I have a drinking problem…

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You know… I’ll admit it. I used to love the occasional hypoglycemic episode. The off chance you could “cheat” your diet and have something super sweet, like a Reese’s peanut butter cup, or a handful of Skittles, or that piece of cake with the frosting still on.

Now that they are coming so frequently for reasons unknown to everyone, I feel like I’m abusing my orange juice bottle. I’m now dropping into the 60s (or lower) almost daily. My day today actually started at 1:30 am this morning with a dip into 37 mg/dl. (That was after waking up in a cold sweat… again.) After a midnight snack and minor correction, I woke up the following morning around 170. (Oddly enough, not an epic rebound.) I kind of stayed elevated all day until I finally raged bolused myself back to 108 pre dinner. (Those protein shakes are tricky apparently.)

I did my Sunday baking to plan for my breakfasts this week. I made these and followed the given nutrition facts as stated. 27 grams of carbs for one. But I split it with the hubs and I was probably still floating around from dinner and eating some of the batter, so I gave for 15 grams of carbs.

About 20 minutes later, I was 59 mg/dl. Hello juice box… we meet again. Oh and here is the headache… shakes… urge to eat everything in the fridge even though you are full. Yeah, this isn’t fun anymore.

So I’m not really sure what to do. I know I need to do my overnight basal testing, which should help stop the 1 am lows, in theory. However, I can complete the test if I’m dropping low by 8 pm. (Which makes me think it’s still a bolus problem.) Or maybe I’m just calculating too much. Maybe that latte didn’t have 14 grams of carbs. (Even though, it says it does…)

In my best effort to eat better and cut out as many carbs as humanly possible to alleviate my postprandial spikes, I seem to be doing myself an even greater disservice. Therefore I am doubting all of my efforts once again.

I don’t even want to think about what food aversions I’ll have while pregnant and the lack of control I’ll experience. With my luck, I’ll probably have to give up the juice.

Happy Black Friday

Here is a great example of what Black Friday looks like in the US.

No seriously… most stores and malls opened at midnight last night. But I thought it would be a good time to sleep instead. Or at least I tried. Since I was up around that time, I thought, well, why am I not shopping right now? Oh well, right, I want sleep.

Our Thanksgiving plans were altered slightly. Well, maybe more than slightly. The hubs woke up with an epic cold and we were slated to sit in a car for 2+ hours to visit my family. Since I have an ailing grandfather, we both figured it’d be a horrible idea to spread the cold to everyone in my family. Plus – the hubs just felt miserable. And I’d have to do all the driving. No thank you.

We had two options. Some of my good friends host an “orphan Thanksgiving” every year for those in the swing community that can’t afford to travel or don’t want to travel to their respective families. And then my brother-in-law and his wife were also hosting a mini Thanksgiving at their apartment. After some phone calls, it turns out I’m heading to two Thanksgiving dinners. One at 3 and one at sometime after 5 pm.

So here comes the ultimate game of pacing yourself so you don’t overeat and overdose on insulin. Since I was hungry at 3 and could stand to eat, I did. But chose my weapons wisely. And bless my friends for having a diabetic friendly meal prepped. I brought all my Splenda/Low Carb desserts to enjoy and carb count. They offered sweet potatoes that were boiled; not mashed, marshmallowed, and brown sugared, thank goodness. Plain steamed green beans with onions, rather than in a high carb/fat casserole. Dinner rolls with carb info. Just a couple things on the appetizer table. The biggest offender on my pump was a slice of jalapeño cheesy cornbread that everyone fought over. Yum!

Oh. And wine. Lots and lots of wine. I had to drive, so I mostly just watched everyone down glasses while I nursed my one and half. With some water.

On to the next party…

I started that part of the evening at 210 mg/dl. Which is crazy. That never happens. My average Thanksgiving blood sugar is 250 or higher. So for being 2 hours after I ate and that’s as high as I recorded, I was pretty stoked. (Though, I have no idea what my pre-dinner sugar was because… well… oops.)

I didn’t partake in second dinner, with the exception of dessert at the end. The hubs hadn’t eaten yet, so this was his meal after napping for most of the day. This dinner was quite different. Sweet potatoes with brown sugar and marshmallows. Green beans and bacon. Mashed potatoes. Mostly the stuff from my hubs and his brother’s childhood. And while delish… way hard to carb count. So I refrained, stating that I already had dinner, but would take some leftovers home. And then enjoyed a slice of homemade pumpkin pie.

Which I grossly overestimated.

I read somewhere that a good size piece of pumpkin pie is 37 grams of carbs. This was a good size piece, but maybe not a store bought size piece. I also over corrected to bring down my sugars floating at around 160 at this point and had been for the last couple hours.

By midnight, I’m 54 mg/dl. In an effort to not mess with my morning sugars too much, I only have juice and try to go to bed. 15 minutes pass and I still can’t shake the low feeling. Check again and I’m 46. Another round of OJ and some crackers and PB because obviously something isn’t sticking. I’m browsing Facebook to keep my mind occupied while my sugars hopefully come up. 15 minutes pass again and I’m at 96. Thank goodness. Bolus to cover the midnight snack. Briefly consider changing to go shop with the crazies. Decide against it and head to sleep.

Wake up at 9:00 am with a 101 blood sugar. How the hell did that happen? No idea. Let’s go shopping!

Sometime Around Midnight

So the latest issue? I head to bed between 10 and 11 pm each night, thus making my evening snack time around 9:30 pm or so. My snacks vary, but generally include some sort of protein source (per what I’ve been reading, is necessary), and less than 15 grams of carbs. (Or if it’s my fancy pants greek yogurt, under 20.) And I give my bolus for the snack and head to bed a short time later.

For the last week, I’ve been waking up between 12 and 1 am in a cold sweat with my heartbeat thudding in my ears. The ol’ meter has recorded sugars starting at about 56 and, last night, hit 34. And then I treat the low enthusiastically (read: I raid the fridge), thus making my morning sugar 250+. (Today was 313…) Even though I generally do a good job of surveying the damage after my midnight snacking and bolus for the extra carbs. But – that’ll only counterbalance the food… not the pending re-bound.

I have no idea why this is happening now. (Or, scary – it’s happening nightly and I’m only more aware of it now.) I generally eat the same dang thing for snacks because I’ve pretty much sworn off ever eating ice cream in my house ever again. Usually it’s greek yogurt of some variety, or a graham cracker with PB, almonds (my new “favorite snack”), or something else. Cheese or whatnot. Anyway. And I have been bolusing for the full carb amounts just because that’s what you’d think you are supposed to do, right?

I see my new CDE (Certified Diabetes Educator) right before Thanksgiving. I’m wondering if this week is kind of an anomaly or if my boluses at bedtime are too damn high. (I am still on a 1:4 ratio until about midnight.)  So I made a new ratio of 1:6 from 8:30 pm on to midnight.

My old endo used to blame it on my basal rates, but never really moved forward with fixing it. (And honestly, I never really sent her the results.) But my basals actually are really small at that time of night. But a 1:4 carb ratio is HUGE when you are only consuming a small amount of fast acting carbs. No? (Obviously I’ll ask my CDE this question later; not expecting anyone here to.)

So we’ll see how this goes. Of course, today is date night with the hubs and we’re going to sushi. Which… is not ideal for the pump, but my favorite type of meal. (And will be the first thing to get nixed next year.) Might as well enjoy it while I can.