I want to first thank everyone in this community for sharing their experiences and encouraging me to take a more aggressive approach to bolusing. I am still timid because I can’t seem to sense hypoglycemia accurately, I don’t use a CGM, don’t use a pump. Thank you all for your patience in putting up with a scaredy cat like me. I’ll explain in the example below:
Today, I lazed in bed until about past noon.
1 pm - BG 120 (previous reading from the night before was at midnight BG 100)
pre bolused 5 units (only 10 minutes…I know, I lack discipline) , ate chicken with some teriyaki sauce, rice
2 pm - bolused 4 units for a mini cannoli (I did not pre bolus - my rationale is that it contains sugar, fats, and it’s so complex, may be there will be an initial BG rise and there will be a delayed BG rise)
2:30 pm BG 202
3pm BG 214
I know…do I correct at these levels? I have 9 units running through my body, so I didn’t want to correct. I was also going out for a walk for about 2-3+ miles for more than an hour.
3:30 pm BG 103 - this is encouraging. Still walking.
4:15 pm BG 65. I felt NO SYMPTOMS. NOTHING. I felt fine. Still walking. On previous occasions, it seemed like the cannoli may kick in later, causing a delayed rise. Just to be on the safe side, I took 2 smarties, just in case.
5 pm BG 85 - At this point, I am famished, feeling like I want to wolf down 2-3 donuts, a little jittery; I can’t even think about cooking dinner…so hungry! So I settle for some delicious cheese and tomato: I ate quite a lot of mozzarella cheese with 4 slices of tomato, some walnuts. The ravenous feeling subsides. Begin to cook dinner. I often, not always, get this ravenous feeling between the hours of 4-6 pm.
5:30 pm BG 112 - feeling better at this point.
5:45 pm 2 units for dinner : chicken rice, stir fried red, yellow peppers
6:10 pm dinner: chicken, stir fried peppers: red, yellow
6:30 pm 4 units for cannoli
I would appreciate your thoughts and analysis about the spike into the 200’s and the subsequent drop to 65. In truth, the rise into the 200’s for approximately 1 hour doesn’t really bother me. If I were to remain elevated for 4-5 hours, habitually, I would be concerned about long term complications. It’s perplexing to me that at 65, I had no symptoms, and at 85 I was feeling awfully hungry.
Stay tuned for more adventures and misadventures with BG fluctuations from Lilian