I seem to always have bad outcomes when I eat and bolus and I am tired of it. I feel so defeated.
I can eat the same breakfast every day and have a 223 one day and today I had a 45, which led to the rest of the day being on a roller coaster.
I feel like I never have the same or good results.
A couple questions, Karen. First of all, what is the breakfast that you eat? Some foods are notoriously hard to accurately bolus for.
Second, have you done basal testing and are you sure your basals are right? John Walsh suggests getting basal right before tackling bolus. Of course we need to do both at the same time, but if your pp's are all over the place, your basal might have some impact.
Are there any other variables involved such as: time of the month, stress levels, time between bolusing and eating, length of time you're up before you eat breakfast? Could you be in perimenopause which is notorious for throwing off blood sugar results?
Unfortunately, unpredictable results are sometimes just par for the course for type 1's. But if it's happening on a regular basis you might just want to review all your variables like basals, I:C ratios, ISF, food you eat and carb counting.
I agree with Zoe, and even for people who have fairly consistent control, it can all go to heck in a handbag for no reason. The one thing with type 1, you have to be flexible and roll with it, and just know it can change for no reason at any time. Good luck, and just keep trying, review your basals/bolus, foods your eating, your correction factor, your I:C ratio, and just make changes slowly, one factor at a time, give it a few days and see how it works.
Bolusing after eating will lead to high bgs. Bolus and wait 15 minutes then eat, that way it gives the insulin a head start to start working.
Ohhhh I don't bolus after I eat, I was just stating my outcomes lately suck :)
Sorry, Karen. I know exactly what you are saying... and it just sucks! I wish you would not feel defeated though. I try to just roll with the ride because there are some pretty awesome days in between the amusement park gig. I have days where it seems I should not bolus at all?!? I don't need to Six Flags or other places with rollercoaster rides, I can just get up and go about my day and often the roller coaster comes to me =/
I've had quite some chores in the AMs for a while now, DP has been out of hand the last few months and my AM basal boost is turned up really high which, now that I've "caught" it, leaves me waking up at 40-60 a lot? I dunno if DP is involved in what you've got but it seems to change so if that might be part of it for you, perhaps using some basal strategies could make things a bit smoother?
As Acidrock23 said DP changes which mine has also done through the years and I've had to make adjustments. I know there are a lot of variables to keep track of but at times it's necessary and that's why I like communicating with others with D. We can help each other remember some of the different things we need to keep in mind when dealing with this disease...hope you find your answer with some of our answers.
Thank Mike and Betty and I do struggle big time with DP and yes Betty it is good to know that things constantly change with the D, today was a better day.
Today I had my best day on the golf course in a long time. Started the day at 115 took some lantus and rapid, and had a fiber one bar, then played golf for 4 1/2 hours and did not vary from 160 the entire time. Granted I know that is higher than it should be, but I birdied 3 holes and had a bunch of pars and was just so happy not to have the lows that normally screw up a round. I took some rapid on the 17th hole, birdied the 18th hole and went in for lunch. 84 before, 120 after, my kind of day. I don't expect perfection because that is impossible, but a little improvement day to day is enough to make me happy. Glad today was a better day for you too Karen. >
Sometimes I think about not being on my pump anymore, as I don't remember this many bumps in the road. I think all the fast acting insulin does me in.
I use to golf, wow a birdie, such fun.
Not just a birdie, three of them, but I know what you are talking about with the fast acting insulin doing you in, having been on sliding scale for the last 15 years or so I have had more than my share of bumps, it's only recently I have started carb counting and wow what a difference it has made. I'm still on MDI, but am considering an omnipod when the newer version comes out. No big rush, but it is in my plans for the future. I love golf, it's great to be outside, get some sun, spend quality time with spouse and son, not bad to out-play them as well.
We all have bad days but when the bad outweigh the good that we should be concerned and call out for help.