My averages for the last week are down to 168. I'd be thrilled by this if there wasn't so much deviation in my numbers. 107, 192, 150, 272, 80, 59. I'm bouncing in no clear pattern and for no clear reason.
There are a few out of range that I can pinpoint like a 244 after an 80 because I didn't bolus for a low carb dinner thinking the carbs would bring me into range. Apparently, I was wrong. The 59 because I then over corrected the 244 too close to bedtime. But several lows and a couple highs are unclear to me. It looks like I'm overshooting my insulin when I'm dropping low, but I'm not doing anything different as far as I know (except probably being a little more exact with my carb counts which makes me wonder if my 1:10/1:8 ratio is too high).
It does look like there are two times that I'm dropping low more often than others. Late at night or over night and mornings. The late nights are the ones that concern me more because I'm having to treat those with extra carbs and calories after I've already eaten dinner. And it also pushes them into over night when I might be sleeping and not able to catch them.
Like this morning, I was dreaming. In my dream, I was low and I knew it but I wasn't able to treat it. It took my body several scary minutes to connect my dream with reality (in my dream, I actually knew I needed to wake up and could feel the fear that I wasn't waking up, almost as if I was drowning). When I woke up, I was 59 but felt like death.
I'm carefully watching my weight too and desperately trying to lose eight to ten more pounds. I'm doing this through calorie counting and exercise so it's very irritating that a big chunk of my calories are going to treat these lows and sometimes pushing me over my limit if it's the end of the day. Seeing the actual calorie counts add up for all those lows makes me want to scream.
I expected the lows to stop and see more insulin resistance this week, but that's not happening so far. I didn't even try the Metformin again. Maybe my weight loss and my increased activity/decreased calories is finally kicking in and my diabetes is catching up. Since I'm not having a lot of lows (one a day with about two severe per week), I think I'll ride out this week and see how the pattern holds. I can't really see a solution here so I hate to change anything yet.
My only idea is to split my Lantus again. I did this for a long time and it worked great for me while I was in college. But now, my schedule isn't conducive to that and too often I'm not in a place where I can take a Lantus injection at certain times of day. This is why my current Lantus injection is at 11pm every night when I'm almost guaranteed to be home or at least somewhere that I can sneak away to do it.
If I did split it, I would most likely split it with the bulk still at night and 10 to 15 units in the morning around 10am. Like I said, I'm not comfortable making any changes at this point since I'm not seeing clear patterns. There's also a part of me that constantly expects the insulin resistance and highs to sneak back in at any moment.
The thing I hate most about all this is that it reminds me how finetuned my control could be on the pump. I can't bring myself to go back on it though. The tubing, the attachment, the skin issues, the basal tests. It's all too much and I just want the Lantus to give me better control.
