Ooops.

I woke up this morning to a surprising BG of 271.  What the what?  I went to bed at 129.  How the heck does this work???  I do remember waking up to the high alarm around midnight and I gave myself a small bolus of 1.5 units to bring myself down.  I usually am a fan of the temp basal but I was obviously very sleepy!

I have my high snooze set at 60 minutes (Low is at 15) so I went back to dreamland confident that my Dexcom would wake me up if my BG didn’t come down.  I really like to have good numbers overnight because this accounts for a third of the day and therefore good overnight numbers will lead to a better a1c.  And that leads to baby time.  Babies.  Mush.  (My uterus has been screaming for a tenant lately, but that’s another blog for another day)

You can see where this is going.  My Dexcom didn’t wake me up and this morning I was surprised to see a 271 on my receiver.  I checked my settings and realize that my High snooze had been turned off.  I semi-sorta-kinda remember turning it off over the weekend because I didn’t want to be an annoying beeping cyborg while visiting my friend.

One should always remember to check her settings when one returns from a trip!

And, one needs to stop eating spaghetti.  :o(

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Well, at least it was steady, but man, I hate seeing that giant yellow mountain!

Going to the Carnival…

The DSMA Blog Carnival, that is.  The prompt for July (OK, so I’m waiting until the last minute!) reads:

Blood glucose.  It’s front and center when it comes to diabetes.  It is how we get diagnosed and it is what we are trying to manage.  An important tool we use to manage our blood glucose is our meter and its strips.  But what happens if our meters aren’t giving reliable information?  Let’s explore that this month as we discuss a topic from the June 26th chat Fill in the Blank.  Weigh in on the following statement:

Test strip accuracy is important to me because______.

As type 1 diabetics we rely so much on numbers.  Our a1c, how many units of insulin we take, insulin sensitivity factor, Insulin to Carb ratio, but the number we rely on the most is our current blood glucose level.  This number is instrumental in telling us how we are going to proceed with our next diabetes decision – do I need a snack?  Insulin?  Should I wait a bit to eat dinner?  Am I at a safe level to exercise?

We test our blood glucose 4, 5, 10 or more times per day.  It is a constant “tattle tale” of how we are managing our diabetes.  Yes, our a1c gives us our overall diabetes “grade” for the past 3 months, but our blood glucose…that is the number we rely on to make these multiple daily decisions which, in turn, account the most for our overall care and management.

There has been a lot of talk lately about test strip accuracy (or inaccuracy if you want to look at it that way).  Our trusty little meters aren’t quite as great as we thought.  Some may read too high, some too low.  The general rule is that a meter is within about 20% accuracy.  This is a big deal.  Say my meter tells me my average BG is about 140.  I think I’m doing pretty darn good at this whole diabetes thing – this would translate to an a1c of about 6.5, not too shabby.  But what if my actual average is closer to 168 (an increase of 20%)?  That brings my a1c up to 7.5, which, not as great as 6.5, especially when you are planning a pregnancy and trying really, really hard to get your a1c to 7.0 or lower.

A person without diabetes may think, “What’s the big deal?  The difference between 140 and 168 isn’t THAT huge.”  But over time, as you can see above, it makes a pretty big difference.  If my meter is telling me 140, I’m giving myself less insulin than if I’m 168, thus remaining a little elevated.  And vice versa.  If my meter tells me I’m 168 but I’m actually 140, I may give myself too much insulin and thus cause a blood glucose drop later on.

Luckily, with the advent of CGMs, we have yet another tool to make our treatment decisions.  However, not every person with diabetes is able to benefit from this technology due to various reasons, so the core issue remains the same.  We need accurate meters and test strips.  Diabetes management is a series of small decisions that lead to an overall result.  Shouldn’t we have the best tools available to make the best decisions possible?

SS-LOGO-STACK-SM

Flat tires, dead sensors, and clueless people…

Oh my!

This past weekend the husband and I traveled to our hometown for a bridal shower and bachelor/bachelorette parties for a wedding we are both in.  The 7 hour car ride up was pretty un-eventful, my blood sugar behaved for the most part.  However, once we arrived my one day old sensor started misbehaving.  It wasn’t giving me a trend arrow and was telling me I was in the 40s when actually I was 184.  I was hoping it’d come back to life, but after an hour or so of this naughty behavior, I got the question marks of death so I yanked it.  Kind of a bummer because I didn’t want to have to deal with the first 24 hours of sensor inaccuracy during the shower and bachelorette party, but, such is a Diabetic’s life.

The shower was lovely, however when I went out to my car to leave, I noticed a flat tire.  Oh boy.  Luckily my in-laws live only a few miles from where the shower was held so I was able to get my car there and they went out of their way to get a new tire for me.  I am so grateful for them for doing this and giving up their entire Saturday afternoon to solve my problem.  They are wonderful!

The bachelorette party was fun – we went to dinner at a Hibachi style restaurant.  However, we did a lot more walking than I anticipated so I was low for a good hour.  This led to one of the women making a comment about me eating a couple of cookies.  Something along the lines of “I can’t believe you’re eating.  Aren’t you full???”  ARGH.  I said that my blood sugar was low and rather than pass out, I had to force a few cookies down my throat even though we just ate.

This same woman also told me her grandfather “died of diabetes”, so as you can imagine my patience with her was wearing thin.  I will never understand why people think that in order to relate to your disease they have to tell a horror story of someone who died from complications or lost a foot or whatever.  These stories are NOT helpful.

I did face a few D-related decisions over the weekend.  To prevent my CGM alarm from going off at the shower since I knew I’d be eating a lot and it would be a guessing game as to how much to bolus, I turned the high alert off.  I stayed in the low to mid 200s pretty much all day, which, not good.  But, it is what it is.  Hindsight is telling me I probably should have done a temp basal, but live and learn!

While getting ready to head out for the bachelorette party I had to decide if I should bring my meter or CGM as both did not fit in my small, going-out purse.  I chose my meter since I was still within the first 24 hours of my sensor and, well, I trust my meter more.

All-in-all it was a good weekend.  Traveling is just tough with diabetes.  This weekend I’m going to visit my dear friend in NYC and I am determined to have a good blood sugar weekend.  I think it will be much easier since I’m obviously much more comfortable with her than I am with a group of women I’ve only met once.  I have my endo appointment on the 14th and I don’t want last weekend and this coming weekend to mess up my a1c!

I have a special guest blog post coming tomorrow, written by the husband.  Stay tuned!

Friday Fives – July 19.

5 average blood sugars, according to my Dexcom:

1.  90 day average = 168

2.  60 day average = 163

3.  30 day average = 150

2.  10 day average = 144

1.  3 day average =128!!!!!

I think I’m moving in the right direction!  I am so, so happy I bit the bullet and got this tool.   It has made me understand my diabetes and my body so much better.  I am actually excited to get my A1c result next month!!

Happy Friday!