For today's post, I do not aim to be eloquent or elegant. What I do hope for is a gentle ear (or eye?) upon which I can recount this tale.

Simply put, Today seems to be what happens when I get cocky, and it's bleeping annoying.

For reasons I can't completely explain, Saturday and Sunday were great diabetes days. I stayed around 90 most of the time, despite multiple snacks (yes, with carbs) and some SWAGing (no, I haven't kicked that habit yet). This type of shenanigans-free blood glucose behavior is not normal for me; especially on the weekends.

Every once in a blue test trip, I'll get a day or two like this. It gives me some confidence, and a sense of relief. I almost start to think, Hey, you - this isn't so bad after all. See how well you're doing? And you're hardly trying! You've got this! It's all falling into place! I want to give myself a big ol' pat on the back; like I've earned it somehow. As if my 24 years of diabetes knowledge and experience has culminated to this focal point of awesomeness.

But, Today?, Oh no - today, that streak of awesomeness came to a skidding halt while I was at work. Twice.

"Twice!!!"

One of the most frustrating parts is my inability to see where I went so wrong. A little wrong? Maybe. But not 35 mg/dL wrong.

I ate the same breakfast. Took the same insulin for it, 15 minutes ahead. Then I drank my coffee - like I always do - and took a few units for it, like I always do. I watched my number creep up to just below 130 on the Dexcom, and was still headed upwards when it was time for my daily 15-minute morning walk. When I returned, I felt... normal. Nothing out of place. I got back to work, but after a few minutes felt a little weird.

Ping and I consulted: 35 mg/dL.

"What?!?!", I shrieked, in the safe silence of my own head. This didn't make any kind of sense. A 15-minute walk at that time of morning is very consistent in bringing me down between 50 -60 points. I had the same amount of IOB as I always do. NOTHING CHANGED.

I ate some dried mango (in retrospect, not the most fast-acting choice, but that darn dietician I saw two weeks ago is still in my head: "You need to eat more fruits!"). I waited 15 minutes, then checked again. I was 65 and heading back up. Whew! Back to work.

An hour later, I'm feeling weird again. Ping, what say you?

41 mg/dL.

"You have got to be flocking kidding me!!!", I once again yelled in my head. Puzzled, I busted out the Starbursts. I ate four, waited 15 minutes. Still reading "LOW" on the Dexcom (which means under 40).

Ate four more.

Waited.

"LOW".

Ate the last four.

Waited.

Ping told me I was at 100, and so I stayed above that for a little while - but only a little.

Lunch came and went. My one-hour post-prandial blood test was 113. (Sweet!) But it came at a price - half an hour later, guess who came a-knockin'?

45 mg/dL.

I ate some more mango, the yogurt I brought but didn't eat yet, and then proceeded to also get a cookie later that afternoon. And you want to know what that did? I peaked at 152. (....really? That's it? After all that carbtasticness? Um, okay...)

I just really don't get it. My basals have been unchanged for weeks, I was eating the same foods I always eat. Bolusing the same exact way. Nothing in my routine changed... except the outcomes.

Um, excuse me, Phil? Could you come back out here, please? I just need...

"Outcomes!!!"


Thanks, buddy. I'm glad to have you on my side.

--------------------------------------------------------------------------------------------------------------------------------------------------

You can read more of my ramblings at my d-blog, Texting My Pancreas. Thanks for reading!

Views: 4

Comment by Michael Hutch on August 30, 2010 at 10:28pm
I have watched my mother for 25 years as a T2.
That's the nature of the disease, just when you think you have the bulls by the horns...
I think if one can understand this challenge, it will allow one to more greatly accept, address, treat and live with diabetes.

What do I actually mean: sometimes when she thinks she is high, she is actually low and vice versa.
This has taught her not be cocky, but vigilant of 'highs and lows' and go for the best control she can - for the long haul !
Comment by mother4peace - Christine on August 30, 2010 at 11:11pm
Can totally relate to this. Am very envious that you got to eat all of those starbursts. Thanks for the laughs too.
Comment by Tarra on August 31, 2010 at 3:12pm
You pretty much summed up my Friday, Saturday and Sunday of last week. Most of the time i treat and it goes away but not this last weekend. I spent several hours trying to figure out how to get it above 60. Where it was for several hours.
Comment by Lou on August 31, 2010 at 4:22pm
LOL, I sooo know where you're coming from, oh big (((hugs))) hope the D gives you a couple of quiet days to regroup :0)
Comment by Lisa on August 31, 2010 at 5:04pm
Ok so what was with last weekend b/c I had issues too and couldn't seem to break these lows?! I turned my pump off for 3 hours and then it was just hitting the normal range. I drank pure maple sugar (6 tbsp) plus pop, and then some candy. I mean really. This is a bit odd that so many of us had lows? Maybe it's something cosmic, lol? Hope this weekend is back to normal. I know I'll be testing lots.

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