Sunday, August 03, 2008

After the 594

That evening, I went hypo. I ate about 30 carbs. Stayed hypo. Ate another 20 carbs, and went to sleep. Woke up with a blood sugar in the 180-210 range. The ISIG on my CGMS wasn't all that high at the time (something like 8), so I pulled the sensor. Less than 24 hours after the 594, in the dentist's office, my blood sugar came in at 36. What a range!

I'm feeling a little less happy about the CGMS. I mean, I said no the IPORT partly because my first day on the IPORT, I had a bad site that resulted in a blood sugar of almost 400, which was the first time in over six months I'd been that high. That I was wearing the CGMS when I had my high score blood sugar makes me frustrated. I mean, it hadn't appeared that the sensor was going bad- the ISIG was something like 10, and it had been less than 2% off both of the earlier times that day that I'd checked.

During my first nine months managing diabetes, I counted every carb. I took a food scale with me wherever I went and I weighed and measured and I memorized the carb percentages by weight for over a hundred beans, grains, fruits and vegetables. I did most of my own cooking (I lived alone) and I measured everything going into the pot. I followed pretty strict carb ratios, which I adjusted on a weekly basis. I acheived A1cs of 6.5 and 6.3. My blood sugar didn't hit 300 for over five months, but it frequently went below forty.
These days, I have a much more relaxed attitude towards diabetes management. I don't have any carb ratios. I keep track like this well yesterday I ate about two thirds of this at this time and I took x amount of Novolog so and I ended up a little hypo so today maybe x+1 units would be right? Maybe? Eh, sure, why not. And the amazing thing is that I'm usually right. My blood sugar has hit 300 more often these days, but not that often, and I'm still in range for most of the day, whether or not I use the CGMS. My last A1c was 6.3.
My blood sugar spikes more now than it used to. I suspect that this is because of both my less attentive attitude (giving rise to more mistakes), and because the last of my beta cell function is done for.

In less than a month, I will have been on insulin for two years. I intend to write a list of 100 ways I've changed then. Right now though, I figure I'm at the best part of the diabetes journey. It's old enough that I really feel that I know what I'm doing and I'm comfortable doing it, and it's new enough that I don't have any major complications.

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