I got so frustrated with my A1c number and my recent averages that I started logging in detail again. I'd planned to start after finals (around December 14), but I just couldn't take another week or two of 200 level blood sugars. So I brought out my UltraSmart meter which logs carbs, insulin levels, and my blood sugars.

So for the past few days, I've been logging my carb intake to the best of my ability (and trying to pay closer attention to meals that I can accurately judge), every unit of insulin, and testing as much as possible. I've also been taking this opportunity to use a different carb ratio than normal, which seems to be helping. My averages are down with less fluctuation and far fewer nasty highs.

But the thing I'm noticing is how much I'm eating and now how much insulin I'm taking in. Not only have I increased my Lantus to 35 units (which I may bump up to 36 at the end of the week), but my Humalog is off the charts at around 20 units per day. It isn't necessarily that approximately 55 units per day is all that much insulin, even for me. But it's the fact that the carbs I'm averaging are the whole reason behind those high insulin levels.

It's been a stressful, exhausting week though so I've been craving high carb meals along with plenty of snacks. So I'm not sure if this is just from this week or if I've been eating this many carbs for a few weeks now. I'm not planning on curbing those eating habits for this week, since my body is craving those foods, I believe in satisfying them.

But if it continues past the stress and past the mental/emotional exhaustion, I'll take a second look at what I am eating and why. Because I don't like consuming so many carbs or calories...I'm carefully watching my weight since I don't have time to exercise like normal. So far, my weight is holding steady though.

I'm just excited that I'm seeing improvement in the blood sugar range. Hopefully keeping up with the log will help me recognize the better carb ratio as well. The one thing I'm scared of is that my Accutane prescription is being increased on Friday, so I'm not sure if I'll see another increase in blood sugars and insulin resistance or not.

I'm crossing my fingers for not. But if so, maybe this hyper-vigilance with the logbook will help quickly curb that. I'll also be more inclined to quickly raise the Lantus and lower the carb ratio if I start seeing highs again. Last time, I wasn't sure exactly why I was getting such random peaks so I was slow to increase the insulin. This time, I'll be positive I know what it is which means I feel safer to make guided reactions.

I just sincerely hope that these medications (Accutane and birth control) mixed with the extra insulin doesn't mean that my weight will be harder to keep down. At least I'll have time to get back into running over Christmas break...and hopefully extra time next semester as well since it's a lighter (and my last!) load.

Keeping my fingers crossed through all of it though.