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...
For the past several weeks, I've implemented a system of working smarter, rather than harder, to maintain my blood sugars. After numerous instances of highs or lows brought on by improper insulin boluses, I figured the area that needed the most focus was boluses and interpreting my blood sugar results. I concluded that many of my erratic blood sugars could have been avoided if I'd taken a few moments to consider some basic variables that effect blood sugar before delivering a bolus. I jotted down a few reminders on a small Post-it note and kept in it my meter case. Then, whenever I tested my blood and determined a meal or correction bolus amount, I'd quickly run through the list and think about the current circumstances before acting. I've seen a significant improvement in my control; specifically I'm experiencing far fewer avoidable highs and lows. These small reminders make a big difference because they encourage me to weigh various factors that impact my blood sugar, so that...
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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