muddybrooks

My experiences post total pancreatectomy.

Interpreting Blood Glucose Trends

on June 9, 2014

OK. I’m a little confused by my BG trends lately. I’m learning there are many seemingly hidden variables to diabetes which frustrates the hell out of me as I’m sure it does you too!! Some days they’re not so hidden and I can identify why I am high or low. But other days I can’t find an answer to why I’m trending the way I am. Will my ability to figure out my BG values before they happen get better with time?? I’m beginning to think not.

I’ve been reading a lot of new (to me) diabetes blogs since my introduction to them from Blog Week 2014 and I’m reading that some T1D veterans experience the same thing. I don’t know if that fact is frightening or reassuring. Is it always gonna be this hard to anticipate what a meal or a walk is going to effect my BG?? I was hoping it would get easier but I’m not going to hold my breath waiting!!

I’ve recently started to pre-bolus after seeing an old recording of an interview of Gary Scheiner, CDE of the year, 2013, by TuDiabetes’ Emily Coles (http://tudiabetes.com) in which he recommended getting a handle on postprandial (after meals) high BG’s by bolusing for the amount of carbs in an anticipated meal by 15 or 20 minutes. This helps improve the timing of when your insulin starts to work with when the carbs (carbohydrates) from the meal are absorbed, hopefully, preventing that dreaded spike. I’ve had some successes but I failed miserably tonight and I can’t figure out why.

Bear with me as I rehash what happened with you in the hopes that one of you may be able to help me by figuring out what I did wrong… Twenty minutes before a usual dinner of spaghetti, meatballs and a slice of garlic bread, I bolused for 66 carbs (the usual amount I always bolus for and have had success with.) The spaghetti was weighed out, so I know it was the same serving size and the garlic bread was pretty much the same size I always eat give or take only 2 or 3 carbs. Just as I was finishing up, I started to get really sweaty all of a sudden. I didn’t think I was low. How could I be?? I usually get high at this point in my spaghetti dinner.

I didn’t treat for the feeling, nor did I check Dex. (It was in my purse and I was too lazy to go get it!) I was certain I wasn’t low!! It had to be a result of the suddenly warm New England day of 80 degrees with some moderate humidity. Only when I broke out in a full sweat and started to experience that ravenous hunger only associated with a low, (even though I had just eaten a whole meal!!) did I actually test…results?? 41!!!! How could that be?? I hadn’t had any activity before dinner. As a matter of fact, the day had been largely sedentary, so activity wasn’t the cause. I couldn’t figure it out and still can’t! It was such a scary low this time that now I’m afraid to pre-bolus if it means chancing feeling like that again!!! (I treated with my 4 rolls of Smarties and quickly felt better, but it was definitely hard to consume those Smarties as I was very full after my delicious meal!)

I think if I had to describe what is most frustrating to me about my T1D, I would have to say this concept of doing exactly the same thing from one day to the next and getting two completely different BG values and trends, is it. Can any of you D veterans tell me if this gets any easier??

I am very thankful to have Dex and my BG meter to identify when these things happen.  (I don’t always have low symptoms and usually I don’t get symptoms until I’ve dropped below 50 and they come on fast. )Back in the day, this wouldn’t have been possible and I would have had to wing it. If I had to become a PWD (person with diabetes) then getting it now in the new millennium is definitely better than the mid 1900’s. Technology has come so far in thirty years. I’m excited to see what is coming in the near future in D tech!!

I guess if we’re trying our best with what is available to us at the time, then we can’t ask any more of ourselves. (But I think we all do!!)

Remember, Check! Don’t Guess!! See where my guessing got me tonight??!!

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4 responses to “Interpreting Blood Glucose Trends

  1. Sara says:

    It was the pasta (most likely). That is a meal I would actually dual wave/combo wave bolus for because it digests soooo slowly. In this circumstance, I think your insulin starting acting before your food did. Isn’t diabetes so frustrating! It never follows the rules!!

  2. bennetdunlap says:

    “… there are many seemingly hidden variables to diabetes which frustrates the hell out of me…”

    So very true. An one day they kick in and others they don’t

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