Basals Work You

basals

 

Well… that’s exciting.

Another round of basal testing today. This time, trying my morning rates out. I woke up at 5:30 am, which isn’t normal. (Usually I can sleep in a bit longer.) But I have class today, so I work earlier.

Started the day off at 120. Not fantastic, but I’ll take it. I shower and prep for the day as normal, sans the whole eating breakfast thing.

Since my form says start the test at 7 am, I recheck again. I’m 182. Hmm. Interesting. Normally, disconnecting for 20 minutes doesn’t affect me THAT much. But – since I need to see where this is going, I don’t correct and head to work.

I feel like crap. All of those weeks of running much lower has made me REALLY aware when my blood sugars are misbehaving. Now, if only I can recognize the lows better. But – another blog post to worry about.

Expecting to be sky high and ending this test early, I test at around 9 am. I’ve dropped. Not much, but enough to tell me that my basals are holding me in one place.

Near the end, I’ve nearly corrected myself to my original blood sugar.

Um, what?

 

Back to your Regularly Scheduled Program

I’m slowly getting my sleep patterns back on track after this weekend. It was a fun weekend, and I’m glad I experienced this convention. But holy hell… I’m pretty sure I got a collective 10 hours of sleep during the entire weekend. And upon my return on Sunday, I promptly fell asleep on the couch at 8:15 pm, only to be prodded by the hubs to head to bed around 9. Wow. All in good fun and thankfully, my blood sugars behaved for the most part.

I also don’t recommend competing with hypoglycemia. Especially if you are unaware. Just saying. Yeah, it happened.

So after all my sleep deprivation, the only natural thing I should do come Monday morning is run a basal test, right? Sure!!! Who needs coffee or food when the high from the weekend can keep you awake and sustained?

Right…

Good news: I passed the afternoon basal test, which disproves my doc’s hypothesis that my extremely high bolus rates are compensating for my extremely low basal rates. In fact, I managed to stay between 77 mg/dl and 88 mg/dl for about 6 hours. This still leaves the question as to why my blood sugars sky rocket to oblivion an hour after I eat and just stay there. Do I really need a 1:3 carb ratio? Seriously?

Bad news: This test is shit! Seriously. Could NOT do anything productive because I ate at 7 am and could not stuff my face until 5 pm. (And I did… still paying for it now…) I was starving. I was waiting for the inevitable crash that never happened and seriously wanted to just fail the test so I could eat my left overs. I had 3 major headaches throughout the day and pretty much stared at my computer screen for 2 hours pretending to be productive. By 4:30, I wanted to eat my laptop with a side of the contract for our company Christmas party. (You know, because paper has fiber and stuff.)

I’m assuming that since I passed with flying colors that I only need to do this time period test once. (Because why would anyone want to do this three times, as instructed???)

Lesson learned kids: starving is bad.

99 Problems and A Breakfast Ain’t One of Them

Warning… my Type A Personality kicked into overdrive on this post… needed something to counter balance yesterday’s humor.

The increased morning basal rate seems to be working better than expected. I’ve had the same breakfast meal for the last two days, and most likely will continue to until I have reason to try something else. But I haven’t experienced the extreme highs I have been for last, oh, I don’t know, 6 years.

I can’t really remember the reason behind giving me an extremely low basal between the hours of 8 am and 10:30 am. I think the logic was it was to mask the extreme lows I’d experience around those times when I was on Lantus. Each time my docs would increase my Lantus to decrease my post prandial highs, I’d always peak much later than expected, resulting in lows.

And why was this never adjusted later? Who knows. Maybe other things were a priority. Like my middle of the nights. And my fastings. Or that I just didn’t have the time to care.

At any rate, as long as I have a high fiber snack in the morning, my blood sugars seem to respond favorably until lunch.

And then I eat lunch and it all goes nuts for some reason. This is when I experiment with dual wave boluses the most because my lunches are lower in carbs, but higher in protein and fat. It doesn’t always work. However, neither does giving all the insulin in one fair swoop. So – here in lies my issue. Am I eating the wrong things? Or are my basals in need of adjusting again? Or maybe I’m not bolusing enough. The insulin to carb ratio at that time is 1:5, for reasons I can’t remember.

My usual fallback of “well I can’t take that much insulin because I’ll crash” doesn’t seem to work anymore. The last few afternoons have elevated into the 180 range and don’t fall further unless prompted by another correction. Otherwise I just hang out there.

So – rather than checking every single hour to see what my sugars are doing, I really hope the CDE has more productive answers. My goal is to not hit those 200s anymore. And to fall normally within a 3 hour range so I can eat a small snack and continue. This plan works so long as I have no other outside factors to hinder them. (Blocked insulin pump, hormones, stress, etc.)

But hey… breakfast! Those are good, right?