Up until dinner time tonight, I was having a great day. Nothing out of the ordinary. And then I got an incredible shock.

I'd been snacking on some candy all day, but I thought I had been bolusing appropriately. Apparently not. I knew I'd be high going into dinner, but the highest I imagined was still lower than 250. I thought my meter was pulling my leg when I saw 448.

"Holy fffffffffffff..........." I said as I actually jumped as if someone had jumped out of the bushes and scared me.

"What? What? Are you high?" The Mr. wanted to know.

I nodded. I could feel my face getting red with embarassment. I looked at my pump (like it would have the answer!) and then my site. Surely there was something wrong with my site. I had just changed it about six hours ago and hadn't checked my sugar since. My site was obviously the problem.

I checked my sugar again, thinking maybe something was on my fingers and trying to retrace where my hands had been over the last hour. (READ MORE)

It's 10 p.m.; three hours post a high-fat, high-carb meal. At three hours I'm 122. That's an almost perfect place to be at three hours post-meal and right before bed.

But the problem is that I'm headed to bed and I know I'll wake up wicked high. Why not use a square-wave bolus, you ask. I just may, but the real problem for me is that I'd like to be able to use a dual- or square-wave bolus up front so I can sort of fix and forget. But I can go almost low around two hours post a high-fat, high-carb meal. Even at three hours I'm in a decent place, but by four hours I've skipped right over the high 100s and am square in the upper 200s.

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I had trouble explaining to my endo at my last visit why I don't always bolus prior to eating. So much trouble that I was painfully aware that she didn't have diabetes and didn't understand some of the tiny nuances that come along with this.

Lately the main reason I've delayed a bolus is because I don't always know how much I'm going to eat. And it really sucks when you think you're going to eat X number of carbs and then bolus and then wind up not eating that amount.

Sure, there are other times when I go into a meal too low to justify bolusing up front, but for the most part it has to do with not really knowing how my stomach will react to what I'm planning to eat.

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On dLife's Facebook page, the following question is posed:

There is no doubt that doctors are key to success in maintaining your diabetes. However, not all doctors have diabetes. There are some things that even doctors do not know or understand about living with diabetes. What are some of the things you wish your doctors knew about diabetes and the daily task of living with the illness?

The responses range from issues of doctors not spending enough time with PWDs, giving incorrect information, doctors believing the information we gather about our diabetes is solely for their use (and not ours!), and having poor bedside (or examination room) manners.

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