How My ‘Betes Behaved During Bachelorette Weekend

Last week, I shared that I was going on my first overnight trip since being fully vaccinated. I also explained that it was a very special trip that I was taking: It was my childhood best friend’s bachelorette weekend!

Fun fact: We took hundreds of photos this weekend and my diabetes devices aren’t visible in any one of them. This was done on purpose: I just didn’t feel like having my devices out on display for all to ogle at.

As much as I was looking forward to it, I was also a little apprehensive because packing for trips with diabetes can be tricky. I’ve learned, courtesy of too many mistakes made over the years, that it’s extremely important to pack not just back-up supplies, but back-ups for the back-ups, and maybe even then some extra extra extra back-ups. It involves lots of careful thinking and planning to ensure that nothing is accidentally left at home.

And somehow, I managed to remember basically everything! I had plenty of supplies on me at all times and was more than adequately prepared to treat any scary high or low blood sugars.

But while I’m pleased to share that I didn’t need any single one of my back-ups over the weekend, I’m less than thrilled to divulge that my blood sugars were pretty rotten the entire time. I’m mostly to blame for this…it’s because of the food and beverage choices that I made. For example, foods like quesadillas and pizza are rare indulgences for me, and I not only consumed both, but I ate them in the same day. What was I thinking?! They can be tough enough to bolus for on a normal basis, but throw alcohol into the mix (I confess that I was, indeed, drinking) and I basically set myself up for failure.

In hindsight, I should’ve opted for lower carb drinks like vodka with seltzer water or whiskey mixed with diet soda. But I wanted to be like everyone else and enjoy a margarita or two and have the pretty pink drinks that we made at the Airbnb. And maybe I could’ve made smarter food choices, but truly, I didn’t have many options because we chose to eat at one restaurant with a limited menu and order takeout from a pizza joint that didn’t have anything like cauliflower crust.

To be fair to myself, I was carefully watching my blood sugar all weekend long. I was running temp basal increases. I was stacking insulin to bring my high levels down. I was drinking plenty of water and I was avoiding snacking on the delicious, tempting treats that all of the girls brought – I didn’t even eat one of the chocolate mocha cupcakes that I’d baked. And I did have great blood sugars overnight, which I had been really worried about. I was nervous about my CGM alarming and waking up everyone when we were all trying to sleep, but that never happened because I was in the low 100s for most of the night…much to my relief. (Side note: Even if I had gone low, I wouldn’t have been worried about getting support/help if I needed it. Basically, three-fourths of the guests are medical professionals so…I couldn’t have been in better hands!)

So yeah, my blood sugars could’ve been better this past weekend. But you know what? There are hundreds of times in my life that my blood sugar could’ve been better. It could, pretty much, always be better! For me, though, diabetes just wasn’t my main focus. My friend was my focus all weekend long. I wanted to celebrate her and this next chapter in her life and put my diabetes on the backburner.

And I know for a fact that the bride-to-be had an incredible time. We laughed as we told stories, we played games, we enjoyed yummy food, we visited a beautiful winery, and most importantly, the other ladies and I honored my friend and made memories together. That’s what matters, and as hard as it might try to interfere, diabetes can’t take that away from me.

Congratulations, R & T! I love you guys.

Dodging DKA: What Happened and What I Learned From It

In 23ish years of life with type 1 diabetes, I’ve never really experienced DKA…and I feel wildly fortunate to have avoided it.

But the other day, I came extremely close to it, and it’s something I won’t soon forget.

Here’s what happened: It was the wee hours of a Sunday morning. I woke up because I had to use the bathroom. My pod was on my thigh. I was due to change it that Sunday evening. I noticed that the pod’s adhesive folded up in the exact wrong way (it was crinkled up by the cannula), causing the cannula to bend and dislodge itself from my body…

…except I didn’t make that super-important observation until around 11 A.M., after several hours of tossing and turning in bed, unable to sleep because I was battling both a headache and stomachache.

What’s more is that around 10 A.M., I noticed that my CGM had been reporting a high blood sugar since about 5 A.M., and I simply hadn’t heard it alarming. When I saw that I was high, I took a bolus, but I didn’t bother checking on my pod because to my knowledge at that point, there was nothing wrong with it. Fast-forward to one hour later to when I did discover the dislodged cannula and I was feeling downright terrible: My stomachache turned into full-blown nausea, my head was pounding, my throat was drier than the Sahara, I couldn’t unfold myself out of the fetal position, AND I was feeling incredibly stupid for 1) missing my CGM’s blood sugar alerts and 2) not checking my pod to make sure it was secure to my body.

What bothered me more during this whole ordeal: my headache, my stomachache, or my anger at myself for letting this happen? (If you guessed the latter, then you’d be right.)

Fortunately, I did have a back-up pod and insulin with me, so I went about activating the new pod as quickly as possible. I felt a fleeting sense of relief when it was on me, but that relief turned into panic when I felt a swooping sensation in my stomach that indicated I was about to be sick. I ran to the bathroom and retched once, grateful that nothing actually came up, then sank down on the floor in shame, wondering how I could let myself get to this point of obvious borderline DKA.

The next few hours passed in a blur as I crumbled back into bed. I drank as much water as I could stomach, gave myself bolus after bolus, increased my basal rate, and tried to settle into a comfy position. I was extremely lucky that I wasn’t alone during this whole ordeal: My significant other was very concerned and doing everything he possibly could to help me. I was and am still so grateful for his care and attention. I didn’t admit it to him, but I was a little freaked out by the whole experience, but I took consolation over the fact that it didn’t come down to him having to bring me to the hospital.

By 4 o’clock that afternoon, my blood sugar was finally below 180 again and I was able to eat a little food, though I wasn’t overly hungry. I spent the remainder of the day beating myself up for letting this happen, but I guess that if I learned anything from it, it’s that I need to remember to 1) keep the volume turned up on my CGM so I can hear the alarms going off overnight, 2) check my pod immediately after hearing a high alarm so I can rule out any obvious pod issues, and 3) bring a syringe with me wherever I go so I can inject myself with insulin/get it in my system faster than a pod would be able to.

The experience also taught me a couple of other things…DKA is very real, very dangerous, and should be taken very seriously. The fact that I just barely dodged it is a jarring reminder that I should never underestimate it. On a much lighter note, though, I also proved to myself that I’m able to take control of a situation like that the moment I become aware of what’s going on. Thank goodness I was at least prepared enough that I had an extra pod and insulin on hand. I hope there isn’t a next time, but if there is, I know exactly what to do in order to take care of it as quickly as possible, thanks to this icky experience.

8 Things I Hate About High Blood Sugar

This was originally published here on Hugging the Cactus on April 5, 2019. I’m sharing it again today because this is an evergreen post, the kind that will always ring true for me. These are the things I simply cannot stand about high blood sugar…

High blood sugar, high bg, hypergycemia, sky high…whatever you want to call high blood sugar, it doesn’t change how I feel about it. I hate it. My loathing of high blood sugar is probably not unique among other T1Ds – I’m sure most would agree that it’s the worst – but on a recent and particularly bad day of high blood sugars, I started thinking about why I hate being high so much and it turned into this blog post…which turned into a very cathartic thing for me to write.What do you hate about high blood sugar?

What are the eight things that I hate about high blood sugar? Here they are…

#1: It makes me thirsty. This reference may be lost on some of my readers, but to those who get it, it’ll be wildly funny (or at least it will be in my mind): *Parched Spongebob Squarepants voice* “Waaaaaaaaater! I neeeeeeeeed it!” When my blood sugar is high, I basically turn into that shriveled-up version of Spongebob that appeared in the episode in which he visits Sandy the squirrel’s treedome for the first time. He doesn’t realize that, being a mammal, Sandy doesn’t depend on water like he does to be able to live/breathe. Hence, he struggles throughout the episode to stay hydrated. I bet that if he were dealing with a high blood sugar at the same time, his desperation for water would become much more dire…because let me tell you, I simply cannot drink enough of it when my blood sugar is above 200. This results in many trips to the bathroom, and as I’m sure you can imagine, it’s pretty annoying.

#2: It turns me into a major grump. Nothing kills a good mood quite as swiftly as high blood sugar…I don’t like admitting it, but I tend to snap at people when my blood sugar’s elevated. So really, it’s a lose-lose situation for everyone.

#3: It’s a weight on my shoulders. If my blood sugar is high, I can’t help but wonder what I did wrong to make it so. Did I miscalculate my carbs? Should I have given myself more insulin? Should I have timed my exercise better? Is my insulin pump work properly? The list of questions and possible answers are practically endless, and it weighs heavily on me when I’m dealing with an inexplicable high.

#4: It’s disruptive. When my blood sugar is high for a prolonged period of time, I can’t focus on anything else but that. I’ll do anything and everything I can to take my mind off it and just let my corrective insulin dose go to work, but I can’t help but worry. This can be especially disruptive when I’m trying to get work done at my desk job, or when I’m trying to enjoy a night out with friends. It can suck the joy out of any situation, and that can be incredibly disheartening.

#5: It doesn’t get along with exercise. High blood sugar is weird, because sometimes it cooperates with exercise, and other times it reacts very badly to it. I find that if I workout at 250 or below, my blood sugar responds wonderfully to the movement and it’ll drop my blood sugar down to a better level much faster than insulin. But if I dare to workout above 250, then things can go terribly wrong and my blood sugar will go up even more. I learned that lesson the hard way in college, when I went to a high-intensity spinning class…I was so nervous about going low in the middle of the class that I overcompensated with a pre-workout snack. So over the course of the class, my blood sugar shot up to 300 due to the strenuous exercise coupled with the extra carbs. Not fun.

#6: It makes my CGM wail. I appreciate the alarms on my CGM, but NOT when they go off over and over and OVER again. It feels like my CGM is judging me for being high and it couldn’t be more obnoxious…and I just want to throw my device across the room to get it to shut up.

#7: It prevents me from eating when I’m hungry. I don’t always want to eat when my blood sugar is high, but occasionally, high blood sugar coincides with mealtimes and I end up staring longingly at food while I wait for my blood sugar to stabilize at a better level. Depending on when the high happens and how badly I wanted to eat some food, I can get very hangry (angry AND hungry), which is never a good state of mind to be in.

#8: It’s stubborn. The worst part about high blood sugar is that sometimes, it feels like it takes FOREVER for it to come back down. During the waiting period, anxiety, irritation, and anger are all emotions that can manifest themselves within me. And it sucks. The mental games that high blood sugar can play with me are straight-up cruel, and since a high can be so damn stubbornly slow to respond to insulin, it makes it that much harder to handle…which is why, I can say with 100% certainty, that I hate high blood sugars with a bloody passion.

When Carbs Collide with a Bent Cannula, Chaos Ensues

Sushi. Wine. Not one, but two slices (I swear they were slivers, honest) of cake. A pod with a cannula that got bent out of shape accidentally due to clumsiness.

The above sounds like some sort of weird laundry list, but it’s really just all the factors that contributed to a night of high blood sugars and relative sleeplessness.

Let me explain what happened: The night started out fabulously! I got sushi for dinner from a local spot that I was trying for the first time. I was excited about it because sushi is a rare treat for me, and I figured the occasion warranted some wine – my first glass(es) that I’ve had in about 2 months (I gave it up for Lent).

Those two things right there are definitely a “dangerous” duo that can cause carbohydrate calculation errors or prolonged blood sugars, but I tucked that in the back of my mind because I wasn’t done with indulgences for the evening.

I want to say I regret nothing about this carb-o-licious evening, but…

That’s right, I kept up with the carb-loading by enjoying some cake (white chocolate blueberry cake that I made myself that is just as decadent as it sounds) soon after dinner was done. My problem is that I thought I’d curbed the impact of the carbs by setting a temporary basal increase and stacking a small amount of my insulin, but no such luck. I’d destroyed my second piece (it was just a tiny sliver, people) and noticed that I was creeping up. I took more insulin and soon forgot about my high blood sugar as I immersed myself in episode after episode of Impractical Jokers, which, side note: It’s a series I just discovered and it’s hilarious cringe comedy that is the perfect thing to watch after a long day.

A handful of episodes later, it was time for bed. Or so I thought…because soon after I was settled in bed, I twisted around in just the right – or in this case, wrong – manner that was rough enough to loosen my pod from its allegedly secure location on my back. The smell of insulin was pungent and indicated to me immediately that the pod would have to be ripped off completely and replaced. And the sooner, the better, because my blood sugar was getting closer and closer to 300…definitely not a level I want to see before I go to sleep.

By 12:30 A.M., the new pod was on my arm and a temp basal increase was running to combat my lingering high blood sugar. I also gave myself yet another bolus and crossed my fingers, hoping that the combination would be enough to bring my levels down overnight.

At around 2 A.M., my PDM started beeping to let me know that it’d been about 90 minutes since the new pod was activated, so in response I woke up to silence it and glance at my CGM. My blood sugar barely budged! Frustrated, I gave myself more insulin and fell back into a restless sleep.

Several hours later, my alarm was blaring, far sooner than I wanted it to. I hit the snooze button, also taking care to check out my CGM yet again before I made an attempt at 15 more minutes of sleep. And guess what – I was still high. Quite high. Not 300, but in the mid-200s.

It was official: My blood sugar was punishing me for my night of careless carb consumption and reckless pod-handling. I shouldn’t have been surprised by the resulting chaos, but at least I was able to restore peace again the next morning…eventually.

Ketones Strips: To Buy or Not To Buy?

I popped into a CVS store on my way home from picking up groceries to pick up something very important…Starburst jellybeans, because naturally, I “needed” them.

When I was in the store, I wandered over to the diabetes aisle, curious to see if browsing the shelves would remind me of any supplies I should pick up.

My eyes fell on a box of ketones testing strips and I paused, pondering whether or not it was worth it to buy them.

Are ketones testing strips a must-have or no-need item for you?

I admit that I scarcely ever check my ketones when my blood sugar is above 250. I know that I should, but a combination of laziness, anxiety, and lack of unexpired strips usually stops me from checking. And when I do have strips on hand that aren’t expired, it seems that I’m only able to use a couple out of the 25+ strip bottle before the whole dang thing expires, which is frustrating. In fact, prior to this CVS trip, I had a vial of ketones strips sitting in my bathroom that expired more than 4 months ago. I hadn’t trashed them yet because I stubbornly hang onto things far longer than I should.

So I stood in that CVS aisle, my hand hovering out in front of me over that box containing the ketones strips. To buy or not to buy? Do I spend the money knowing that I’ll probably only use a few strips? Or do I save the approximately $12 and walk out the store knowing that I don’t have useable strips at home?

Ultimately, I bit the bullet and bought the strips. I know myself well enough to know that I’ll take comfort in knowing that they’re available to me if and when I decide to use them. Besides, $12 is a fairly small ask when it comes to monitoring something as important as this and granting myself peace of mind.

If only we could have a price like that for life-saving insulin…

Luck O’ the Irish Diabetic

Happy St. Patrick’s Day!!!

Last week, it occurred to me that in more than 3 years of running this blog, I’ve never written anything about St. Paddy’s Day here…so I sought out to rectify that immediately; hence, today’s blog post.

I love St. Patrick’s Day. Always have, always will. I celebrate it each year decking myself out in head-to-toe green. I eat a traditional Irish dinner – always prepared by my mother, until this year when I will attempt to cook the meal myself – that consists of corned beef, cabbage, potatoes, carrots, and Irish soda bread. We eat it while listening to Irish music and more often than not, we’ll have a Guinness or an Irish coffee along with the meal. My family’s attended St. Patrick’s Day parades in various locations in years past, though obviously, we didn’t go to any last year and we won’t this year, either. But we’re still proud of our Irish heritage and we made the most of it in 2020, as I know we’ll do today.

My parents’ dog, Clarence, and I certainly made the most of the day last year. I was dressed up like this for all of my work video conference calls, which made my colleagues laugh at a time when we all needed one.

So you know my plans for St. Patrick’s Day, but what does this have to do with my blog that’s about diabetes?

Let me explain.

The common denominator between this holidays, all the others, and my diabetes is…food.

Foods consumed on holidays are often special and laden with carbohydrates. Rather than deprive myself, I like to indulge on holidays, and worry a little less about my topsy-turvy blood sugar levels.

You might be thinking, “But the food you described isn’t even that carb-heavy!” and you’d be right, for the most part. Corned beef, cabbage, carrots…those are all easy to bolus for seeing as the carbohydrate content is negligible.

It’s the combo of potatoes – which normally, I can bolus for without any troubles – and Irish soda bread – hellooooo, carbs – that really screws me up.

You see, the problem is that Irish soda bread is too delicious. It’s a quick bread that has a buttery exterior and a tender, mouthwatering interior that’s densely packed with raisins. It doesn’t sound like much, but my mother’s recipe is sheer perfection and I can’t resist helping myself to a big ol’ slice (and a couple of mini, just-one-more-taste slices) of the stuff every year.

So more often than not, my St. Patrick’s Days end with high blood sugars (which I suppose is better than ending with a trip to the toilet due to excessive…ahem, celebrating).

The Irish soda bread is worth the high blood sugar alone, but this year, I’m hoping for a little luck when I tuck into this festive feast. I’m tired of simultaneously welcoming holidays and high blood sugars…it’s about time that I make more of an effort to have better levels when I’m eating special meals. I know the extra work will make the day and the food that much more enjoyable and special.

With a little luck o’ the Irish (and some aggressive bolusing), this diabetic will finally have a St. Patrick’s Day filled with lots o’ green, Guinness, and great blood sugar levels.

Hello, Highs: Pooled Insulin Under my Pod Leads to Elevated BG

Have you ever tried troubleshooting a problem so much that you start to feel insane, and then like magic, the solution to it becomes clear and you wonder why you hadn’t tried it earlier?

This was the case with me and the mysterious high blood sugars that plagued me for two and a half days.

Based on this image, can you tell what was causing my blood sugar to be stubbornly high?

Once I started noticing a pattern of high blood sugars that got worse every time I ate food, I started doing everything else except changing my pod. I tried taking insulin for double the amount of carbs that I was actually eating, I ran a 95% temp basal increase for 8 out of 24 hours in the day, I cut carbs altogether and ate only 0 carb foods, I skipped meals altogether, and I even tried marching around the house for 15-minute intervals to try to get my insulin pumping through my system faster.

And nothing worked. I was able to get my blood sugar no lower than 180, but for most of that 60-hour window of time, I spent a good chunk of it in the mid-to-upper 200s.

Finally, on the day that my pod was due for a change, I decided that it must be the culprit behind my high blood sugars. When I removed the old pod, I knew immediately that something was wrong because the smell of insulin was so strong; plus, there was a large, damp spot on the pod’s adhesive, indicating that perhaps my insulin was pooling under my pod instead of entering my body.

It took 5-6 hours after I removed the leaky pod, but I finally did start to come back down to my normal levels, and was totally back on track the next day. It was a frustrating experience to endure, but a stark reminder of something that I’ve known in the back of my mind for years: that when I’m in doubt, I should change my pod.

How I Make Time Fly By When Waiting for High Blood Sugar to Come Down

I can’t be the only one who feels that it takes five-ever (which is even longer than FORever) for high blood sugar to come back down to normal levels.

I don’t use any super-fast-acting insulin (such as Afrezza or Fiasp), so typically, I have to wait about an hour for my good ole Humalog to kick in. And an hour can feel agonizingly long when it comes to diabetes.

Fortunately, I’ve used different tips and tricks over the years to help make that hour fly by:

  • Blast some music and dance around in place. You might feel dorky when doing this, but I honestly swear by it – not only is it fun, but it can also help my blood sugar come down faster because yes, dancing around is still exercise!
  • Sip water over the course of the hour. I challenge myself to drink at least one full water bottle (I’m talking my 25 ounce reusable water bottle, here) in this hour of time. It’s my opportunity to rehydrate myself, and it’s also a good way to flush out the system when trying to bring a high blood sugar back down.
  • Watch episodes of “comfort” television. I know that I can watch exactly one episode of The Boys, two episodes of Sex and the City, or three episodes of Community (yes my taste in TV is eclectic) and allow myself to get totally immersed in the shows as opposed to stressing about my blood sugar. I call these shows “comfort” TV because I’ve seen all the episodes before, but I enjoy them still and I know how much of them I need to watch in order to stay distracted.
  • Read a magazine or a few book chapters. I’m kind of a hoarder and I save old magazines that I’ve purchased at airports over the years…but my magazine stash comes in handy when I need an hour of time to go by faster because I can pretty much read one cover to cover (depending on how big it is, of course) while I wait for my blood sugar to come down. Or I can turn to my book collection, select a piece of “comfort” literature (like the comfort TV described above), and get lost in the words for awhile.
I could stare at a clock and/or my CGM when my blood sugar is high and wait *patiently* for it to come back down…or I could make time go by a lot faster by keeping myself occupied.
  • Get into an arts and crafts project (or anything that requires focus). For me, this is knitting. Depending on the knitting project, it can take anywhere from a day to weeks to complete something. So if I need to wait for a high to come back down, I can focus on making knitting progress as opposed to what my blood sugar’s doing for an hour – and honestly, I sometimes get so into my work that I don’t stop for a few hours. Time goes by quickly when knitting!
  • Make it impossible to keep checking the CGM app. Sure, I could torture myself by checking my app literally every 5 minutes for updates, but that’s one guaranteed way to drive myself crazy for a full hour (or longer, because there’s a 15-minute delay with my CGM). So I force myself not to check it by putting my phone in a different room, silencing it, or turning it off altogether. Removing the temptation to check my blood sugar is majorly helpful when waiting for it to drop down because I’m not constantly stressing over how long it’s taking for the insulin to start working.

It might seem kind of ridiculous that I rely on these strategies to make time go by faster when I have a high blood sugar, but they work – and feel a heck of a lot better to do than anxiously staring at my CGM for a full hour!

4 Tips on How to Handle Hunger Pangs and High Blood Sugar

One of my Instagram followers recently reached out to me and asked for some advice.

…can you make a blog post about how to reduce temptation when blood sugars are high. Whenever my blood sugars are low, I [don’t] really want to eat but of course I have to but for some reason when they are high, I’m soooo hungry and I’m just tempted to eat tons of carbs! Help!!

I liked this comment for several reasons. One, this person told me it was tough for her to ask me about this in such a public forum, so I applaud her for stepping out of her comfort zone. Two, it’s an excellent blog topic suggestion. Three, I can absolutely relate to feeling hungrier than normal when my blood sugar is high. And four, I’m sure others can, too!

Pizza is great (for obvious reasons) but maybe a little less so when blood sugar is high…

I’ve always kind of assumed that I get hungry when my blood sugar is high because at that moment in time, food is practically forbidden…so it becomes incredibly appealing, even though it’s not always advisable to eat with a high blood sugar (because depending on what food it is, it could make high blood sugar go up even more).

So thanks to this comment on my IG profile, I started thinking about the ways I fight off hunger pangs when my blood sugar is high and came up with these 4 tried-and-true tricks I’ve learned over the years:

#1: Make a smorgasbord of low carb snacks. My mom will appreciate my use of the word “smorgasbord” in this tip because that’s exactly what she used to call the plate of snacks she’d fix for me when my blood sugar was high throughout my childhood. She’d assemble an array of low carb goodies – cheese, pepperoni, olives, nuts, pickles – that would satisfy my hunger without raising my blood sugar even further. As a child, I felt special because I was virtually getting my very own charcuterie board (just minus the crackers) and that made high blood sugars much more bearable.

#2: Drink plenty of water (or other low/no carb beverage). I’ve heard medical professionals, nutritionists, fitness experts, and the like say time and time again that one reason we might feel hungry at a given moment in time is because our bodies are trying to tell us that we’re actually thirsty, not hungry. So it makes a lot of sense to stay super hydrated when dealing with a high blood sugar because it can stave off hunger as well as help flush out our systems.

#3: Seek distractions. I write more about this in an upcoming blog post, but when my blood sugar is high, it’s important for me to not dwell on it too much because it seems like it takes it that much longer to come back down. So I distract myself in every possible way: I find an activity to do, TV to watch, a family member or friend to talk to…this helps me forget about the high as well as any cravings for food that may come along with it.

#4: Remember…this too shall pass! Again, I gotta give my mom some credit for this one because she says this motto to me all the time. When I’m feeling extra hungry and experiencing a high blood sugar, I just try to remind myself that both the high and the desire to snack are fleeting. Sure, they’re not fun to deal with at the same time, but knowing that they’re only temporary makes everything easier.

Diabetes Detective Work: Solving the Mystery of Prolonged High Blood Sugar

When it comes to solving the mystery of why I recently experienced high blood sugar for a prolonged period of time, let’s just say I was a wannabe Sherlock Holmes.

I’m going with “wannabe” here because I lacked the satisfaction of deducing the exact culprit, but at least I had my wits about me enough to come up with a few reasonable explanations.

Diabetes Detective Work_ Solving the Mystery of Prolonged High Blood Sugar
I wish that a magnifying glass was all it took to figure out the “why” situations in life with diabetes.

The scenario: I was riding between 200 and 250 for hours. I did a temporary increase of my insulin for a bit, took 2-3 micro-doses of insulin (in order to avoid stacking), and did my best to stay hydrated while avoiding carbs. And I barely budged, much to my frustration. All throughout dinner that night, I was anxiously eyeing my Dexcom and hoping to level out before long. It was only after I went on a 45-minute after-dinner walk that I started to drop, and it took me quite a while longer than usual for me to be totally back within range.

The questions: Did my mid-afternoon pod change throw something off? Was my carb counting wrong? Was it something I ate? Was my pod working the way it should’ve been? Did I get enough exercise throughout the day? Too much? Was it due to anxiety or stress? Some other factor that never even crossed my mind?

The clues: A couple of clues helped me eliminate the cause of the high blood sugar. For starters, it couldn’t have been the insulin – it’d been refrigerated and I’d been using the same vial for a couple of weeks without any issue. It also likely wasn’t either of my pods, because the one I’d worn for the full 3 days had worked fine, and the new one that I applied mid-afternoon did work for the full 3 days…even though it seemed to take some time to adjust to my body. I definitely didn’t eat the healthiest meal (my entree may have been a green salad, but I also ordered a sugary cocktail and had fried pickles as an appetizer). And I was dealing with slightly higher levels of stress than usual.

The case cracked (sorta): All of those aforementioned conditions combined could have contributed to the high blood sugar. Unfortunately, I can’t quite say with certainty that they did, because on paper, I did everything right in order to combat the highs. That’s just the thing with diabetes, though: You can do everything “perfectly”, and the way it “should” be done, but sometimes you can’t prevent these little mysteries from popping up and keeping life with diabetes…ah, well, “interesting”.