve, for example that you try to drink all the liquid that you can and rotate the injection zone, the latter matters a lot because there are places that sometimes do not seem to act and your thing is to rotate.

The arms and belly are where faster and more effect does, and the legs and buttocks where less.

A question @alba_mur8, the slow one will put it every day, right?Regardless of the values ​​you have

People with type I diabetes have to eat the amount HC according to their needs

cdb1 said:
people with type I diabetes have to eat the amount HC according to their needs

: o: o: o: o: o: o

Hello!
@marine I just click on the arms, the rest of the areas give me a little thing 😕🙂
@Alberto_13 The slow depending on the sugar level that has before dinner, as the doctor told us

alba_mur8 said:
hello!
@marine I just click on the arms, the rest of the areas give me a little thing 😕🙂
@Alberto_13 The slow depending on the sugar level that has before dinner, as the doctor indicated

alba_mur8 said:
hello!
@marine I just click on the arms, the rest of the areas give me a little thing 😕🙂
@Alberto_13 The slow depending on the sugar level that has before dinner, as the doctor indicated

That is not so, the slow is every day, at the same time, regardless of the value that day, which must be normally regulated according to the basal that has but but the 2x3 rule, I have been giving myselfUnderstand that the 400 are for that and for the cold.I do not believe that any endocrine has said about dinner, at most a family doctor and if many endocrine walks in this disease, imagine a family doctor and more than one town, and it is not to get into emptied Spain, butI know a village doctor who has taken more than one diabetic ahead in order not to send it to the specialist and load the statistics.I do not ask you to believe me, I just ask you to read the leaflet of the slow insulin you put.

@Alberto_13 The 400 are for the cold and not for insulin, because we have been like this and this peak has only given him that he is cold.
With a balanced diet, it does not normally pass from 125 to night.And you put him in proportion to how much he passes.The people's doctor and the doctors of hospitals, and the French doctors, has said it, where he lived before.But you will know more about a case to read a publication in a forum that all health professionals who have attended it.

@Alba_mur8

Basal insulin has to put it every day and the same amount.The best thing is at the same time.It helps to keep blood glucose during the day.

It is not to put and remove according to glycemia.That's what the quick is for.

It is very rare that the doctor has recommended to put the slow according to glycemia.I don't know very well the explanation.

I hope it improves

@jldiazdel
Of course, if we put it every day, and normally the same amount (which is very little), and the blood glucose is stable as normal.That said, does not go from 125 normal because it has a good diet.

They do not explain much, really.I will ask you.

Thank you.

Ahh well
Then there has been a misunderstanding
In a response to Alberto 13 I said:

The slow depending on the sugar level before dinner, as the doctor told us

Many encouragement !!

@Alba_mur8 I do not like to get much with these issues but your post has been started by "in the center they do not say much, it is normal that they do not enter it?" That is ... are you implying that it is not being well attended andAs @jldiazdel says with an answer to @Alberto_13 we have all understood badly, that the slow one you only put it.

I believe that @Alberto_13 has tried to help and many of which we are here, we would not be if the work of the endocrine were much better than they are currently, hence that denial of the doctors who attend us.

On the other hand, but they have explained it to you, it is important to rotate the injection area so as not to generate lipodystrophy, which causes insulin not to assimilate well and that it can also cause that it seems that you have not injected any insulin.

All the best.

@Alba_mur8
Indeed Alberto intended, like everyone else, to help.And it is true that what you have written is understood that the basal does not put it fixed, which is how it is necessary to put it.And before that anyone throws his hands in his head.
I understand that the situation is stressful but that we are here to help.
Specifically Alberto, along with others, helped me a lot.My header (despite being my friend) refused to send me to the endocrine and told me to take away my insulin once I went down to normal levels.Thanks to my colleagues in the forum I insisted to see the endocrine and now I know that if I pay attention to my doctor and take away the insulin would have ended up admitted to the hospital, as they told me and confirmed the endocrine.
Unfortunately, medical treatment is not perfect.If everything were so good we would not need this forum, which personally has helped me a lot and has saved me with problems although sometimes it has been following opinions against my doctor.
I think you must see things from that perspective, we are just people trying to help.
Good luck and everything goes well.

Hello everyone
In this forum we try to help each other, learn from people with many years of diabetes within a frame of concord and with moderate guidelines to go to each other.

A chronic patient is the one who best knows his illness.

We close this thread.

Thanks to all for your collaboration