I didn't sleep enough Wednesday night, so by Thursday afternoon my eyelids were heavy and my body was screaming out "Sleep! Sleep!" So a little after five in the afternoon, I decided to take a quick nap. A little power nap to recharge my batteries before diving into study and cleaning mode to prepare for the coming weekend.

My blood sugar was at 222 with only a little active insulin. I'd been high in the early afternoon and hadn't accurately bolused for a late lunch. I decided to leave it alone until after my nap though...giving my body an hour or two to use that remaining insulin and peak out.

I curled up in bed with my cat and a good book...falling asleep within a few minutes. It was a dreamless sleep...too deep to notice the world around me or the world inside me. A limitless fatigue overwhelming every inch of my body and soul. The effects of ineffective sleeping and the recent change in medications. (READ MORE)

I have no idea why it didn't hit me until yesterday afternoon. I know what stress does to my blood sugars: it lowers them. They get pesky and no amount of carbs will bring them up. So as I was contemplating this weekends' low annoyances, it hit me. Stress.

Last week, my stress level definitely went up. The first round of tests started for the semester. I had group meetings and papers due. Plus I've been dealing with the medical stress that comes with changing treatments and making important decisions. All that added up to leave me with averages like 84 and 69 (over six hours of riding in the 60's).

So Saturday morning, I dropped the Lantus back to my original dose (14 units in the morning and 15 units in the evening). I'm still having a few lows (more than the week of highs), but I'm also seeing a mix of highs in there. Sadly, those highs are my own doing.

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Two nights in a row, I have woken up at 50 or below. I treat. Then several hours later when my alarm goes off, my blood sugar has skyrocketed to 240 or above. This is the usual pattern when I fall low while I am sleeping.

I know exactly why this peak is happening, although I am not certain I want to change it. Considering my history with night and early morning lows, those lows really scare the living daylights out of me. I am scared of another seizure, or worse.

  (READ MORE)