The morning high-low

DSC02260-1.jpgUp until about a month ago I had big problem controlling my post-breakfast and pre-lunch blood glucose. I would take 18 units of Levemir and 6 units of Novolog, wait 15 minutes, and then eat breakfast. Breakfast for me is a rotation of whole wheat toast, egg beaters, Morning Star meatless breakfast patty, steel cut oats, or Scottish oatmeal.

None of my portion sizes exceeded 60g of carbohydrate but my post-breakfast 2 hour BG would almost always be high; between 160 and 200 mg/dL. My pre-lunch BG would almost always be too low; between 60 and 70. I discussed this with my endocrinologist on my last trip ( I was being fitted with a trial Dexcom unit ) I mentioned this ti him. After “yelling” at me about the hypoglycemia, he recommended splitting my Levemir dosage into two; 8 in the morning and 10 in the evening.

I tried that for a week and my pre-lunch BG was much better ( between 80 and 90 ) but my post-break 2 hour BG was still high. I returned to the endocrinologist at the end of a week ( the length of time the Dexcom sensor was good for ) and we tweaked things further. He suggested waiting a full 30 minutes after taking the Novolog before eating. Within a few days my post-breakfast BG was within the 120-150 range and my pre-lunch BG was still within the 80-90 range. Success!! By carefully controlling the amount and timing of my insulin dosing I have achieved good BG control. My estimated A1c is 5.4 but I will wait for a doctor visit and test to confirm.

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Know your A1c from your BG reading.

Result of Jenny's BG to A1c converter.

Fellow blogger and person with diabetes, Jenny, has developed a web widget that converts average blood glucose reading to A1Cc. Go check it out now.

I had some spare time this morning and turned my A1c/Avg converter into a widget you can put on your own blog or web pages. It will convert A1c to average blood sugar and vice versa using either mg/dl or mmol/L. You can also use it to convert mmol/L and mg/dl back and forth. Enter one measurement, and the converter will fill in the others.

(Via -Diabetes Update: New Widget Converts A1c/Glucose/mg/dl/mmol/L.)

I am Khurt of Borg

DSC02202.JPGShe called me in from the waiting room. We entered the exam room and we sat down. She started explaining how to use the device, a Dexcom 7 continuous glucose meter (CGMS). She explained that it consisted of three parts, a sensor, a transmitter and a receiver. The sensor would be embedded just under my skin, the transmitter would send readings every minute to the receiver which I had to keep within 5 feet of my body. Easy enough.

She walked me through calibrating the Dexcom ( two sequential meter readings uploaded to the Dexcom from a OneTouch Ultra ) and reminded to make one meter reading every 12 hours to keep the 7 updated. She then handed me some sheets of paper for keeping a food and insulin dosage log. She also wrote down her phone number. “Call me if you have any questions or issues”.

She then showed me how to insert the sensor ( on my belly ) and snap in the sensor. Quite painless I must say.

I left. The first day was a little frustrating. The 7 kept telling me I had a low ( below 70 ) but my meter ( if in doubt test ) said I was over 100. Hmm … three more finger pricks later and I had the 7 in tune with reality. Or so I thought.

I are lunch and fully expected that two hours later my BG would be about 120. Nope. The 7 says I am 256. The meter says 134. Sigh! Recalibrate again. I finish up my work day and head home for dinner.

My wife and kids want to see the “alien” on papa. “Does it hurt”, asks my 7 year old. She’s so cute.

Around 10 PM the 7 buzzes and displays a blood droplet icon. Time to calibrate. One more finger prick ( that’s over 10 today ) and I am off to dreamland. Er … ahh .. not quite… the 7 wakes me up around 2 PM. “LOW!”. I test, curse at the frackin device, and go back to bed.

Day two and three were similar although there was much less testing. About 4 per day.

So what’s the frackin point again!!

Yesterday, my endo and I looked at the numbers from my FreeStyle Flash. He plots a graph. “This look good”. My average BG is 104.

Do I really need to join the collective.

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