Okay, so I have a few things I need to confess because it seems like everyone out here on this site is fantastically awesome at their blood glucose 99% of the time and to be honest, frankly, I am NOT.
I eat what I want when I want. I generally try to be reasonable and I rarely fit in over 200g of carbs a day. But you name it, I eat it with very few exceptions. When I was first diagnosed, I tried to do everything the "right way" but now I am burnt out and since I have gotten my pump and started going to an Endo, she even said herself I need to relax and try eating different things.
So, here goes nothing... I eat pizza... I mean a lot of pizza. And sometimes I try to be healthy about it and limit myself to 2 pieces but there are days when I just say "fudge it" and I eat half a pizza. I sometimes try to make homemade pizza. I eat spaghetti at least twice a month. I eat mexican food. I eat out at least 3 times a week... almost have to with my job. And as I said I try to make healthy choices but it doesn't always work out... after busting my behind ALL day and I'm tired and I'm cranky and I still have 12 hours left of a 24 hours shift... I give up and I eat the cheeseburger.
I still do not nor have I eaten McDonalds, potato chips, fruit juice, or pop. I try to not eat brownies, candy, cookies etc. I have recently tried eating 1 ice cream a day because at least that's dairy and it makes me feel like I got to eat something "fun".
I think a big part of my problem is there are SO few food I actually like to eat. Even before I was dx with diabetes, I had suffered from malnutrition multiple times from my picky eating habits. I don't eat pork, beans, nuts, most dark green veggies, potatoes (no lose there!), and I rarely eat chicken or beef (unless its in spaghetti sauce). That leaves me with Turkey, cheese and yogurt for protein.
I know the long term consequences. I work in the medical field and I see and treat people day in and day out suffering from complications of diabetes. I am terrified of ending up like them, and yet I am also unable to get the motivation to just eat better. By the time I get ready to eat, I am so hungry and so tired and so ready to just eat something I just tell myself, it's only one meal.
My A1C was 6.2 which isn't bad at all. My blood sugars are generally okay at night and with the exception of post lunch this past week, my postprandial readings are below 145. I am finding that I use a bit more insulin than the previous few months, and that bothers me...
So, my Basal/Bolus ratio is about
and 6-10u bolus a day (moving more and more towards 10)
Is it okay to eat carbs like this if I am able to keep my blood glucose under control? Does having the Basal/Bolus ratio so different really matter in the grand scheme of things? I'm not gaining weight from the extra insulin. I am very active. I run and play soccer A LOT.