Posts filed under ‘low blood sugar’
As my second week of insulin comes to a close, I feel like I am no longer in control of my body. Blood sugars are still all over the place, including a few really unpleasant lows this weekend. I have put on 3-4 pounds in two weeks, all of which seems to have all gone straight to my abdomen because my waist measurement has increased by an inch and a half. I wouldn’t mind the weight gain if it was a) better distributed and b) wasn’t such an obvious side-effect of the insulin. My well-tuned sense of hunger also seems to be lost in the shuffle.
Today I made enough Mediterranean chicken salad to feed me lunch every day this week, so perhaps eating the exact same carefully weighed, mid-low carb meal for lunch and breakfast for the entire week will help shed some light on the situation. I haven’t yet decided what to do about my beloved breakfast – do I change it or give it one more week? I started eating my current breakfast when my breakfast of over 2 years (whole 7-grain bagel with cream cheese) suddenly wasn’t cutting it with Starlix. I cut the bagel in half (to about 2 oz), and added some protein in the form of salmon and 1 egg, 1 egg white scrambled, which comes to about 30-36g carbs depending on the weight of the bagel. Starlix could handle it fine – insulin not so much. The only luck I seem to have with it is by splitting my bolus up into half the dose before and half during or after, but even then I’m still lingering in the 130s all morning (and now have twice as many bruises 😛 ). Possible options: a) cut the bagel down to a quarter-bagel, b) ditch the beloved bagel all together or c) try cranking my A.M. carb/insulin ratio up to 7g carbohydrate per unit.
It’s hard for me to admit that this whole thing isn’t going as swimmingly as I’d hoped, but with a week and a half left before I see my PA, there is still plenty of time for things to turn around and for me to be back in control of this mortal vestibule.
I see a pattern developing: even if I end the exercise with highs (170s), exercise + Starlix + low-carbohydrate dinner (tilapia, spinach/asparagus/pepper/goat cheese salad and brussels sprouts) = lows after dinner. I feel like crap – I was 60 and ignored it because I didn’t feel bad now I’m at 50 and am hurting. Not taking the Starlix with dinner isn’t an option, at least not until the endo says its OK to try… so does this mean I get to add some good carbohydrates at dinner after exercise? Do I sense a tiny but glorious serving of cheese grits somewhere in my future?
Normally I avoid packaged, processed and chemically-enhanced “foods”, but yesterday in a rushed search for something to get my blood sugar up from the low 60s before exercising, I discovered a box of Chocolate Sugar-free Jello Pudding in the cabinet and decided to whip up a batch. I knew it didn’t have much nutritional value on its own so I added in a cup of cottage cheese and a scoop of whey powder – heaven! I was actually excited when my blood sugar went too low again after dinner because I got to eat even more. I’m definitely going to have to exercise restraint if I’m going to keep this stuff around, or perhaps make my own instead so I don’t have to fear an ingredient list that includes such gems as aspartame and acesulfame potassium, tetrasodium pyrophosphate, disodium phosphate, mono- and diglycerides (“to prevent foaming” – god forbid!).
Not sure what caused my lows last night other than maybe a little delayed Starlix action. My BG was way too high (174 – suspected culprit: frozen blueberries added to my plain yogurt) after my afternoon snack which was taken with Starlix, but then an hour later it fell to between 47 on one meter and 63 on another at 7. At 8:30, post- Jello/cottage cheese/whey (taken without Starlix) and exercise it was 111, then an hour after dinner (leftover White Chicken Chili, with Starlix) it hit 53! The strange thing about the 53 after dinner was that I didn’t feel at all like I normally do during lows (shaky, confused) – instead I just felt unusually sleepy.
I should also note that I just ate the Jello/cottage/whey concoction again with only a half a Starlix (fearing a repeat of yesterdays lows), and an hour later my blood sugar is 170. Too much carbohydrate (22g by my estimations) too fast I suppose – I’ll try again some day with a whole Starlix, but maybe my new love is at least for now best reserved for lows and post-exercise.
This weekend Mr. Lancetqueen and I took a lovely trip to Brooklyn to visit our friends and celebrate birthdays, anniversaries and babies. After over a week of checking my blood sugar five to six times a day, my fingers needed a break! I didn’t intend to take a complete break from checking, but I have to admit that although I ate quite well, I can’t really be sure because I didn’t check a single time the entire trip. I now regret squandering the opportunity to see what affect the pedestrian New York lifestyle has on my blood sugars – we walked so much my legs are still sore.
My first post-vacation check was yesterday after the Mr. and I’s weekly lunch at Taqueria Del Sol. My willpower was weak and I couldn’t resist the tortilla chips, so despite my otherwise healthy selections (one Laredo taco and turnip greens) my BG was a whopping 149 an hour after lunch. I wish there was some way to “get away” with my one real weekly food splurge, but my little experiment of taking the Starlix 5 minutes before I ate didn’t work. Maybe I could try 15 or 20? Who am I kidding, I should just not eat the chips. 🙂 I’m sure the white tortilla isn’t helping either.
Dinner last night was a success with BG in the 80s an hour after, but lunch today must have gone too far into low-carb zone because an hour after eating a La Tortilla Factory whole wheat tortilla with turkey, cucumber, spinach and tomato, my BG was 66, confirmed with a follow up of 67! Eek. Next time I’ll either turn it into two wraps with two tortillas or try it without the Starlix (the latter probably a risky idea). The La Tortilla Factory whole wheat low-carb tortillas are so tasty and such a godsend after thinking I was banished from fajitas forever. I can eat at least two without my blood sugar going over 130.
Tonight I hope to begin my endeavor to inject a little high-intensity cardio and muscle into my life, but more on that later.