Lindsey Guerin

After the picnic last night, I was extremely tired. It'd been an incredibly long week, we'd just played all kinds of games, and to top it off my blood sugar was low. So I ate some fruit and mixed nuts hoping I wouldn't have to eat anything heavier right before crashing into my bed. But my blood sugar wouldn't come up, it seemed to only be dropping. I drank juice and ate crackers, intently watching the CGMS to tell me when it was rising.

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With capital-I Independence Day weekend upon us, I figure it's worth a look at how small-i independence plays into our diabetes management.

For those of us who were diagnosed as children, and for the parents of children with diabetes, there is the independence of a child learning to care for himself -- from finger pricks to injections to calculating insulin doses to doing pump corrections. Zita writes of her son's first self-administered injection here.

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Last night, me and the family went out for a Mexican dinner. There is a little place not too far from our house that I like to go to. Not quite a restaurant but not really fast food.
 

Anyhow, I ordered what I always have and bolused accordingly. As of late I have started using the Dual Wave option on my pump to get a percentage of my bolus immediately and the rest over time.

For this particular meal I dialed in the carbs, with 30% now and the rest over the next 30 minutes. As we sat down at the table I saw a large crowd of people enter the place.

With all those orders it seemed our order took forever to come out. I was not in a hurry, didn’t feel low but I did need to refill me drink before the food showed up!
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Lowering my A1c is my diabetes priority at the moment. I'm ready to bump down from the 7.3% that I've been stuck at for the last six months. I'm looking to get back under 7% and head towards 6.5% to achieve another "lowest A1c of all time." But today it hit me that lowering my A1c is really taking a toll on me.

Not only is it increasing my diabetes stress to do everything right (or at least the majority), but it's also creating a domino effect with quite a few other aspects of my life. Things that are "tolerable" but when combined make me wonder if it's worth it. I feel like I'm always in a state of "weighing the consequences:" do I try harder to lower my A1c or do I tolerate the 7.3% and avoid the ill effects?

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