I love coffee. Coffee, however, does not seem to love me. I have noticed in the 2 and a half weeks that I’ve been wearing my Dexcom that I seem to have a very high blood sugar spike after breakfast. Despite taking my BG, Insulin to Carb ratio, and Insulin Sensitivity factor into account when I bolus, I am always spiking about 2-3 hours after breakfast, which I eat around 7:30 am. Breakfast is usually a bowl of cereal (measured, 1 cup of multi grain Cheerios or corn flakes) and skim milk (3/4 cup), and my to-go coffee with flavored creamer (3 Tbs – hey I drink a BIG cup!). I usually drink my coffee over the course of 2 hours, finishing it around 9:30 am. My blood sugar spikes seem to hit between 9:30 and 10:30 am. However without taking a correction dose, I’m almost always back in normal range by lunchtime. Take this morning for example:
- Woke up with BG of 204
- My new Ping told me to take 6.6 units for my BG, amount of carbs I was consuming, and correction factor. My CDE wants me to do what the Ping says for the next few days as we figure out my basal rates and fine tune my Insulin:Carb ratio.
- I spiked at about 9:30 am with a BG of 320. Blech. However, on the direction of my CDE, I did not take a correction dose and am now coming down, about 45 minutes before lunch.
This leads me to wonder if I need a different Insulin:Carb ratio or a higher basal rate. Or, dare I say it, I should knock it off with the coffee. I have read on the interwebs that caffeine can cause blood sugars to rise by blocking insulin or something medical like that. But, it’s my coffeeeeee. What is worse? Blood sugar spike or crazy, cranky, half-asleep Laura? My coworkers probably have a different answer than I do.
My thoughts are that perhaps I should increase my basal in the mornings to account for my coffee. Or maybe set a square bolus (Or a “Combo Bolus” in Ping-speak) to account for my 2 hour long coffee drinkage. Or change my Insulin:Carb ratio for breakfast so my bolus is higher, although this concerns me that I will drop by lunchtime. Maybe next week I will try sugar-free creamer to see if that helps. Perhaps all the sugars in the creamer are hitting me in a different way than other carbs? Maybe I need a higher protein, lower carb breakfast in general? Who wants to be my personal omelette chef?
I really don’t want to have to surrender my coffee to the D. It’s warm. It’s tasty. It wakes me up and it makes me (and my coworkers) happy.
This diabetes stuff is a tricky thing.