Living with Diabetes and Lapband

Summing up

It got busy. Maggie classes came back to back.

The good news is that an hour after lunch I was at 165 and I stayed in that range most of the day.

Maggie did Q in Novice JWW.

All in all I don't think I ate any more than normal and the blood suar was better. I think I up my afternoon basal starting at 10:00

Second run

This is the fun part. I'm at 249 after the second run. I ran hard but we made a mistake in the middle. Very out of breath at the end.

I really need to eat but not sure I should.

Second Walk thu

After my second walk thru blood sugar is 108 so I ate some sugar. the world can laugh at me because I don't have the carb counts in my Treo for most of what I brought. I can look them up in the internet but didn't want to take the time to find them.

Next break I'll do that.

Morning Day 1

Things are going well. My bloodsugar was 129 after breakfast. I'd done one good walk thru before testing my blood sugar.

I did 36 carbs for breakfast, bolused for 18 and did 20 units of Symlin.

Night 1

I woke up about 1:30 with sympthoms of hypoglycemia. Not bad though. Tested and was at 108, so I ate a serving of sugar and bolused for the carbs and went back to sleep.

I figure the end result proves I did things right, because I woke up with a blood sugar of 108, which is a good morning blood sugar for me.

Here's the difference between the two events -- the earlier 108 was a crash, where I was on my way to a lower blood sugar, while this 108 is a stable one. It's hard to explain if you haven't been through it, but a stable blood sugar feels very different from a dropping blood sugar.

I've also read some studies where there is a definate lag time between brain blood sugar and fingerstick blood sugar.

Not only does this tell me that my bolus rate is set right for that time of day, but it also tells me that my nighttime basal rates are pretty on the money. I haven't touched them.

I go to .80 at midnight
Then 1.05 at 4:00 am to counteract dawn phenomenon.

One of my biggest debates with myself, is when do I want the higher agility rate to kick in -- remember that we're always working 2 hours ahead -- meaning if I want a higher basal rate at 8:00 am, I need to make the change at 6:00 am. So that's what I've done. I go to 1.45 at 6:00 am