Got home from work today and the Hubs (who works from home) was still on a conference call. He popped his head out of his office and told me he has another call until 6:30 and if I don’t want to wait until then to eat to go ahead and start dinner. (He usually cooks. He rocks.) I make the executive decision to make a gourmet meal of brinner (bacon and cheddar omelets, hash browns, toast, and some more bacon). Yum.
My sister called me and since it seems like I haven’t talked to her in forever (really, it’s been like 2 days, but that’s a super long time for us!) I took the call while attempting to make my awesome, I-can’t-believe-she-works-full-time-and-puts-meals-like-this-on-the-table, meal. Maybe that’s why I didn’t notice that I was in the middle of an out of nowhere, Shelby-style low. “This one hit her (me) fast”. My trusty Dexcom was in my bag, on vibrate. D’oops.
Hung up with the sis and check my BG in anticipation of pre-bolusing. 40. YIKES. In my low fog I thought it was a good idea to finish making dinner, which, of course, dumb idea. I am not so good at cooking meals in which there are many components (casseroles are my specialty). I can never get the timing down. So my lame cooking skills in addition to my low BG made for tonight’s dinner prep to be more of an extreme sport than I anticipated.
So as you can imagine, dinner got nasty burnt, but my husband ate it anyway. And also lectured me to turn off the stove and step out of the kitchen next time while I treat. I think I will listen to him.
Man, I am dizzy from the diabetes roller coaster I rode all weekend. Good, steady D-Days were a thing I could only dream about. This resulted in frustration, belly aches, annoyance, and a little more frustration.
The only culprit I can think of is that I had pizza and beer on Friday night. Even after commenting on Katy’s Combo Bolus Victory that if I make it 8 hours without a spike after eating high fat foods, I’m usually in the clear, I woke up Saturday morning with a BG in the 250s. My dexcom, it appears, was a liar. And made me eat my words.
I yanked it Saturday morning since it was off by over 100 (and was almost 3 weeks old, so…) and as you can see above, I was up and down all day.
The roller coaster continued on Sunday:
Up and down with a few good hours in the early morning while I was sleeping (and hadn’t eaten!). Just looking at food caused a BG spike this weekend.
Finally the last day of the holiday weekend was pretty normal and much prettier:
Phew. What a weekend. I don’t know if it was the pizza or diabetes just being a jerk as diabetes often is but it seemed like a constant game of cat and mouse. My pump was smoking from all the rage bolus and temp basal action. I’m starting to think that maybe eating the naughty foods just isn’t worth it any more. (Does this mean I’m an adult?)
And I am annoyed that according to my Dexcom, my average BG has gone up by 1 over the weekend. Lame.
I’ve been cheating on the DOC with Reddit. Does anyone else read the Diabetes sub-reddit? I really enjoy it. Check it out!
After my awesome A1c results last week I, of course, had to share with my Reddit friends. One person asked me to list 10 changes I’ve made to make such an improvement in my A1c (I went from 7.9 in April to 6.8 now, however a year ago, I was 8.7!) Of course the first thing I thought when this person asked was: “Blog Post!” I love to make lists. If you ask the hubs, I make them for him pretty frequently – 10 Reasons why I miss him while he’s away (there’s no one around to kill spiders!), 10 reasons why I am excited for the weekend (Sitting on my butt is better than working, duh!), etc. The lists. I make them.
So, without further ado, here are 10 changes I made to improve my A1c:
1. I switched to sugar-free flavored creamer. When I first got my CGM I noticed that I was spiking big time after breakfast, even if I was bolusing to cover the carbs. Not willing to give up coffee, I switched to SF creamer and that has helped a lot.
2. I also gave up cereal. I eat a bagel and cream cheese for breakfast most mornings. I should have more protein but so far I’m doing OK, blood sugar-wise.
3. Getting the CGM period. It’s been amazing to know what my BG is doing at any given moment. I’ve been very attentive to it and adjusting my insulin when needed to keep me in range.
4. Baby-stepping my high alert on the CGM down. It started at 200 and I’ve gradually gotten it down to 160. I think if I started with a high alert of 160 right out of the gate, I would have gotten frustrated with all the beeping. If Bob can do it, so can I.
5. Communicating with my CDE a lot! I’m lucky in that she is very receptive to emails. I send her my reports every couple of weeks and she makes small tweaks. She’s noticed patterns I never would have noticed before. She has quickly become my diabetes care BFF.
6. Getting back on the pump, in general. For me, it’s much easier to correct those pesky high numbers with a couple mini boluses or temp basal. A little more difficult and time-consuming to do on MDI.
7. Pre-bolusing for meals. It takes me about 30 minutes to get ready in the morning and halfway through I bolus for breakfast. Since I eat the same thing every day, it makes it easy. I also pre-bolus for lunch and dinner too and I think it really helps prevent those after meal spikes.
8. Using combo boluses when I eat high fat meals. I will master you, pizza. I will.
9. Trying (although not always successful) to cut back on processed foods.
10. Really paying attention to the 15-15-15 rule when I’m low. Although this doesn’t always work (especially over night!).
It honestly hasn’t been a huge lifestyle adjustment or anything. I’ve just made diabetes a priority. I know that I feel better physically and emotionally when I’m in better control of my blood sugars.
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(
Well, I did OK-ish on the food front this week, however I don’t have a loss to report. Honestly, I’ve been struggling, especially on the weekends, for the past month. Since my nephew passed away, I’ve been turning to food for comfort. Which is typical of me, I am an emotional eater. Always have been. This is a constant struggle. I see food as comfort, a friend when I’m in need of one, a celebration, entertainment when I’m bored, etc. I recently ordered Ginger Vieira‘s book “Emotional Eating with Diabetes” and am very much looking forward to diving into it when it arrives. (Yes, I still read paper books. Maybe Santa Husband will get me a Kindle this year? *cough*HINT*cough*). I really hope this book will give me some tools to prevent over treatment of lows and to not abuse myself by abusing food. I’ll be sure to post a review once I read it.
The husband and I have been doing a pretty poor job of planning our weekend meals, which has led to lots of eating out. Related to what I said above, I have this mental block where I see eating out as a reward or celebration. The little devil on my shoulder tells me I’m not going to go to a restaurant and get something boring like grilled chicken and veggies when I can make that at home. I’m getting stuff I don’t normally cook – fried goodness, heavy pastas, etc. I think that the husband and I need to not only be better about including weekend meals in our menu planning, but I also need to remind myself that this is a journey and a process and going out to eat does not give me a free pass to throw calories out the window.
One victory I do have to post about is that I went back to the gym yesterday for the first time in over a month. I had previously posted about a fear of exercising because my blood sugar seems to behave pretty erratically when I work out. I’m really striving to keep things as steady as possible with less drastic blood sugar swings. This was making me hesitant to work out because of the naughty behavior of my blood sugar during and after exercise. But, after some encouragement from friends, I decided I need to face this head on. I like boxing and, duh, exercise is good for everyone but especially for a person with diabetes. So, I went to the gym yesterday and surprisingly, stayed level the whole time. Started my workout at 169, ended it at 161. I also was OK after too. I’m going to continue to play with this and take meticulous notes on my phone of my basal rates, snacks I eat, etc. to see if I can figure out a good game plan for boxing days. Go team?
My goals for this week are:
- Go to the gym at least 2 more times. (And make notes of snacks, BGs, etc. in relation to said workouts)
- Don’t let the weekend derail me.
- Make better decisions when dining out.
- Remind myself that food is fuel and question myself if I am eating due to emotions or boredom.
- And, not to fart whilst I exercise:
OK, not so wordless post, but my pretty-ish little graph needs an explanation. On Friday night the hubs was getting home from traveling and instead of being an awesome wife and cooking a home-cooked welcome home meal, I decided to order pizza. Since Pizza + Diabetes = Pain in the bolusing behind, I decided to do a combo bolus of 75% (6 units) pre-meal and 25% (2 units) 90 minutes post meal. Didn’t work so hot. I think next time I’ll try a 60/40 split with the second bolus 2-2.5 hours post-meal. Oh, pizza, why do you have to be so good but so bolus-confusion-worthy?