It is medicine that does that.

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Not the sleep, or any more than being off medicine, large fast weather changes, extreme weather, other larger (or a large collection of) stress(es), general health failure, or simple powerful (or smaller muliple complex) pain.  Other things?  Combos, boss!  Yea.  Though, currently, restarting medication is part of it, as are 90° plus days.

What pills do is hurt my innards.  It feels like a mule clipped my belly and a lower rib.  Bruised, some bloat, gassy, and angry in there.  It hurts in varied, intense ways.  I would go back to sleep, but I can't.  I've spent that painkiller, if without choice.  I kept crashing, due to heat and diabetes.

I have been eating lightly and more rightly, plus dosing insulin, but that doesn't seem to be helping.  A true fasting, after a very good light keto meal and dose, has blood sugar at 219.  That was after five hours of not eating beforehand.  I do think going on or off medicine causes diabetes problems as well.  It might explain the stomach, organ, pains.  Perhaps medicine messes things up in the short run, by denying blood flow.  I really think so.

I am avoiding even keto sweetener.  As much as possible.  It can exacerbate diabetes when it is being difficult.  But I need it, to get enough fluid in with the heat, and to balance the water pills.  It's complicated.  I will eat the last of the taco meat shortly, as a salad, then make a new batch.  Maybe food will help.  Aspirin too.  Later.