Patience is a Virtue when Correcting High Blood Sugar
After years of experience giving correction doses of insulin to bring down high blood sugar levels, it occurred to me one day that there are two important variables at play: insulin and time. When I see a blood glucose level in the mid 200 mg/dl range or higher and I want to bring it back into range, I can either: give a large dose of insulin to bring it down quickly and then be prepared to snack in the next few hours or give a smaller dose of insulin and wait longer for my blood sugar to come down.
During my pregnancies, when tight control was so important and I was eating every few hours anyway, the first option was a no brainer. I wanted that number down right away and would snack as needed to keep my blood sugar from bottoming out.
Now that I’ve embraced a wider range of “good” blood sugars (70-180 mg/dl, for me) and I’m wearing a CGMS, so I can better see what my blood sugars are doing, I’m trying to deliver correction boluses with that second method in mind: smaller dose of insulin and letting time play its role in bringing my blood sugar down. I keep reminding myself that patience is a virtue!
Along those lines, I like the idea of eating three meals a day, rather than snacking all day long. If I can accurately gauge my meal boluses or give conservative correction boluses, I won’t need to consume extra carbohydrates (and calories!) throughout the day to treat low or dropping blood sugars.
What about you? How do you conceptualize correction boluses?