I'm relatively new to TuDiabetes, which is to say that I've only recently begun to interact with it although I've had a profile for quite a while... I also apologize in advance for what will undoubtedly be a long-winded question!
I need the community's help sorting something out...or to tell me that it's just "normal". Background: diagnosed late-onset T1 ~ 2 Yrs ago...sequence of A1cs went 11.3 at diagnosis, 6.9, 6.7, 6.9, 6.5, 6.2 and Monday's most recent TBD... I strongly prefer injections and plan to stay that way until I cannot maintain a sub 6.5 A1c, and have recently started pursuit of the CGMS. I appreciate all of the enthusiasm those of you with pumps have for the device, but it's not for me yet.
I've been active most of my life (notable and mostly unavoidable exception of graduate school) and it took me about 9 months/1 year to get over my horror over exercise and insulin after diagnosis, although I got religion on carbs in about 2 days. I have a 14 month old son, my wife and I both work, and we do everything we can to exercise 4-5 X/week, which means we trade off mornings at the gym etc...
Breakfast is a complete enigma. I rotate between a couple of things (one Van's whole grain waffle - 12g carb with fat free cottage cheese and a protein shake with water - 2 carbs in the protein mix...eggs/egg whites/EggBeaters depending on my mood and one serving of McCann's steel cut oatmeal with LOTS of cinnamon (in cast what they say is true) with a handful of blueberries...or if I'm running late, I'll go with one of the egg/turkey sausage/cheese whole grain sandwiches from the store). None the less, most all of these meals have about 25 net carbs "all in". I simply cannot get the exercise/insulin/breakfast routine down.
Here's what happens: I wake up anywhere between 110 - 140...I go to gym...I work out (mainly resistance training in the mornings) for about 30 - 45 minutes and almost always end up ~160-175. Okay, I get it...either dawn phenomenon is still going and/or weight lifting causes adrenaline causes increase BG, etc... I get home, take my 22 units of Levemir and anywhere from 3 - 6 units of Novolog...2-3 correction + meal amt...(~1:10, sometimes I get aggressive and go 1:7). I try to account for lower circulation in the morning, an empty stomach and some morning resistance with timing etc, but sometimes nothing works and I'm just curious if there is any wisdom for me on the subject or if that's just the tuition of the disease.
Occassionally, 5 units won't move me even before I eat anything - like today. Took 5 units and waited about 45 minutes...nothing. I want to see a change in direction before I put any of that carb in my stomach and it just didn't happen, so I did what I usually do for a REALLY quick correct which is two units in the bicep...and again...nothing. So now I have 22 Levemir about to kick in slowly and 7 units of fast-acting floating around somewhere and am not budging off of 175 and too nervous to eat anthing because I've trained my body to abhor anything north of 190 and it hurts like hell...(I realize I will receive no sympathy from those of you with much higher spikes).
I'm just waiting for a massive crash, but it hasn't happened. (It's been 3 hours since the begging of today's saga) I'm certain it's not the insulin because it is basically brand new, was working last night, and was in the refrigerator all night. Lastly, I've had occassions where a 3 unit correction bolus sent me from 170 to 50 in an hour an a half without ANY physical activity so I'm reticent to take more...I'll just burn up some test strips and move on...
If you're reading this far, you have my gratitude. If you have any thoughts/suggestions, I am all ears and would greatly appreciate it. Heck, any suggestions on low carb breakfasts that DON'T involve eggs or egg derivatives would be huge. I used to love the suckers but cannot stand them now.
Many many thanks,