i was determined Thanksgiving morning that I was NOT gonna spend my day chasing a high blood sugar as in years past because I didn’t pay close enough attention to carb counts & boluses!!!! But this year I had a little more control over the menu & therefore knew more precisely how many carbs were in what.
How did I do in my quest to be more in range last Thursday???? Eh!!!!
I mentioned in my last post that I was forced to change my brand of rapid acting insulin to Humalog like many of you have had to do. I’ve been trying very hard to notice my BG trends more on my Dexcom CGM, instead of just blindly going along. I have noticed that for me (& this is all I can speak to because I’m just recounting my personal experiences.) the Humalog seems to act 5-10 minutes more quickly than the Novolog did & I’m also noticing that it doesn’t have as long a tail. It seems to be out of my system more quickly.
I like that it acts more quickly, so I don’t have to wait so long to eat after I prebolus. But the shorter tail isn’t so good for me because it means my BG is still elevated 2 hours after I’ve started eating, even if I’ve carb counted the amounts that I usually bolus for. (I’m a creature of habit & I basically eat the same things over and over again every day. Boring, I know! But it is what it is!!) I’m still trying to play w the Humalog with varying meals & bolus doses. So, the jury is still out on whether this shorter tail is good or not. (Any suggestions as to how I can better manage postprandial spikes are greatly appreciated.)
As I’m dealing with the change in insulin, I’m still post DKA from my experience two months ago that has left me spooked. I’m feeling I got too complacent with my diabetes management. I wouldn’t describe myself as having been in burnout but I definitely was on autopilot. And, it’s not that I didn’t care either. I’m at a loss of a word or words to describe my thoughts & emotions in September regarding my T1D.
I DEFINITELY relied TOO heavily on my pump with minimal input from me. I was SWAGGING (scientific wild ass guessing) almost every time I put something in my mouth.And, one pump failure to notice a silent occlusion & I was in deep shit. I won’t repeat the gory details but suffice it to say I ended up in the hospital in “resolving DKA”!!!! I must add that it was a PERFECT diabetic storm cuz my Dex transmitter had died the day before. With my waning mentality toward my T1D, I wasn’t checking my BG enough to catch the persistent high that I was experiencing.
I’m trying to be mindful of where I am in my life right now & I’m trying to be grateful for my many blessing in my life. So, to me this includes being more aware of what my BG is doing. I’m back to more finger sticks per day & calibrating my Dex on a regular basis instead of just letting it do its thing. Like I said the DKA spooked me & I NEVER want to experience that again!!! It was my first DKA & hopefully my last!!!