Sunday, January 31, 2010

Bipbimbap overload

Some days it feels more difficult ot control my blood sugar than others. Today was an example of my diet and stress making my management difficult.


I had homemade tom yum soup with rice noodles for lunch. I particular love rice noodles in my Thai food but there's something about those high carb noodles that tends to throw my levels for a loop. They have a lot of carbs to begin with, but then if we boil and wash them too long, I tend to go low because we are washing off a lot of the starches on the outside of the noodles. If I'm eating a lot, that makes a larger difference in how much insulin I take versus how much I need.

Today, it resulted in a mild drop in my blood sugar. Its important to follow the trends because I will revisit this dish and then I'll be able to take the correct amount. It requires mindfulness of what most people consider mundane details of daily life.

Later we had bipbimbap and doen jang (two of my favorite Korean dishes)soup for dinner. These dishes I eat frequently and I can control very well. However, the first few times I wasn't very successful and my blood sugar went very high. It turned out that I wasn't accounting for the gochu jang (pepper paste) that has some carbs, as well as the carrots.

But after some trial and error, I almost never have any problems.

Wednesday, January 27, 2010

Finding New Spots for my Insulin Pump

I use the Paradigm pump from Medtronic with the Silhouette infusion sets. For a variety of reasons, I sometimes have red irritated spots when I change the set. I was getting tired of a dozen dots on the front of stomach and last night I tried my back on ride side just above the hip. It was a little challenging getting the inserter steady, but with a mirror, I was able to successfully place my pump.

3hr post dinner, I was very high (288) and I corrected before bed. This morning I was surprisingly still high (235). My feeling is that there is less fat on my back and adsorption is not the same. Unfortunately, I had just filled it last night, so I don't want to throw out the reservoir of insulin.

I planned to ride this one out and monitor throughout day. Perhaps, I just needed time to adjust.

By lunchtime, my blood sugar was 166. Not too bad! Later, I would be going to a JHPDA Happy Hour. The Happy Hour started around 5pm, and I tried to only drink Michalob Ultra and not eat chips (instead I ate cheese, veggies, and the toppings on the pizza). It was a very successful Happy Hour and lasted for a long while. I got home around 9pm with a blood sugar of ~200. I corrected and ate some Ramyun for dinner.

I have a feeling my site needed time to adjust. The back seems to work just as well as the stomach and I should continue looking for sites to rotate my infusion sets.