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I woke up at 87. I drank a juice and had two granola bars. I bolused for the extra carbs that didn't treat the low.

I started feeling foggy so I checked my blood sugar. 83. I had another juice and a small snack. I still didn't feel "normal" so fifteen minutes later, I had another small snack.

An hour later and my blood sugar is now at 92. My brain is still foggy. I'm about to fall asleep at my desk. So I'm drinking half a soda. And watching for the upward trend that I know will follow shortly and send me soaring into the 200's.

Last night I plugged in my CareLink and uploaded all my pump data for the last few weeks. I saw my trends (without basal testing) and went ahead and made some changes. I increased my basals during the times where I trended into going above goal (one of those times would be the late morning/afternoon).

Perhaps I really didn't need the basal change. Or perhaps today is just an off day. I went ahead and lowered them back down and will try again in a few days.

The other thing going through my mind is that maybe I need a smaller increment. I only changed by the smallest increment I could (.05), but perhaps my body only needs a little extra (.025) to get the numbers back down.

Unfortunately, if that is the case, I have no option because I'm not due for a new pump till 2010 and the current pump I have does not give me the option of smaller increments. So do I jeopardize my morning blood sugars for the next two years? Or go back to MDI's to achieve better control? Too many choices, but not enough answers.