FROM OUR EXPERTS
This question has not been answered by one of our experts yet.
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...
This weekend I rowed in my first college regatta. Since Dartmouth was hosting, the team didn't have to travel for the race, which was good - I think that would have made the whole event much more stressful.
Anyway, I woke up at about 8 am on Saturday morning with butterflies in my stomach and a bg of 118. It was too early to worry about the race; first I had to go to a meeting across campus for another event that the college was hosting over the weekend. I skipped my standard breakfast of instant oatmeal because I knew there would be food at this meeting. We were served bagels, so it was a higher-carb breakfast than usual for me, but I gave a full bolus (about 6 units for 60 carbs) and didn't worry. In retrospect, it probably wasn't the greatest idea to try to attend a conference on the same day of my first competition for a new sport, and to try eating a different kind of breakfast that day.
The meeting ran a little late, which meant that I was a little late...
You should know
Answers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.