FROM OUR EXPERTS
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...
Everybody does it...or at least that's what I told myself. I'd gotten away with doing it for several months: purposefully letting my blood sugars run high because I hate having lows . I'd developed this bad habit one year ago, during a summer where I was filling all of my free time with mile-long runs to the gym where I'd spend at least an hour weight lifting, taking yoga classes three times a week and jiu-jitsu classes twice a week. That all sounds dandy for a healthy diabetic, but the problem was that I was trying so hard to never go low that I was far too often running a regular 200+ blood sugar. We all know a low blood sugar in the middle of a run or a jiu-jitsu class basically puts a big RED LIGHT on the activity. My other issue was that jiu-jitsu classes were so intense that I was worried I wouldn't be able to feel the low blood sugar symptoms until it was too late, so I compensated in the most unhealthily way: a decent-sized bowl ...
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, ...
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.