Wednesday, April 14, 2010

High road for me today

Its been one of those nasty, unexplainable weeks with my diabetes. My blood sugar has been difficult to manage and keep constant. I have had times where my blood sugar skyrockets overnight and then dips too low when I correct. Other times my corrections are just fine and the expected dose works well. Because of this fluctuation I can't really make changes to the three holy numbers of pumpers;
Basal rate
Bolus ratio
Correction ratio

Because SOMETIMES it works and SOMETIMES it doesn't.
Diabetes know the stress of diabetes, but it is difficult to explain to others. Diabetes is a disease with a personality and the way it affects our lives changes from day to day. Many times, there are sudden and unexplained changes in blood sugar. It could be that the seasons are changing, or there's a tickle in my throat, maybe the extra stress at work or depression, anxiety, possibly its traveling. But worst of all is when it is a combination. Its a conundrum of diabetes that becomes a discouraging factor in everyday life and I personally feel that its something medical doctors tend to quickly forget.

Last night, I was 200 before dinner... probably because I was 279 before lunch, crashed at 60 after lunch and overate before dinner. Before bed 150. Morning..... 379!!! These aren't typical numbers, but they are frustrating.

Diabetics need consistent normal blood sugar to be healthy. They need exercise and good food and plenty of sleep. Fudge up any of those factors and the wheel gets lopsided and problems start compiling. Didn't sleep well? Your BG could go high, making you sleepy and sluggish and not sleep well the next night. Not eating well? Missing meals? Then you're in the high and low game. Sick?.... the problems work off each other so the combination is exhausting.

Solutions? Check often and correct often. Do your best to get good long sleep. Avoid caffeine and try to breath deeply at work. That is all you can do. But as a diabetic, if you have the same kind of day as me, you should know I sympathize with you.

Tuesday, April 6, 2010

Morning Highs

For the past week, my blood sugar seems to be very irregular in the morning and is followed by strange changes later in the day. For example, I could wake up a bit on the low side (70's) and by lunch it could be close to 300mg/dL. Even today I began at 95 and now at 11:30am, its at 244mg/dL.

I haven't been able to pinpoint the cause. As of late, I have been working quite a bit and not sleeping very well so it could very well be a lack of rest and possibly an illness coming on. What I do know is that times like these are very frustrating. Ever type 1 diabetic I know has had these periods of unexplanable changes in their blood sugars and every person I have talked to has the same advice... just monitor it and ride out the problem for at least a couple days.

I know that for myself, the transition from Winter to Spring is always really tough for me. The basal rate, correction and carb ratios tend to change a little bit between summer and winter, which requires a time to completely transition. I'm hoping these highs settle down soon.  I'm keeping tight control on my diet and monitor more frequently until the problems subside.
Wish me luck!