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February 10th, 2012
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I called an emergency meeting with my endo last week. For the first time in my pregnancy, my blood sugar was out of my control. My fasting numbers, which I prided myself in keeping at the low end of the healthy range, suddenly shot above range and my post-meal readings were so erratic I actually threw out an insulin pen, convinced it was defective.
On MDI for the duration of my pregnancy, I did what I was told to do-upped my insulin-carb ratio, cut back on carbs, reviewed my food journal. I even checked to see if I'd consumed a bag of chocolate truffles in my sleep.
Clearly, I encountered the dreaded insulin resistance that plagues most type 2s and hits hard during the second half of pregnancy. I'd never had this problem before. Frantic, I posted on all my diabetes sites, begging for advice. The answer: Exercise more. (READ MORE)


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I'm staring at my logbook right now. I have no idea what to do. My averages are still above 200, although my baseline numbers are generally running between 160 and 180. Yet I'm still seeing numbers like 302, 264, or 270 crop up.

 

I raised my Lantus to 33 units last night and I woke up at 96 when I'd gone to bed at 224. I'm hopeful that 33 units might be the golden number with all this. If I could get my basal numbers to drop back into a normal range (I'm looking for under 150 at the moment), then my post-meal numbers wouldn't be spiking so high. Plus I could keep working on the post-meal numbers more extensively if those basal numbers dropped.

 

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ADM logoIt's my time...to change my habits.

 

Numbers have been consuming my life in the past two weeks. Every time I turn around, a number pops up that leaves me feeling out of sync, exhausted, and completely burnt out. Averages like 241 or even 301 are consuming my logbook. Seeing numbers below 170 are a rare occurrence, with most riding in the upper 200 and 300 range.

 

The other side of the numbers is the insulin levels. I've raised my Lantus to 32 units in the evening now. And from that, I've had my first low in a week (and it was only a 72 after not eating for quite some time). I've also almost doubled my Humalog, which seems to be the biggest deterrent to those pesky 300's that I was seeing so regularly.

 

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So there's been a lot of talk around Blogbetes lately about logging. Why we do it, how we do it, what tools we use to do it. I have a confession to make: I haven't logged in a very long time. Frankly, I'm afraid to. (READ MORE)


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Cycle day 27: Aunt Flow will arrive in approximately three days. And likely with little warning.

 

Except for the lows. Oh, man the lows she brings for several days before her arrival. They're not brutal, just surprising. Not like, "Holy &*%$ I'm 29!" More like, "Wow my post-meal is 94."

 

I actually enjoy the relative lowlessness that she brings, although I have to be much more vigilant about my blood sugar management. For example, this morning it was an incredible 60ish degrees, so I took No. 2 and No. 3 for a walk (No. 1 was camping with The Mr.). While it was roughly two hours since breakfast, I somehow find that I usually don't test when I spontaneously decide to take on physical activity. Something prompted me to check this morning. I definitely didn't expect to see low 90s.

 

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I am still struggling with the Symlin. At 30 mcg for a week and a half, I'm experiencing nausea after almost every use. It doesn't last more than an hour, but it's still a major inconvenience that I expected to be gone by now. And because I can't raise it from 30 mcg, I am seeing more harm than good in my blood sugars. My averages are now over 215 and my post-meal numbers are sticking in the high 200s.

 

I've promised myself that I will give it at least one full use though so I will stick it out until the Symlin pen is empty. I have started raising my mealtime insulin from 50% to 65% to combat some of the highs and I've noticed slight improvements. I don't expect my next A1c to be at all improved though.

 

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I haven't ACTUALLY basal tested in awhile (by that, I mean I haven't done it the right way, but surely I've watched my numbers fall in patterns). I usually eat the same things for breakfast, so to me basal testing for the morning hours seems a bit ridiculous. But the last few days of numbers have me thinking that a basal test is in demand.

 

I've been trying to check after meals more regularly so that I can see if I want to go on Symlin later. But these new numbers have me wondering what is going on inside this body of mine.

 

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I updated my logbook and did the usual averages last night. I jumped from the 160/170 range to the 170/180 range over the last week. That's with a one unit increase in Lantus too.

 

It seems like my morning numbers have jumped back up again. I'm easily waking up in the 180 to 220 range. A few morning highs are from snacks or large meals the night before, but mostly I'm not dropping at all overnight. So I bumped the Lantus again, this time from 16 units to 17 units at bedtime.

 

My other problem area is post-meal numbers. There are only a handful of decent spikes after my larger meals (breakfast and dinner). Mostly, I'm staying out of range for several hours on end. So I'm going to spend the week testing my insulin to carb ratios and getting a better feel for exactly what is going on with these post-prandials.

 

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As I went through my normal pre-bed routine, I checked off the usual things. I set things in order for class tomorrow. I made sure my assignments were completed. I took my contacts out. I checked my blood sugar.

 

When the number 172 came up, I was kind of surprised. I'd had an issue earlier and ended up with a 309. I'd spiked after lunch because I misjudged how many carbs were in the real soda I had. Sometimes sodas can go without boluses and I'll be perfectly in range after. And sometimes, like today, my body decides to utilize every last gram of carbohydrate.

 

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On more than one occasion I've been rather surprised at how low a post-meal or random blood sugar check is. Not in a 'wow-I-did-good' kind of way; more like a 'geez-I'm-53-and-not-feeling-it' kind of way.
I don't consider myself to "suffer" from hypo unawareness, but it's safe to say that I get it quite often. I remember plenty of times waking to a fasting of around 60 and feeling great.
So when I have a day like today, it really drives me crazy.
After lunch, I was feeling pretty shaky. Not terribly low shaky, just like a going-low kind of shaky that I knew needed to be dealt with soon or it would get bad. I expected to be in the 60s and was quite shocked with an 83. I treated, thankful that I caught it early and went on my way. (READ MORE)


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Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
Nicole Purcell
Nicole PurcellNicole Purcell lists having type 1 diabetes last when she's asked to provide information about herself - because that's where it belongs.

(Read More)
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