Yesterday I bought a tiny notebook and began my new logging routine. So far (even though I'm only two days in), I've done pretty good with keeping track. I've settled on logging the time, blood sugars, both Humalog and Lantus insulin injections, low treatments, and any strange foods (like a chocolate shake).
I haven't noticed any trends, but then again I'm only two days in. The biggest thing I've noticed is that I jump high after most lows (my habit of overtreating). I doubt that I'll stop overtreating so I think the best way to handle that is to judge my insulin after the lows more accurately...which means actually thinking about the carbs and low combo instead of just (under)guessing on the dose.
On top of the new logbook, I decided to put the CGMS back on. I've had trouble with them in the past...they never seem to be accurate for me. But I'm hoping this time around will prove beneficial in spotting trends and catching highs and lows.
I'm hoping the CGMS helps pinpoint what my post-prandial numbers are doing. Without the pump, I'm not sure that I can keep those numbers overwhelmingly in check but I can at least know for sure if a 10 carb to 1 unit ratio is the best choice for me. If it's not, I might consider going back on the pump just to make it easier in calculating and adjusting boluses.
Between the logbook and the CGMS, I really want to be able to fine-tune my insulin needs while staying off the pump. Ultimately, I want to walk into the doctor and know that my A1c will be below 7%. Considering the estimated averages for a 7% are 155 and for a 6% are 126, I definitely want to be somewhere in between. If I keep my averages around 140, I should be able to get a better A1c this time around.
Since my appointment is set for the middle of July now, I have over a month to work on my averages. Combined with my fairly decent averages before (not including the recent week of highs), I'm hoping for an A1c of 6.8%. That gives me 6 weeks to get my averages from the 150's to the 140's. So hopefully the logbook and the CGMS hassle will payoff with some pleasant numbers.
