What Happened When My Blood Sugar Crashed in the Grocery Store

I knew something was wrong when the walls of the soda and seltzer aisle felt like they were closing in on me, Star Wars-trash-compactor style.

You would think a blood sugar is no sweat (pun intended) in a place where food is so easily accessible, but this experience was far from it.

On a recent trip to the grocery store, I went low. And when I say low, I mean low – I wasn’t just shaky, I was sweating literal bullets and having a hard time seeing straight in front of me.

My boyfriend – thank goodness he was there – knew something was wrong just by looking at me. He suggested that I grab some fruit snacks from my backpack and I heeded, tearing open the small foil packet and tossing the contents back as quickly as I could. I chewed, grimacing as I tasted the strangely saccharine, perfume-y gummies, but I barely cared about the taste. I just wanted to feel better. That’s when my boyfriend placed a hand on my back, noting my clammy state, and escorted me over to the dining area at the front of the store.

“Just stay here, I only have a few things left to grab. Maybe you’ll be feeling better by checkout time,” he said, before asking me if I was okay to be left alone.

I was. I hated that he was seeing my like this, in this vulnerable, sweaty state that seemed impossible in the chilly air of the grocery store. I told him I would sit and wait there for him, fighting the feeling that I was a small child waiting for a parent to finish up some boring adult task. As I nearly collapsed onto a chair, all I wanted to do was shrink so nobody could see me: It seemed as though all sets of eyes in the vicinity were locked on me, the perspiring wonder who looked quite unwell.

I was only on my own for about 5 minutes, but time dragged as I anxiously awaited my boyfriend’s approach to the checkout line. I thought I’d wanted to be alone as I let the fruit snacks kick in, but turns out the opposite was true. I clung to his side as I slowly registered that I felt safer around someone who knew exactly what was wrong with me and how to handle it if things got worse.

As we exited the store and loaded the groceries into the car, I noted that my shakiness was dissipating, as was the beads of sweat on my body. This low episode was over and I was relieved to be on the other side of it. I was also relieved that I didn’t have to go through it alone: turns out lows are a bit more bearable when you have someone else with you to help you through them.

A Weekend of Bagels, Pizza, Ice Cream, and…Good Blood Sugar?

Would you believe me if I told you that last weekend, I ate mostly carbs for 36 hours straight and totally avoided high blood sugars the whole time?

I looooove carbs. Almost as much as Oprah Winfrey loves bread.

It sounds wild, but it’s the truth! I went on my annual weekend getaway with my college besties and it was the loveliest time filled with sunshine, conversation, and tons of delicious food. I can’t remember the last time I ate that much in such a short window of time, but it was all worth it, especially because my blood sugars didn’t pay the price for it for once.

Here’s the breakdown of what I ate:

  • Friday:
    • 2 slices of Mediterranean-style pizza and 3 chicken tenders for dinner, the first official meal of the weekend trip
    • 2 glasses of wine
    • Handfuls of crackers and cheese because who doesn’t love that with wine
  • Saturday
    • 1 blueberry bagel accompanied by 1 fried egg for breakfast
    • Salad and heaping scoop of ice cream for lunch
    • Pita chips for a snack
    • Panko-crusted haddock with jasmine rice and veggies for dinner
    • 2 cans of cider (and maybeeeee a glass or two of bubbly)
  • Sunday
    • 1 everything bagel slathered in goat cheese plus 1 fried egg for breakfast
    • 2 slices of leftover pizza for lunch, which is also when I arrived home from the trip

It definitely wasn’t my healthiest, most balanced weekend of eating, but I’m more than okay with that because it was about enjoying my time with my friends and indulging a little rather than stressing the whole time about bolusing and blood sugars. And you know what, I think that my laidback, let’s-just-savor-this approach is partially the reason why I had such stellar weekend blood sugar levels. That, coupled with extended boluses for most of my meals (you know that pizza and bagels contain alllll the slow-acting carbohydrates), really helped me achieve the relaxing weekend that I wanted.

Now if only I could get away with this on a regular basis – as I write this, my blood sugar is coasting from a peak of 248 back into the low 190s after I dared to consume a bagel at lunch in the middle of my busy workweek. But it’s all good, and maybe just evidence that I should try to remember to live in the moment on weekends of fun like this one and prevent diabetes/blood sugar from taking center stage. Perhaps that’s the key to more stable numbers.

If nothing else, this serves as a reminder to me that even with diabetes, I can still enjoy a sh*t ton of carbs every now and then.

Tricky Timing and the Power of the Pre-Bolus

Pre-bolusing: It’s the term that describes taking insulin before eating food. The “before” part in the definition is key, because the amount of time that “before” is can and will vary among people with diabetes. It depends on a few factors, including the amount and type of insulin being used, the amount and type of food to be consumed, current blood sugar levels, and so forth.

It’s one of those things that’s tricky to nail the timing of, but boy, when it works it’s so worth it.

Pre-bolusing works well, but only when the timing of it is perfect.

I have two examples to complement that belief, one in which pre-bolusing almost lead to a disastrous outcome and the other in which everything turned out ideally. I’ll start with the more chaotic scenario first.

In this situation, my boyfriend and I spent the night in New Hampshire to attend a friends’ wedding and had a pretty late night, which meant we slept in a little later than we had intended the next day…actually, a lot later. We only had about 20 minutes to race around our room, pack up our belongings, and get ourselves looking presentable before we had to check out of the hotel. Luckily, our scrambling paid off and we made it out in time, but sleeping in cost us the opportunity to enjoy a complimentary hotel breakfast. We decided that it made sense to stop for brunch on our drive back home to Massachusetts, so we Googled a diner that was on our route home and stopped there for a meal.

When we got there, the restaurant was pretty crowded, but we were seated and able to place our brunch orders almost immediately – a good sign. I assumed this meant we wouldn’t have to wait more than 20 minutes or so (that feels like a restaurant standard) for our food to be ready, so I went ahead and pre-bolused my mealtime insulin. After all, I’d ordered a hearty omelet that would come with breakfast potatoes and toast, so I wanted to be proactive about avoiding high blood sugar and get my insulin in system sooner rather than later.

Unfortunately for me, our food ended up coming out later rather than sooner. In fact, we waited nearly 45 minutes for our dishes to finally come out. In that period of waiting, I was getting more and more anxious about my decision to pre-bolus with each minute that passed without food in front of me. By the 30-minute mark, I was close to full-on panic. Even though my Dexcom wasn’t indicating that my blood sugar was low (it held out steady the whole time), I was worried that the system delay in reporting my blood sugars would fail to catch a serious low in a timely manner. I told my boyfriend what was going on, and without hesitating he went to his car to grab some packs of honey that he’d stored in his glove compartment in case of emergency. We talked it over, and decided that it was probably best for me to consume at least one pack of honey because we couldn’t possibly know when our food was going to come out, and at this rate, we wanted to play it safe rather than be sorry. That didn’t exactly lessen the sorrow and stupidity that I felt for taking a pre-bolus (even though I couldn’t have possibly known that our food would be so delayed, I still felt badly about the whole thing), but it was what it was. And ultimately, I felt like I paid the price several hours later, when I was dealing with the very same high blood sugars that I’d hoped my pre-bolus would prevent. So much for making the pre-bolus grade that time…

But that doesn’t mean pre-bolusing always fails! This brings me to my other example. My mom and I had a nice lunch together last week. Before we left to go to the restaurant, I noticed my blood sugar was a little high. I decided to give myself a correction dose, plus one extra unit of insulin, because I knew we’d be eating foods that aren’t typical for me to consume at lunchtime that could result in highs later in the day. So again, I was aiming to be proactive and prevent prolonged high blood sugar.

And this time, the strategy worked great! At the restaurant, I stacked that pre-bolus with my actual meal bolus (not always a recommended tactic, but it was useful here) and rounded out my afternoon with a blood sugar in the 120s – a win in my book. Thanks to my pre-bolus, I didn’t experience any pesky blood sugar spikes and still landed in range, which in turn showcases the power of the pre-bolus perfectly.

So just like anything in life with diabetes, when pre-bolusing works, it’s wonderful…but it definitely requires a little finesse to learn exactly when/how/where to use it.

A Rookie Mistake

You’d think that 24 years of living with diabetes would turn anyone into a seasoned veteran of the condition, but even the most experienced people with diabetes slip up and make mistakes every now and then…

Case in point? Me, because I neglected to make sure I had a way of monitoring or checking my blood sugar when exercising…and then experiencing a scary low that I probably could have caught sooner, or maybe even avoided, if I hadn’t been so careless.

This all happened because I inserted a new Dexcom sensor just before taking off for my 3-hour self-defense class. I knew that the sensor’s warm-up period would end and that my continuous blood sugar readings would begin partway through class, so I felt fairly comfortable going without a blood sugar meter as a back-up. After all, my Dexcom sensors almost always start up without any issue, so I was trusting that this one would follow suit.

And that was my biggest mistake: trusting my technology.

Any time I make a rookie diabetes mistake, my palm goes straight to my face in embarassment.

When the warm-up period was complete and the class was taking a quick water break, I decided to check my Dex to see what my first blood sugar readings were. I was surprised (and instantly annoyed) to see that instead of a number, my Dexcom was displaying a request for a blood sugar calibration – just like the old G5s used to ask for upon insertion of a new sensor. I couldn’t understand why this happened, but I knew that pondering the matter wouldn’t make any difference…the only thing that would get my Dexcom running normally again was the finger stick checks, which wouldn’t be possible for me to do until I got home from the class because I was without my meter.

So I had no choice but to rely on nothing but my instincts and sensations in order to get a sense of where my blood sugar was headed for the remainder of the class.

And let me tell you, I can’t remember the last time I felt so vulnerable in terms of my diabetes. I was running on zero information, other than the fact that I typically can feel oncoming low blood sugars and that I tend to feel thirstier when my numbers are on the upswing. It was disconcerting – even more so when a little while later I started to feel shaky and dizzy, like I was starting to go low.

I knew I could either 1) treat what I thought was a low blood sugar and deal with the potential consequences (high blood sugar) when I got home, or 2) take a chance and ignore the low symptoms because I couldn’t confirm whether or not I was actually low. I hate to admit it, but I let a good 15-20 minutes pass before I decided it was better to correct what felt like a low rather than run the risk of passing out in front of the entire class. Turns out that I made the right call to treat my low: I felt much better after I ate some fruit snacks, and my blood sugar when I got home that evening was in the low 80s, indicating that I probably avoided a pretty nasty low in class.

While the whole incident could’ve been easily avoided, it did remind me that I ought to take some of the trust that I have in my technology and distribute it a little more evenly between it and my instincts. I proved to myself that in emergency situations, I don’t need a meter or a CGM to pick up on low blood sugars (though I obviously would prefer to have that equipment at my disposal at all times). Instead, I need to trust my instincts more and procrastinate less when it comes to taking an action – because if I had waited longer than those 15-20 minutes, the situation could’ve escalated and then I would’ve really been kicking myself for leaving my meter at home.

Rookie mistakes suck when they happen, but at least the silver lining is that there’s always a lesson to be learned (or reinforced) when they do.

Stress: The Sneaky Blood Sugar Spiker

Carbohydrates. Insulin intake. Exercise. These are things that most obviously impact blood sugar levels. But things like sleep, time of day, medication interactions, environmental changes, and yes, stress, might be more surprising factors that can wreak havoc on blood sugar in much stealthier ways.

Stress, in particular, is the one that’s been driving me (and my blood sugars) up the wall lately.

Truth be told, I’ve invited most of this stress into my life by committing to one (or seven) too many things this month. My calendar is positively overflowing with meeting invitations, hangouts, classes, and appointments, making the one or two evenings a week that I have to myself feel incredibly precious. Honestly, I kinda knew what I was doing when I flooded my schedule with so much because a significant part of me thrives under pressure and needs to stay busy. This is the same part of me that misses working full-time in an office because it broke up my otherwise fairly mundane routine; ergo, I felt justified in amping up my recent social activity.

Yet, there is another (smaller but still powerful) part of me that wishes I knew when to say “enough is enough”.

This image sums up the month of March perfectly for me: a bit of a time warp.

And now, that smaller part of me is standing with her hands on her hips, looking at the busy bee part of me defiantly, and saying “well, what did you expect?” in regards to the stressed-out feeling I haven’t been able to shake lately, as well as the high blood sugar levels that have been a direct result of that.

I’ve been doing everything I can to combat them – increasing my temp basal rate, lowering my carb intake, staying hydrated, getting daily exercise, and taking (nearly) double mealtime insulin doses at times. Some of these things have worked better than others, but as I sit here and write this post, I’m wondering if taking time to actively destress, in addition to prioritizing sleep, are the missing pieces in the puzzle.

Between jetting off from one thing to the next, I’ve barely had enough time to breathe, let alone practice self-care such as meditation or just…sitting on the couch and just being. And I’ve definitely not been getting as much sleep as I should. My teenage tendency to stay up late has collided with my adult habit of getting up early, which is an unpleasant combination.

So I’m thinking that the best way to evade stress, the sneaky blood sugar spiker, is to tackle it head on by addressing my lack of sleep and self-care. I know that my diabetes, and the rest of my body, will thank me once I take the chance to slow down.

The Daily Drink that My Diabetes Dislikes

I remember my first-ever cup of coffee. I was around 10 years old. I had it at my grandparents’ house, where much of my family was gathered for some sort of holiday or other occasion. Coffee was being served with dessert, and I asked my mother if I could try some – I wanted to know why all the adults in the room were so enamored with the seemingly innocuous brown beverage.

I’d like to say it was love at first sip, but I think it was only after I poured in a hearty amount of cream and 2 or 3 Splenda packets that I felt any affection for coffee. But once I did that? I was a goner. Coffee became a staple for me. I’d get it from Dunkin’ Donuts at the mall whenever I went shopping with friends, pour a cup on the weekends to have at breakfast, and when I was feeling fancy, I’d go to Starbucks and get a couple of pumps of sugar-free syrup to jazz up an otherwise ordinary order.

But whenever I try to add anything like milk, real sugar, syrups, or whipped cream…coffee gets real dicey for me and my diabetes.

Coffee can get real confusing for a person with diabetes.

In other words? I’m at a loss as to how to bolus for things like lattes, mochas, or cappuccinos – let alone any of the crazy, carb-loaded concoctions that you can get at cafes or Starbucks.

As a result of my confusion around coffee drinks and, let’s be real here, my laziness (because I could look up carb counts, but the sugary spike that my blood sugar could experience after having one of these drinks make it not even worth it for me to do research), I tend to drink coffee black. And luckily, I like it that way. But that doesn’t mean that I’m not tempted from time to time – like when the local coffee shop that’s just a half-mile away from my home introduced a winter drink menu with things like an Irish cream latte, eggnog latte, and gingerbread latte on it. I seldom give into the impulse to try those kinds of drinks, but they sounded too good to skip out on.

So rather than have all 3 at once – because I’m not totally reckless like that – I did give the seemingly-lower-carb option a try (the Irish cream latte), while my boyfriend got the eggnog latte. I figured it was the best of both worlds because I could have a fancy drink to myself while also getting to try one of the more sugary options.

And guess what? My blood sugar didn’t spike after I drank it, not even a little bit. I think the secret to my success was being super active all morning long after I got the latte (I was busy running errands and tidying up my home for guests that were coming over later in the day). My insulin intake for the latte, coupled with lots of movement, seemed to prevent any disastrous blood sugars – and I think it also helped that I ordered almond milk in lieu of regular milk to go in the latte. Whatever the actual cause(s), I was just thrilled to learn from this little experiment that I can enjoy specialty coffee drinks after all – probably not all the time, but definitely as an occasional treat, which makes me a happy and well- caffeinated T1D.

How I Managed to Avoid High Blood Sugar on Thanksgiving

2021 marks the most triumphant Thanksgiving celebration of my life.

No, it wasn’t because of the accolades that my tasty apple bourbon pie received (though that was for sure among the highlights of the day). It was because, for the first time in recent memory, I avoided high blood sugar the entire day. I got up to 164 at one point, but that was a brief high point in an otherwise wonderful day of smooth blood sugar sailing.

How the heck did I do it?!

Good blood sugars all Thanksgiving-day-long makes for an extra grateful Molly.

Well, for starters, I did my best to follow the tips I outlined in this blog post. But I figured it would be helpful to describe exactly how I went about following these tips and to explain what did and didn’t work. So here’s the method behind my blood sugar success:

  • I started out my day with a walk and an English muffin for breakfast. The exercise made me feel slightly better about all the calories I’d be consuming later in the day, and the small breakfast kept my appetite satisfied until I sat down for my first real meal of the day. I knew exactly how many carbs were in that English muffin, too, which helped me not only dose for it perfectly but also kept my blood sugar steady in the low 100s right up until mealtime.
  • For my first Thanksgiving meal of the day (yes, that’s right – I was lucky enough to attend two feasts), I kept the portions on my plate small and mostly carb-free. I had a bit of turkey, a scoop of brussels sprouts, carrots, and a few pieces of cubed sweet potato. By my estimation, I had no more than 25 or so carbs on the plate, but I bolused for just under that amount because my CGM was alerting me to an oncoming low.
  • There was only an hour and a half between my first meal and my second, and I knew I was going to load up on carbs for my second meal. So I took my next bolus a few minutes before sitting down for food in order to give my insulin a head start. I loaded up my plate with all the good stuff – more turkey, mashed potatoes, stuffing, a roll, etc. I calculated that I was consuming at least 60 carbs (though I definitely ate more than that) and chose to wait an hour or two after dinner before taking more insulin because I was drinking wine and didn’t want to run the risk of the alcohol/insulin combo making me go low.
  • After the second meal, I spent the next couple of hours assisting with cleanup and chatting away, eyeballing my CGM every so often to ensure that my blood sugar wasn’t skyrocketing – and feeling very proud when it didn’t!
  • The final food event of the day was dessert at a relative’s house. Even though a few hours had lapsed between then and the second meal, I wasn’t as keen as I usually am to hit up the dessert table because there were far too many yummy looking options in front of me. I knew there was no way I could try every single item, so I settled for the two things I wanted the most: a pie of my pie and a cannoli. This time, I was aggressive with my insulin intake, bolusing for about 45 carbs for both desserts (I cut a smaller slice of pie and wound up splitting the cannoli with my boyfriend). I also decided to set a temp basal increase out of fear that my complex carbs from earlier in the day would catch up to me later in the evening.
  • Fortunately, my proactiveness worked like a charm and I actually went a little low by the end of the day! I couldn’t believe how well I finally executed my own advice.

All of that, and I didn’t even have any exercise after dinner or dessert. But I felt 100% in control the entire time because I chose exactly what I wanted to eat, I was familiar with all of the foods, and I didn’t make it a priority to consume as many pieces of pie as I possibly could. It felt awesome and it made me that much more grateful for the fact that I was surrounded by the people I love all day long.

And now that it’s December, I’m especially excited to see repeat success during the holiday gatherings happening throughout the month!

My Top 10 Tips for Managing T1D at Family Gatherings

A version of this blog post originally appeared on Hugging the Cactus on November 23, 2017. I’ve decided to share it again today (with some slight updates) because I felt like I needed a reminder as to what a successful game plan looks like heading into a food-centric holiday! Read on for more…

Holidays that are centered around gratitude and eating…what’s not to love? As much as I enjoy the holidays, though, I can’t quite say that my diabetes feels the same about them. Fortunately, I’ve developed a bit of a game plan as to how to handle diabetes when family feasts come rolling around – here are my top 10 tips for making the most of eating-centric holidays with diabetes!

The only thing missing from this picture is the massive pre-bolus that I’ll likely be taking before sitting down at a major meal.

10) Don’t skip breakfast in the morning. This helps me avoid over-eating when dinner is served later in the day. Breakfast doesn’t have to be a huge thing, maybe just a bowl of oatmeal or a piece of fresh fruit – anything that will sate me for a few hours.

9) Volunteer to prepare a couple of dishes. If I’m going somewhere for the feast, I like to know what my host needs me to bring. If I have creative control over the dish, I prefer to make it something that I know won’t be too hard on my blood sugars, such as a side of veggies or a sugar-free dessert.

8) Familiarize yourself with what’s being served prior to sitting down for the meal. Before my family sits down to eat, I like to know what exactly we’re being served so I can plan accordingly. I can usually get away with strolling around the kitchen to get an idea, but sometimes the chef (my aunts or my mom) kick me out while they finish cooking dinner!

7) Don’t feel pressured to try everything. It all looks and smells so good, but I have to remind myself to use some restraint when piling my plate with food. I’ll add staples like turkey and green beans (both of which are low-carb!) and take smaller portions of the heavy things, such as stuffing and potatoes.

6) If it’s necessary, extend my bolus. This all depends on what my blood sugar is before the meal, but sometimes, I’ll extend it in order to prevent lows or highs post-feast.

5) Check my blood sugar often. I’d rather have an idea of where my blood sugar is headed than leave it to chance and guess incorrectly.

4) Go for a walk or organize another outdoor activity. The weather doesn’t always cooperate with this idea, but I’ve found that dragging my cousins on a 20-minute walk after eating helps my blood sugar and provides us all a chance to hang out while our uncles take control of the TV and our aunts chitchat over cups of coffee.

3) Wait a bit before having seconds or starting on desserts. I try to indulge a bit on the sweets, but I know that it never works out for me if I help myself to desserts too soon after consuming the main course. So I avoid the temptation by staying busy after eating dinner – my mom and aunts always appreciate an extra set of hands to assist with clean up!

2) Look up carb counts if I’m struggling to come up with them on my own. Sometimes, I can’t quite determine how many carbs are in a serving of pumpkin pie – I’ll guess too low and end up high, as a result! But I know that there are tons of carb counting resources at the tip of my fingers, thanks to my smartphone.

1) Remember what the holiday’s all about: being thankful! Enjoy the day and time with loved ones! Whether you’re part of a large family like mine, a small one, or choose to spend the day with friends or a partner, just relish it for what you want it to be.

Apple-ing Blood Sugars Post-Apple Picking and Pie Baking

I’m gonna forewarn you now – this blog post is gonna have a bushelful amount of puns. If you don’t find that appealing, then it might be fruitful for you to walk away now – I’ll seed you out.

OKAY JUST KIDDING, I actually think I used up all of my good apple puns in that opening paragraph. I can’t think of any evercrisp ones at the moment…

For real, I’m done now (at least for the time being).

So the title of this blog post (and all the ridiculous puns) will indicate to you that I recently went apple picking! And turned some of those apples into yummy pies!

But that’s not all, folks – I did both of those activities, in addition to actually eating slices from those pies, while maintaining excellent blood sugars!!

Pictured above: the brown sugar bourbon apple pie that is the best kind of apple pie I’ve ever had, hands down.

To this day, I still don’t really understand the sorcery that must’ve been at work in order for me to accomplish such a feat. I have a theory when it comes to the apple picking – I was walking all around a large orchard for like an hour, on a quest for the most perfect apples possible – and all that roaming up and down the rows of apple trees kept my blood sugar levels steady, even as I sampled upwards of 10 different types of apples (and I even had to eat an entire apple as I exited the orchard because my blood sugar was, in fact, beginning to dip). So that helps to explain why my blood sugars were so good when I was picking the apples.

But with the baking and eating of the pies…I have no idea how I dodged a high blood sugar. My boyfriend and I made the most decadent apple pies we could think of – one had a peanut butter crumble topping and the other was a brown sugar bourbon apple pie with an ooey gooey caramel sauce. Surely, I thought as we chopped apples, folded ingredients together, and did latticework with our crusts, my blood sugar is gonna suffer when we dig into these pies later tonight.

Much to my utter befuddlement and delight, though, my blood sugar never rose above 150, even after I had two decently portioned slices of pie with caramel sauce generously drizzled over them.

Maybe I nailed the carb counts. Maybe I know my body’s reaction to pies – which I only ever eat at Thanksgiving, normally – better than I thought I did. Who knows, but there’s one thing that’s for sure…

I was happy to my core over my delicious pies and sweet blood sugars!

3 Tips for Maintaining Good Blood Sugars on Vacation

As promised in my last blog post, I’m going to share how I kept my blood sugars (mostly) in range while I was on my trip to California a few weeks ago!

I’m not going to lie and say it was easy; in fact, I had a couple of not-so-fun nights where I was stacking insulin like crazy due to some post-dinner highs. But the vast majority of the time, I was really proud of my diabetes management when I was away. It can be tough to take good care of diabetes when in a new place and thrown off schedule, but it can be done, and these are the three biggest tips that I used that were most helpful to me:

Pro tip – Going on long scenic hikes where you can take in views like the one above AFTER eating a huge breakfast is an amazing way to keep blood sugar in range.
  1. Split meals with travel partner(s). I don’t know about you, but when I’m on vacation, any self-control as well as the idea of eating super healthy/clean goes out the window. I want to indulge when I’m in a new place! I want to try new foods and enjoy them rather than stress over how they might impact my blood sugar levels. So I was thrilled when my partner suggested we split any meals that we ate out at restaurants. We figured this was a smart strategy because most restaurants serve ridiculous portions of food anyways, and this also meant that I could order a carb-heavy item from the menu and automatically split the carb count in half because I was sharing the dish. This worked out so well and I got to eat foods that I normally don’t dare to touch, such as a fisherman’s platter (consisting of 3 different kinds of fried seafood) and garlic french fries (these were beyond incredible).
  2. Stay as active as possible. This is kind of a no-brainer – most vacations that I’ve ever gone on have involved lots of walking in order to sightsee and get from point A to point B. But it’s worth mentioning that getting in any other types of activity in addition to walking can reap benefits on blood sugar. For example, I started off one morning with a 25-minute yoga practice soon after I ate a heavy breakfast and my blood sugar levels were stellar for hours. On the night of the wedding that we flew out there for, I balanced sampling every dessert at the reception with hitting the dance floor, which worked wonders for my blood sugars. And generally speaking, I found that sneaking in at least 15 minutes or so of extra exercise after meals was a great way to keep my blood sugars in check, even if it was just walking around the block for a bit.
  3. Keep a consistent eating schedule. Traveling can make it difficult to maintain a regular meal schedule, but with a little extra effort it can be done. Within hours of landing in California, we made a trip to Target to stock up on a bunch of extra snacks and drinks so that we would always have something within reach, whether my blood sugar was going low or one of us just needed an extra energy boost. We also made sure to take advantage of complimentary breakfast provided by the hotel we stayed at for the first couple of nights – the fact that they stopped serving it at 10 A.M. automatically put us on some type of schedule. And on the day of our friends’ wedding, we ordered pizza and timed it so that we’d have it about an hour before we were due to leave for the ceremony…because as anyone who’s ever been to a wedding before knows, guests sometimes have to wait a looooong time before they’re served food. I didn’t want either of us to have an empty stomach for potentially hours on end, so ordering food before the wedding pulled double-duty as a late lunch and as something that would keep our bellies full until we were served dinner at the reception.

But what made it the easiest to take care of my diabetes while on vacation was the support from my partner, who always put me and my blood sugars first and checked in on me frequently (but without being overbearing). That alone goes a long way in making diabetes management a breeze when my normal routine is disrupted, but when combined with all the tips above, it’s practically like taking a vacation from diabetes itself.