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All week my blood sugars have been erratic. I check, I bolus, I change my infusion sets, HIGH Blood sugar! What the heck? I am doing all the things I always do. (Ok, maybe I am slipping a bit .)
After all the hard work I have been putting into having such great numbers I should not be having high blood sugar.
It could be because I have been working A LOT and getting less sleep. I mean working like going to work 9-5pm then coming home and doing a bunch of side projects that have been taking up all of my free time. This has been going on for the past couple of weeks. Maybe my body just is telling me to slow down? Or because of my work schedule I would need different basals? Or could it be that my body is just changing? UGH! Or maybe it is because I have been tired more often I forget to bolus and think I did? Probably, I am like a walking zombie lately.
Other things I have noticed are that I think I have acid reflux or something and of course I don't go to the doctor...
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 bol...
Wearing a continuous glucose monitor is a great way to see and understand how your blood sugar responds to various foods, activities, and insulin doses. Over the past several months of wearing the Dexcom, I've gained a greater awareness of high blood sugars, and more importantly, the most effective methods for maintaining blood glucose control.
One thing I discovered was that correcting high blood sugars nearly always led to one of two undesirable results: either a roller coaster of highs and lows for at least a few hours or a sustained high that took a few hours to bring down. In the first scenario I'd inevitably give a large correction bolus in an attempt to quickly bring down my blood sugar; which would lead to a low. Likely I'd over treat the low and end up higher than desired again. An alternative to a large correction bolus would be to deliver a smaller dose of insulin, which would bring my blood sugar down but only after a few hours; obviously not ideal when you're st...
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