Posts filed under ‘highs’
I messed up big, big time last night. I thought I was ready to attempt to cover pizza with insulin, but my body thought otherwise and I payed the price – mentally, physically and in cash at the rate of the eight dollars worth of Freestyle test strips I used testing and re-testing on my backup meter. I struggled the rest of the night to get back down from the high 200s. I was injecting directly (no I-Port in the equation – I’d attempted an upper-backside install but it left me in tears so I threw it away) yet it was as if the insulin couldn’t keep up with the digesting pizza (or my lack of patience). It was getting late so I set my alarm to wake me up an hour and a half after I went to sleep so I could check and make sure I wasn’t still high or going too low too fast, and it was back down to 140, so I gave up and went back to sleep because I was too tired to change my suspect Humalog cartridge and I knew my own basal insulin would eventually take care of the rest anyway.
I woke up this morning with an elevated fasting of 108, but I was ready to start clean – clean diet, exercise, new insulin cartridge, new I-Port… but I can’t get my head in the right place. I’m mad at myself and don’t feel like doing anything productive, and I am dreading the blood sugar see-saw that I’ll likely experience today. Writing about my mistakes always helps me move on, so now that I’ve confessed, I’ll make myself go lift some weights and try to make up for whatever horrible things I did to my poor body with that (to borrow a word from Monday) insidious pizza last night – which, by the way, left even my non-diabetic husband at 130 mg/dl an hour and a half after! How did I stand a chance? 😛
Just returned from a delicious lunch with coworkers and am feeling comatose. I ventured over to the Jimmy John’s website to see if they have any nutritional information and was happy to find not only nutritional information but a cool little feature where you can add and subtract ingredients to adjust the nutritional totals. Unfortunately this revealed that my lunch choice was a poor one: the Vegetarian on Wheat sandwich I just ate has a grand total of 75 carbohydrates! But here’s the strange part – if I would have ordered it on French bread instead of Wheat, it would have only (ha) had 57. Since when is French bread lower carb than whole wheat? Next time I get the Unwich and avoid the issue all together.
Thankfully I only ate half of my sandwich so I only have oh, 37.5 carbohydrates to process and a BG of 192 to come down from. It’s going to be a long afternoon…
This morning my fasting was a happy 76, but after my normal breakfast and two mid-morning snacks of 5 almonds each, my BG was 149. I ate my lunch (leftover Buffalo cheese burger on whole wheat, caramelized onions, spinach, condiments) anyway because this morning the scale showed that I’d lost a couple of pounds which is NOT a desirable outcome and seems to indicate I’m not getting enough calories. I’m wondering if this lack of fuel to burn could also be causing the post-cardio highs.
I’m trying to get a better grasp on the physiology of how the body fuels itself during exercise, and so far if I understand things correctly, the highs could be my liver dumping glucogen into my blood stream for fuel. I’m unclear on whether this is one of your body’s “last resort” fuel sources, or whether that is a normal response to vigorous exercise. It will be interesting to see later this week and weekend if the less intense workouts I plan to do also cause highs. From what I’m reading it sounds like most type 1s just add insulin before vigorous training, but unfortunately I don’t have that option (yet :)), so I plan to try eating some protein or a small meal (with Starlix if necessary) in the late afternoon, perhaps an hour or two before exercise time.
A few helpful links:
The past 24 hours have been aggravating: on top of the nasty cold, my blood sugars have been hovering in the high 140s hours after meals that would normally have me back in the safe zone an hour later. I’ve looked online and can’t find any information regarding the affect of a common cold on a diabetic’s blood sugars other than the occasional reference to “sick days” making your body dump more glucose into your bloodstream. But how sick does your body have to be to do that? And does it apply to MODY diabetics?
Normally by this point in my cold (the snotty phase) I would have started taking Mucinex, but I’m afraid of throwing even more confusion into my system.
I suppose I’m going to have to suck it up and exercise today, even though the thought of even changing clothes makes me feel like I need a nap. Who knows, maybe it’ll make me feel better instead of worse and I can actually consume a carbohydrate or two at my next meal. I know the cold has a way of everything feel about 5 times more dramatic than it really is, but thinking about every thing I put in my mouth is really, really wearing on me. I resent having to fear bread and I just want my Starlix to work again.