The trouble with good intentions is that quite often the result doesn't turn out the way we planned.

Since I was teleworking today I decided to get my labwork done for my next endo appointment in less than two weeks. The lab down the street allows patients to make appointments, which is simply wonderful. Their earliest available today was 8:30, which was actually pretty convenient for me since I had to shuttle the kids to camp.

I've been working really hard to make sure my fastings are low enough that I can walk in the mornings, but I wanted to be a little higher than usual today so I could make it to the 8:30 (fasting) appointment without bottoming out. Well, I completely screwed it up and woke up to 225 mg/dL. I was really close to going back to sleep because I've tried to walk off a high before and made things worse. I decided to go for a shorter, slower walk this morning.

I corrected the high, walked slow and then my blood sugar did what it was supposed to do: it went down for the rest of the morning despite me cutting my basal rate in half. I really wanted to drink a juice, but was sure that would screw up the fasting nature of the blood test so I tried to stick it out.

When I walked into the room where Art was going to draw my blood, I asked him if I could drink a juice while we were doing this. He shot back a firm "No." It was just after 8:30 a.m. and I had corrected the 225 nearly 3 hours before and been for a walk and hadn't eaten anything. I rang in at 75 mg/dL about 10 minutes earlier. I was really pushing my luck, especially since Art was about to drain about four vials of blood and I was sure I was going to pass out.

"Now you can drink your juice," he said as he put tape around my arm.

"Great. My sugar's been dropping all morning," I said.

"Are you diabetic?"

I nodded while drinking juice.

"Can you feel it when you're dropping?"

"Well, I've been monitoring it all morning," I said as I tossed the juice box in the trash.

"Do you have a monitor attached?"

"No, I've been testing my blood sugar all morning," I said, slightly confused about where this conversation was going.

"Oh. How many times?"

"I've tested three or four times already this morning."

"Really? That many?"

"Well, I take insulin...and (I'm not sure how much information to tell you, Art, since you clearly don't know jack about diabetes) since I haven't eaten anything... anyone who takes insulin can have low blood sugar..."

"Really? I didn't know that."

"Stop it. You're making my brain hurt."