children with DIABETES – ADA 2004 Scientific Sessions
Some VERY interesting information is coming out of these sessions, as always.
children with DIABETES – ADA 2004 Scientific Sessions
Some VERY interesting information is coming out of these sessions, as always.
I had a bad food day on Saturday, and I’m not really sure why. I had 60 minutes of cardio scheduled by iShape and decided as a reward I’d do some pizza. Ate my pizza, bolused it, fine, etc.
Now this might be part of the reason, but I got eaten by mesquitos on Thursday evening doing dog agility so needed to run by a drug store and get something for the itching. It was BAD.
So while I was there, decided to see if they had sugar free Lifesavers — they do, and I haven’t decided if it was worth it. Also spotted Lifesaver fruit slices which I love. Pure sugar.
I figured I’d do one serving and be fine, but wasn’t. Ended up with the whole bag. Bolused correctly, etc.
Then that evening ended up by the grocery store and spotted potato chips, and ended up eating a whole bag.
Between the three items and the rest of the day, did 78 units of insulin and yet the blood sugar was still high the next day.
I’m still seeing the effects. My blood sugar is still slightly elevated, and I’m back firmly to a 10:1 carb ratio. I also stopped adjusting my basal rate — leaving it where it was on Friday. I won’t start adjusting it again until I start seeing lower blood sugars again.
I’ve decided that one way to fight reoccurences of Saturday is to make sure I have small amounts of those types of foods on a regular basis. I think I just went too long “good”.
The only good news, is that it’s been about 1 1/2 week since the last “bad” day. However, it wasn’t as bad. Only around 55 units, not 78!
One of those funny things — the less insulin you use, the less you need.
According to the “rule of 500” I have for a week required a 11 unit of carb to unit of insulin. That is certainly shown by the numbers. I’m consistently low, and I don’t want to go so low, I have hypoglycimia. So I’m changing my setting in EzManager for that calculation.
I am also still very slowly dropping my basal rates.
And if this works I’ll be using even less insulin. However, I’m not losing weight very fast, but I am working out extremely consistently.
Tales of Hoffman: Get Well Soon (but first, read this message from the sponsor)
I agree– this is creepy. I know I don’t want e-cards telling me how to deal with my diabetes.
My blood sugar is still doing well. I decided that today would be my break day from cardio because I was having quite a bit of foot and leg pain — I’m doing 60 minutes or 25 minute sessions according to iShape, so I switched over to the non-exercise basal.
Woke up at 4:30 — I really wish I knew why I do that, took blood sugar and it was at 124. Went back to bed after messing on the computer for a half hour or so and woke up at 8:00 am to a 104 blood sugar. Ate, did weights, etc. and now 1 1/2 half later, I’m at 144. Right where I want to be all day so far.
I’m still gradually reducing my basal by .05 units a half hour a day, so it isn’t significant, but still keeping my insulin usage in the 40-50 unit range. In fact, the insulin rules say I should be at 11 carb to insulin ratio, but I’m staying at 10 for a bit longer and watching my blood sugar closely. I’m not quite ready to drop to that — besides 10 carb to insulin is SUCH an easy division!
I decreased my bolus rates last week. I’m down to 10 units of carb to 1 of insulin. It’s working exceptionally well, I haven’t seen a blood sugar post pranial (4 hours after a meal), over 135 since I made the change when I had an accurate carb count.
I’ve missed on a few guesses, and been a little high.
I’ve even changed my lunch bolus as I’ve been seeing blood sugar in the 120’s and hitting low in the late afternoon. I did one other thing for “insurance” though and switched to low carb lunches for a while. I’m following Dr. Bernstein’s idea, that the less variability the easier it is to control.
I’ve decided to drop my basal rate, on a very gradual basis.
My basal rates were set as:
12:00 am to 4:00 am — 0.90
4:00 am to 8:00 am — 1.10
8:00 am to 12:00 am — 1.00
And a second program for exercising:
12:00 am to 4:00 am — 0.90
4:00 am to 8:00 am — 0.55 << for exercise in the morning
8:00 am to 12:00 am — 1.00
By the way, the second basal rate has been working very well and was my idea. I have it set right now, and plan to get up before 8:00 am and work out. I haven’t had an exercise low in the morning since I put this in place, and was having plenty before that.
Anyway, back to the plan… so what I did last night, was to set a basal rate at 11:30 pm for 0.95 When I woke up this morning, my blood sugar was close to what I’ve been seeing in the morning — in the 110-115 range.
Tonight I’ve change the rate to kick in at 11:00 pm and plan to back the time up by a half hour every day until I start seeing a change in the morning.
Anyway, it at least SEEMS logical.