April 20, 2022
Yesterday morning started as is common, with my BG levels rising after I woke, and then having breakfast. My standard fare is nuts and yogurt. With three units of fast acting, the levels dropped back to the 90’s-100’s, before climbing slowly again. Lunch was low-carb, so it didn’t disrupt my BG trajectory in any significant way.
Dinner was also low carb, but I ate a lot of broccoli, so even though that is relatively low-carb, the sheer quantity of it started to take my levels higher. I overestimated how many carbs I had eaten, so when I decided to bolus, I over reacted and used four and a half units. (I know that isn’t many units in the grand scheme of things, but for me, it has a strong effect.)
As you can see, the levels started to drop quickly, and within an hour and a half, I was headed into a zone that is too low. So then snacked on a sliver of bunt cake that someone had left on the counter in the kitchen. I had a bite or two of something else as well.
Now I could see that my levels were starting to shoot higher again just as I was hoping to go to sleep.
That is always the challenge with BG control at the end of the day. It is never completely clear what will happen in the night because my natural insulin production varies from day to day.
In the end, I opted to bolus just one unit of fast acting insulin so that I didn’t cause another crash, add five units of long-acting to get me through the night, and a decent dose of hope that it would all balance out in the end. As it turns out, it was a good bet. The curve started to turn down, but didn’t plunge. The long acting then allowed that trajectory to continue throughout the night to a soft landing by morning. I woke in the high 70’s.
All’s well that ends well.