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So, as predicted, my blood sugar was lowish most of Friday morning. In fact, I believe my fasting was under 90, so I had to eat a granola bar before going for my walk. I stayed under 100 until lunch time.

It was totally crazy. Thank you stress and nerves!

I knew I'd need some complex carbs to get me through the afternoon without going low. So I went for my favorite soft pretzel spot for lunch. So, so yummy. And so, so rough on my blood sugar. I can usually count on hanging out in the 200s for about five or six hours no matter what I do when I have one of those pretzels.

Just before leaving for the doctor's office, I checked my sugar and was around 240. I really hadn't wanted to be that high, but was slightly comforted knowing that I wouldn't go low during the procedure.

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I like to be prepared for things. Especially when it comes to medical procedures. And especially especially when those medical procedures involve getting a needle stuck in my neck.

A couple weeks ago when I saw Dr. R she recommended that I have a repeat biopsy on my thyroid nodule. The one that's so freaking gigantic. Although she said I'm not symptomatic and that I've likely had it for years, the American Thyroid Association (I think that's the one) recommends nodules over a certain size (which mine is) be biopsied until a diagnosis can be made. And since the last biopsy I had came back non-diagnostic (which means they didn't get enough cells in the biopsy to determine anything) she thought we should do another.

"How did you do with it last time?" she asked me.

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Yesterday I was a tad run down and equally cranky. This morning, while I did get up and walk, I felt heavy and tired and run down. Wasn't sure I was going to make it until 2 p.m. for the repeat needle biopsy on my thyroid nodule.

9:30 a.m. I was getting settled at my desk and had already started counting the hours. My legs were restless and I think I looked at the clock about every 30 seconds.

Acutely aware of my nerves, I tried to take lots of deep breaths, tried to focus, tried to pray, tried to calm down. And then I think I gave in: there just was not going to be a calm Michelle until after the biopsy.

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One thing about diabetes that can be particularly frustrating is not knowing how our body will react to stress. I've had just as many highs from stress as I have had unexpected lows.

Strangely, I think I more often go lowish from certain kinds of stress. Namely medical stress. Just over a year ago, for example, I had to have an MRI on my hip with contrasting dye and it was really an experience I was not prepared for. Sitting in the waiting area before the procedure I was high. During the part where the doctor injected the dye into my hip, I felt myself going low and thought I was going to pass out.

And then there was the minor hand surgery I had two and a half years ago where my sugar stayed low all morning until my mid-day surgery.

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