Marvin and I went out for pancakes late last night (study week=strange eating patterns). I wasn't too concerned about my blood sugars and eating such a carb heavy/protein lacking meal. Afterall, Monday and Tuesday had showed drastic improvement.

With Monday only showing a few hours over 200 and Tuesday riding between 60 and 176 the whole day, it seemed like the insulin resistance was gone. So I ate most of my chocolate chip pancakes (but skipped on my normal amount of syrup). And bolused when we got home.

Typical pre-bedtime bolus is to cut the bolus down by a specific amount depending on the content of the meal/snack. I see too many severe night time lows, so my endo and I have worked out this plan to help prevent them. I drew up 7 units of Humalog and my nightly Lantus (upping it to 17 units rather than 16 due to said resistance before). 7 units before bed is still quite a chunk, but I knew the pancakes were too carb heavy to cut it down any further.

Waking up at 60 Tuesday morning for no apparent reason wasn't helping this situation. I knew cutting it to 7 units was below what I should actually be taking. But only by 2 units. And I was holding steady at 154 up to the pancakes. So I went to bed awhile later, hoping my morning number wouldn't be too unsightly.

But two hours later, I woke up to go to the restroom. The second bathroom break in two hours. Granted, I drink a lot of water and nightly restroom trips aren't unusual for me...it still wasn't exactly explainable.

When I laid back in bed, something felt off. My stomach was making all kinds of noises. I was thirsty. And I just felt wrong. I kept laying there...knowing I needed to check my blood sugar but knowing that an early morning wasn't that far away.

By the time I'd finished laying there weighing out "to test or not to test," I was wide awake. I got up, grabbed my kit, and went through the routine. But when the number popped up on the screen, I nearly threw it across the room.

430. A 7 unit bolus in and of itself. There was no reason I should be this high, even after chocolate chip pancakes. Insulin resistance...you win again.

I did 4 units of Humalog to bring me down by morning. And drank the rest of the water next to the bed. Then proceeded to lay there for the next two hours WIDE AWAKE. Maybe it was the high, maybe it was just the annoyance of it all. But sleep was not my friend.

And when I finally pulled myself out of bed and out of a fitful sleep, I was 178. A much more appropriate morning number (I aim for 150 throughout the night per those pesky night lows). Luckily, all the signs of the high had disappeared. Unlucky me...I get to take a test and study for 2 more on about 5 hours of fitful sleep. Oh, diabetes...give me a break!