Most days being a diabetic really doesn’t bother me, but occassionally it drives me crazy, especially when despite my best effforts I have a day of really wacky blood sugar swings.
Today has been one of those days. My bloodsugar has ranged from 2.2 – 24..1mmol(39-443mg/dl).
I woke at 4.30am with my typical night time hypo symptoms (excessively warm, clammy and dots swimming before my eyes). I tested and was 7.2, I figured that maybe I had something on my fingers, it being night time I couldn’t be bothered to get up and wash my hands so drank a small amount of lucozade. That worked out as a good plan as when I got up at 7.30am I washed my hands and tested and was 3.8.
I always find it difficult to bolus correctly if my bloodsugar is on the low side before a meal. I usually end up over bolusing and going hypo within half an hour of eating. I had worrk this morning and was walking there so I played on the side of caution…too much caution I guess…a few hours later I was in range at 7.2 but by lunch time had risen to 10.7.
I ate my lunch and administered my insulin ( 1u correction + 6 units to cover the carbohydrates I had eaten) Two hours later I tested and was 7.8, a little higher than I like to see but not too bad considering it was post meal.
Well 45mins later my sugars had dropped to 2.8. I had my usual 15 grams of fast release carbs and 15 grams of more complex carbs. Expecting this to raise my bloodsugar I sat down to read for a while. 15 mins later feeling even more wobbly I tested again and was dismayed to see that it had fallen further to 2.2, so I took action this time with 10g fast acting carbs and 7g complex carbs. Twenty minutes later I still felt hypo so retested and was 3.1. On the rise but not enough, so I repeated with 10g fast acting carbs and 7g complex carbs. To my relief on testing half an hour later my bloodsugar had risen to 7.3. After all that I felt exhausted so slept for 20 mins. I usually come out of a hypo really quickly and just get on with my day. This one lasted about an hour before I could get my bloodsugar to rise, that kind of hypo really takes it out of me and I usally suffer a big rebound swing later on.
Half an hour on and I began to get a headache, it was almost time for dinner so I checked my levels again and was really disappointed to see that it had risen to 15.5. I took a correction dose of insulin (3u). I covered my dinner with 5u.
After dinner I went out with Ben and James (father in-law) to Cragg Vale Christmas Panto :o) However I began to feel increasingly lethargic, my headache by this point was pounding, my thirst increasing and by half time I was desperate to pee. I tested my bloodsugar yet again and was extremely frustrated to see that it was 24.1. I took 3u correction dose, went to the loo and got a drink of water. By the end of the panto my thirst was raging again but my bloodsugar had fallen a bit to 16.0.
Three hours after taking a correction dose I have just taken another 3u as my bloodsugar is 16.9. I hate taking correction doses so close to bed time as I tend to drop quite a bit overnight anyway, but equally I don’t want to spend all night was with a blood sugar level that high! Readings this high make me feel so unwell, it also makes me think back to when I was in the grips of Diabulimia and the insanity of it all. For so long my bloodsugars were even higher than that, I rarely tested at all and when I did if I got a reading on my meter that was below HI (33.3) I would deliberately eat something sugary and omit insulin to make it rise even further. If I didn’t feel lethargic or desperately thirsty I would panic that my sugars weren’t high enough. I’m so glad that now seeing a high reading on my number makes me take corrective action and my perception of what is high has changed so much. A couple of years ago anything under 20mmol wasn’t high. Now if my sugars rise above 7.9 I consider it too high for my liking, I aim to keep it between 4-7 as much as possible.
Anyway I am off to test again and hope that it has fallen some more before I go to bed. It’s frustrating not getting the numbers that I aim for and not knowing why. I haven’t done anything different today, I haven’t eaten any foods that I don’t usually eat etc. I guess I just have to think of it as one of those things that happens that is part of having diabetes. It is such a balancing act, trying to do manually what other people’s bodies do automatically. And as experienced as I am with my diabetes and as much care as I take there are always going to be things that throw me unexpectedly and things beyond explaination that do crazy things to my bloodsugar levels. I just have to hope that tomorrow will be a more stable day and that my efforts to maintain good control will pay off.