I just did my first Morning basal test – ever – in all my years of MDI (multiple dosage injections) and insulin pump control for my Type 1 diabetes. I’d only ever done an Overnight basal test when I kept on experiencing hypos (low blood sugar) readings) during my beauty sleep and waking up bright eyed and bushy tailed (NOT). Also, as a few experts point out – when trying to get a better grip on your basal regime – it’s always best to tackle the overnight one first. THUMP!! – gold BLUE star to my forehead!
Why did I perform a Morning basal test? Well, I’ve been starting to have more frequent lows a few hours after waking up – with or without a breakfast – or doing activity (remember – I’m trying to shed some weight here for heart protection). It’s gotten to the point the last few months that my day is RULED by how my blood sugar (BG) is doing. Often I’ll have tested prior to going out (remember – always to test your BG before hitting the open road) – and then within a few hours – I’m dropping like a brick. I used to think it was maybe due to stress of shopping (yes – most women like shopping – I detest it immensely – though if it involves hardware / auto or other manly diversions – then bring it on – I’m in).
Yesterday, when I was out getting weekly shopping done – I had to make a bee line back home before finishing off the tasks at hand. I find this EXTREMELY annoying – and at that point – I really REALLY hate diabetes – and how it can take over our lives. Planning to do something – takes back seat to the blood sugar fairy – and at that point – I feel like I’m ready for a straight jacket – since I don’t like feeling out of control.
So, the results of my basal test this morning? My BG’s went down 1.7 mmol/l (31 mg/dl). Not a great drop – but still – it dropped at the same time it seems to do – even after I’ve eaten a healthy breakfast – taken the correct insulin to the carbs I’m eating (that’s another test I have never done – and want to do after all the basal testing is done). I’m learning with age (ahhh wisdom of the Old Type 1 Fart like myself) – that you never can say you’re a pro at anything (just like I can say about sailing, and other hobbies I do – I’m constantly learning new tricks of the trade). I now know that I’m VERY insulin sensitive as I’ve gotten older (as a teen I was using up to 100 units a day of insulin – though that was after I almost snuffed myself with being out of control for a year and ending up in DKA coma – live and learn I say – and luckily for me – I survived).
Tomorrow, as suggested by Gary Scheiner from his 2nd edition book entitled ‘Think Like a Pancreas’ – redo the basal test the next day if possible – using the reduced basal settings . Along with the “bible” of ‘Pumping Insulin by John Walsh and Ruth Roberts‘(now in its 5th edition) – these are my CDE’s that I’ve always used to teach me how to use my insulin over the last 10 years. With no help from my medical team in this area – I am lucky I can wing it on my own – of course – with much appreciated feedback from the D-OC (diabetes online community). The world becomes a smaller place with all the help that you can find from other diabetic buddies around the world!
I’ll tell you – that double espresso along with toast and lemon marmalade and some cottage cheese at 12h30 never tasted soooooo good!! Mmm, it’s now 14h12 – I’m now craving another espresso – time to go test my BG’s ...