Accu-check says HI...

By m0stwanted Latest Reply 2012-01-30 12:34:02 -0600
Started 2012-01-26 22:54:38 -0600

I have used this tester since initially diagnosed in 2009, and have gotten readings as high as 588 with no problem… Tested tonight, about 3 hours after dinner, and was shocked by the result = HI. Never seen this before, and with the 20 units of lantus, I have been seeing a dramatic lowering of by glucose levels. Anyone know what HI means? Is it what I think it is (over 600), or am I just getting a faulty reading? Same rest twice in a row.

23 replies

margokittycat 2012-01-29 22:45:10 -0600 Report

You are correct on most meters it is a reading over 600 on some it is 650. If you have your owners manual it will tell you what the high reading is. If you don't, you can call the 800 number on the back of the meter and they will help you.

JSJB 2012-01-29 05:17:25 -0600 Report

Type1Lou is correct abount carb couning. I started counting carbs 30 yrs ago to lose weight. Recently I was prediagnosed in Sept 2011 with high blood sugar of 250. In Dec. 2011 my doctor gave me a test kit. My tests varried from 110 to 185. These tests continued for about 5 weeks.Oh, I only test once a day ant 4am. I kept a record of what I ate and discovered the less carbs the lower the sugar. Also, I talked to other people with D and was told to lower my carbs. As of now, I keep my carbs down to 60 grms a day and for the last three days my b/s has been at 116. I also lost a lot of weight, and I do exercise about 10 to 15 min a day riding a stationary bike. I thought I was having faulty readings but didn,t know how to find out. How do you know if your meter is correct? I use the Bayer Contour. I also keep tract of the sugar and sodium in foods

m0stwanted 2012-01-28 07:28:14 -0600 Report

Talked to the nurse yesterday and got bumped up to 30 units. Last night was 327 before dinner, morning reading was 241. Tried to eat a healthy dinner… Wife boiled a chicken, stirred in some hot sauce and seasonings, and added some lettuce & lime. Had a Sprite Zero instead of sweet tea or a regular soda, and felt pretty good when I finally went to bed.

I appreciate everyone's comments and concern. It means a lot to know that if I have a question, there are plenty of helping voices on here to lend their knowledge.

Type1Lou 2012-01-27 16:50:02 -0600 Report

You may also wish to begin counting your carbs since it is the carbs that you eat that convert to sugar in your blood. I weigh around 120 lbs and allow myself 120 grams of carb per day. The difference in us though is that I am a Type 1. Prior to going on the pump in August, I used Lantus (14 units/day) and a fast-acting insulin (NovoLog) for meal-time boluses based on the amount of carbs I was eating. It's a struggle to manage the BG's and I've found that limiting my carbs are the best solution for me.

m0stwanted 2012-01-28 07:35:27 -0600 Report

Thanks for the input, I will start paying better attention to how many carbs I'm taking in. I work at a truck stops' repair shop, and there isn't really much in the way of healthy eating around here. I can only eat so much Subway, but I do try to mix in a salad from Whataburger on occassion. Other than those 2 everything else over here is fast food. I try to drink between 3 and 6 gallons of water a day, but slip every once in a while and have a coke. Hope to get some tips from the dietician my wife visits today while I'm here at work.

m0stwanted 2012-01-27 09:31:19 -0600 Report

When I retested this morning (before breakfast) I was at 242. Higher than the day before, but lower than it had been in the past. Had to leave a vm for the nurse, hopefully she'll get back to me by lunch time. More than likely will have to bump up the Lantus to 40 or so a night. Really need to get my Metformin prescription back, it made a heck of a difference back then.

red flower lady
red flower lady 2012-01-27 14:55:34 -0600 Report

Without the metformin and only 20 units of lantus, your numbers will be high. Lantus is a 24 hr insulin, but it works with other meds. For instance, a fast acting insulin you take before meals and then Lantus at bedtime. Or in your case the pills and Lantus. What is happening is the amount of Lantus isn't enough to regulate all the food and drink which is why your numbers are high. I'm not sure uping your Lantus alone will do it either. If I'm correct, do to your job situation, that is what is keeping you from getting the other meds? Read my reply to you below. If you are only going to do the Lantus, then it is important that you change your eating habits, ask the nurse about this and if you can get reading material as well. You are hungry due to the high numbers:)

Caroltoo 2012-01-27 14:24:21 -0600 Report

I'm glad it is lower this morning. Please do be sure you make contact with the nurse today, even if you have to make a nuisance of yourself with multiple calls.

Why did you change from metformin if it worked for you? I know there are good reasons, I'm just wondering if it is something you would want to reconsider.

Please keep letting us know how you are. You have lots of concerned friends out here now … so keep us up to date on your progress. Good luck.

Young1s 2012-01-27 06:49:53 -0600 Report

A HI reading on your meter means you're at 600 or above and need to get to the hospital. I'm totally serious about this. To continue to hesitate about this and think that it will come down on it's own can be detrimental to your internal organs and/or your life. So it's my opinion that you go in asap and then speak with your doctor about possible increasing your Lantus because 20 units may not be enough for you at the moment.

red flower lady
red flower lady 2012-01-27 01:32:41 -0600 Report

Do you only take lantus? Are you on pills during the day. If so, you may need to add another insulin or higher pill dosage. Take your test results to the dr so he can see your numbers before meals and then after. There are several options and based on all your conditions and bg numbers, the dr will tweek it for you. If your numbers are always high, then the Lantus amount alone isn't doing it's job. Are you carb counting and doing portion control?

Lets us now how things are going.

m0stwanted 2012-01-27 05:12:27 -0600 Report

I was on Metformin 500mg when I 1st got diagnosed, but losing my job, insurance, and doctor for almost 2 years & now having a job that barely pays and only gives just over part-time hours, I haven't been able to see a doctor until just recently (and that was to try to qualify for a focus study, so it was free). With my income tax, I plan to see a new PCP that the nurse recommended, but that won't be for another 2 weeks or so. For now I can only call her and see if I need to bump up the units in the pen again. I don't carb count, but I do try to eat as healthy as I can. Being only 140 lbs, I eat ALOT. She says my metabolism is breaking it down too fast, so I've started walking and doing light exercise at home. Thanks for your reply, will keep it updated.

red flower lady
red flower lady 2012-01-27 14:42:48 -0600 Report

You can call your health dept, tell them you are a diabetic, and ask what drs office to go to where they use a sliding fee scale. This you will take your last four pay stubs, or a form from unemployment (they will tell you what to bring) and that drs visit is anywhere from free to $30.00, with labs being extra, but not much, free on up. Like $1.50 or $2.00 etc, you can ask the prices at the time of labs, it's insane that they can charge these pricess and yet we can't get them with insurance. Prescriptions are free and up. This should help you out greatly financially and help keep your numbers under control with the supplies, meds you need.

I hope this helps, and congrats on getting a job as something is better then nothing:)

Caroltoo 2012-01-26 23:06:13 -0600 Report

Yes, high means beyond the range of your meter. I've heard 600 also, but suspect it varies from meter to meter.

Can always be a faulty reading. Be sure to wash and dry you hands on a clean, non-scented towel before retesting. There are lots of handcare products that also will increase your reading, but not your actual blood glucose level.

Let us know what it is. Did your doctor tell you what to do if it really is your BG is that high?

pixsidust 2012-01-27 13:46:18 -0600 Report

I had no idea about that!

Caroltoo 2012-01-27 14:20:38 -0600 Report

Yes, of you get a "crazy" reading, go wash your hands and retest. It's frequently contamination from lotions, food, anything that contains a chemical that tests positive. Some diabetic lotions indicate they will not raise your readings, but many regular products we come in contact with will.

m0stwanted 2012-01-27 05:18:50 -0600 Report

My BG is always around 4-500 range until recently when I started using the Lantus. If I had a current prescription of my Metformin, I'm sure it would at least keep me in the 2-300 area, as that's where it was when I started taking it after I got diagnosed, and the Lantus would do the rest. Problem is, when I took that reading last night, I felt better than when I usually get a 2 or 300 reading… Is that wierd? I was shocked when the meter said HI because I felt good, wasn't tired, and none of my joints or muscles felt sore or weak like usual.

She hasn't told me what to do in this case (as she's just a nurse for a focus study), bit they geniunely care about getting me into better shape, so I'll give her a call when I get to work. Thank you for your input.

Caroltoo 2012-01-27 14:18:22 -0600 Report

Thanks for the feedback. You concerned me when I read that. My only time anywhere near 400 was the day I was diagnosed. My doc was shocked … funny story I'll tell you some other time if you want a laugh … to see my 396. You do need to work on lowering that reading.

Would you like to have some discussions are what you typically eat, because it is an issue what to eat, what not to eat, and how much of any of it is ok. Also, how to work some exercise into your schedule once your numbers are low enough so it is safe for you to do so.

m0stwanted 2012-01-28 09:51:13 -0600 Report

At 25, I was diagnosed Type II with a BG level of 564. I was immediately stuck with a Lantus shot, and promptly prescribed 500mg of Metformin, some Actos, and Trilipix. Unfortunately, due to financial issues, I wasn't able to keep up with my meds and supplies. Up until a couple weeks ago, I hadn't even seen a doctor in over a year and a half. Now that I have insurance and at least a part-time job, I csn focus on getting it back under control.

Caroltoo 2012-01-28 18:19:24 -0600 Report

Good to hear that you can again start working on it. Wow, that was a lot of medication. I was 396 and the doc wanted me to start w/4 insulin shots/day. I said I wanted to try oral meds and used Actos for a while. Have gotten to where I am ok and med free, so there is hope there. It's different for all of us, of course, but reason to believe you can make some real improvement if you start working on it.

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