It would be nice if, for the sake of my blood sugar, every day were exactly the same. I’d wake up at the same time, eat the same breakfast, lunch and dinner, spend the same amount of time sitting in class and exercising, go to bed at exactly the same time every day, and of course take the same amount of insulin at the same time every single day. Presumably, this would be equal perfect blood sugar with no surprises, no variables, no funny meals that have hidden carbs or workouts in the gym that were less than average, leaving me with an extra high blood sugar afterward. Okay…wait…back to reality: life is unpredictable! And geez, I’m glad, because the same thing day in and day out would be horribly boring. The downside to this, though, is that we’re constantly trying to balance our blood sugars between it all. And it gets frustrating, because one day I’ll have a yogurt before yoga class and my blood sugar is at 140 an hour later (I like that), and the...
Did you miss the first posts in this series? Catch up before reading on!
Little Changes, Big Difference: Introduction
Little Changes, Big Difference - Part 1: Blood Sugar Trends
Little Changes, Big Difference - Part2: Food Composition and Insulin Timing
For me, the single factor that leads to most of my unexpected low blood sugars and those occasional high numbers is forgetting to account for my activity level. Insulin works so much more efficiently in an active body than when we're sedentary. In order to bolus accurately, you have to consider how active you'll be while that insulin is working.
Nearly every weekend our family takes one or two long walks around our neighborhood or Balboa Park. When I carefully plan my insulin bolus and food intake with a walk in mind, I can usually manage my blood sugar quite well. I'll usually plan to give myself less insulin for my breakfast, lunch, or snack (whichever occurs before our walk), and drop my basal rate for an hour prio...
My efforts to manage my blood sugar and be a good parent collided last night. Here's what happened:
First of all, some background information. Yesterday Sienna received her six month immunizations. The check-up went well; she's growing perfectly and developing normally. Getting shots always puts her in a little bit of a funk. So, by around 7:00 p.m. she was getting fussy and tired. I'd just enjoyed a delicious bran muffin after going for a walk with my mom and Sienna.
I knew my blood sugar was on the high side, so I tested in anticipation of dinner. My blood sugar was 233 mg/dl. Oops! I bolused 2 ½ units of insulin as we were planning a low carb dinner of homemade cheeseburgers. Dennis and I attempted to feed Sienna some milk and then some oatmeal, both of which she mostly refused. She was getting more tired and fussy by the minute.
"Okay," I announced. "Let's just get her in bed and then make our dinner."
The memory of the recent bolus hit me, ...
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