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I'm staring at the last three weeks of blood sugars. I've calculated my averages and circled every blood sugar that isn't between 60 and 250. But now, I'm just staring. I'm wondering what to do next.

Some of the highs are fairly unexplained (marked with the traditional question mark in my logbook) and some are the result of inadequate boluses, late/skipped boluses for snacks, or overtreating lows. And most of the lows are from decreasing my carb ratio at breakfast (saw a bout of 50's after breakfast three days in a row). Sadly, quite a few of the lows are unexplained just like the highs...late hit from exercise, stress, or just diabetes in its confusion...I'll never really know.

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Exercise can be a really tricky thing when you're diabetic. Whether you're starting a new routine or just changing up an old one, it's tough to manage blood sugars alongside cardio and resistance training. The ups and downs add an extra edge to the difficulty of staying in shape.

Last week, I decided to try some new exercise classes which sent my blood sugars into a tailspin. Luckily, I was able to lower my insulin and fend off the lows...but I wasn't able to achieve the balance that I crave. This week I'm still working hard to get back into shape (and lose some more weight)...but mostly I'm trying to find that medium ground between the highs and lows of exercise.

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I'm always high on a site-change day. I've tried doubling the recommended amount of fixed prime, but I still wind up in the upper 200s. I've tried doubling my fixed prime and overbolusing for breakfast (I typically change my site first thing in the morning before breakfast) and I'm still high.

It occurred to me recently that I didn't know for sure if the "trauma" to my body from the site change was the culprit or if it was the insulin absorbing into a new place or both that was to blame. Because I'm only high after breakfast; back into range by lunch time.

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Being back to school is the hot topic lately. For me, being back to school is a big change. Not only do I move away from home again every semester, but also my schedule is constantly changing. The stress is different. The food is different. The exercise is different (walking an extra 3 miles a week around campus). My control is different.

Over the summer, I really watched what I was eating. I finally got my other health issues sorted out and had the potential to lose the weight I had gained because of them. I was motivated. So I started limiting my portions, choosing "smarter" carbs, and decreasing my overall intake of carbs.

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