I hope so, too. I know I had a terrible time trying to deal with the reactions I was having to Humalog (not site issues, but some sort of allergy). It didn’t help my transition to a pump much… Thankfully, for me, changing insulins helped with that. Good luck @Jen
Just had to share this! I know that we strive for what we’re calling “flatlines” to maxmize our Time-in-Range and, hopefully, minimize our long-term risks; however, there’s one other benefit that is important: Peace of Mind – and thru that, improve our quality of life with this condition.
Why the colorful into? Last night, I headed for bed very tired and already sleepy. As I sat on my bed, I checked the Dexcom. It said: 73. Nice number at times, but before bed?? The last thing I wanted to do at that moment was head back downstairs for a snack (which would delay my hitting the sack AND wake me up more!) – so…
… I went to bed – confident that my overnight BG would be safe. Here’s the result:
Morning BG: *71 – No hypos! 
I think that’s why we do this!
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I think overnight lines between 70-100 mg/dl are the best. You obviously did the right thing when you didn’t eat the bedtime snack. I suspect medical counsel would have been 100% the opposite direction. But you are the expert for you and you made the right call. Nice!
A tale of two strategies?
I always like to do a finger-stick before bed. Last night I was @ 156 @ 10:26PM, and the Dex-Dots (copyright claim!) were slightly trending downward. I had been trending in the 150 - 170 range from a post work low rebound and through dinner. I elected to do a minor correction of 0.7U.
I woke up @ 12:53AM and saw that I was trending pretty straightline in the 81 - 83 range. The ride down had been pretty smooth. Almost exactly two hours later I woke up and saw my Dex reading 68 and the Dex-Dots (not the arrow) was trending down. My first half-asleep reaction was to take 3 glucose tablets, but then I woke a bit more (only a quarter asleep, lol!) and decided to test - 78mg/dl, and re-test on the same finger, different hand, 79 mg/dl. Okay, what to do?
I elected to set a TBR of 80% for until 7:30AM. As I made my way back to bed, I checked the Dex for about the 10th time and it had me at 73 with the Dex-Dots trending up a bit, so as I sat down on the bed, I re-set the TBR to 90%, plus I turned off the low alarm on the Dex.
I woke at 7:32 with a finger-stick of 99, but the Dex-Dots were trending up pretty solidly and soon the arrow angled up. So I carried the 90% TBR maybe a bit too long, but I was pretty satisfied overall.
Really good management of that situation! Where I run into trouble is when I’m settling down from a post-dinner spike - especially if the spike was on the higher side (for me). Working on a strategy for that, but haven’t yet figured it out.
Nice readjustment going from a temp basal rate of 80% to 90%. Your best move was waking up enough to let your brain get involved.
Exactly! That curve just looks awesome - what a great way to start a day!
Very nice work! By the way, the 68 reading could have been a slight ‘pressure’ dip, perhaps? These can produce annoying erroneous alarms at night.
Yes, drink a juice box and end up at 273! LOL…
Great work @Thas and @YogaO! I always calibrate before bed, as the Enlites have a 12 hour cycle so when I calibrate when I get home from work c. 4:30, I don’t want another one to wake me up 12 hours later!!
lower[quote=“Dragan1, post:374, topic:22716”]
the 68 reading could have been a slight ‘pressure’ dip, perhaps?
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Maybe, but I typically (but not always) find my CGM reading to be lower than my finger-stick anytime of the day. When I first got my CGM, I had the low alarm set @ 70, then I went to 65, now I use 60, but I frequently turn it off @ night to avoid those annoying alarms. If the default low alarm fires @ 55, then I can be pretty sure I am at least below 70.
Every day is better and better for me!
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Wow, that Dex screenshot looks absolutely phenomenal @Jen, awesome work! Very glad to see you’ve successfully resolved the site/set issues.
Ha ha, I chopped out the bit earlier in the late afternoon where I decided to have a bunch of corn chips and spiked! But yes, I am very happy! I hope I can use this Flovent method long-term without damaging my skin or anything. I’ll ask my endocrinologist about it in January.
Jen, looks like the Flowvent is a breakthrough for you. I hope it works out longterm. Nice line!
Interestingly, I didn’t pre-bolus for anything yesterday and spiked to 10-14 after every meal, but came down after a few hours. I think pre-bolusing is crucial to me getting my A1c to 6.0 - 6.2, even with eating foods that are lower on the glycemic index.
And, yes, I hope Flovent works out long-term!
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This maybe should be a new thread, but (a) this one’s been quiet lately and (b) there have been so many new threads lately…
Uploaded my Dx data and looked at a 30-day comparison. The last 30 days contained two high-carb (and not so good results) holidays (Thanksgiving and Chanukah). The previous 30 days were “normal” - no special occasions, etc., albeit with my usual weekend spikes. Here’s what I see:
What I find interesting about this comparison is how nearly exactly similar the average lines are – except for those high after-dinner spikes… I think this gives me some sort of information as to how to work on the solution (other than “avoid holidays!”
), but I’m not quite sure… At least the “normal period” graph is nice…
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Nice results @Thas!
I like to give myself a little slack this time of year, well okay, I give myself slack throughout the year, but what I’m trying to say is holidays present extraordinary challenges, and I use all the tools available to minimize “excursions” - knowing that they will happpen.
Nice comparison graphs, @Thas. I think the important thing with holiday periods, vacations, or any other eating occasion is to enjoy the treats but guard against any lingering habit. In other words, the second graph is fine, your’e human. But, if 30 days from now your graph is more like the second than the first, then you need to really take action.
I prefer the 14-day graph for specific targeting. It looks like all you really need to do to get back on track is to concentrate on your dinner period. By the way, did your total daily dose (TDD) of insulin go up? That’s usually the case for me when I allow myself some treat eating. For me, the TDD of insulin is a confirming statistic that tells me to either back off on the carbs or weight gain is sure to follow.
Overall, your BG performance is stellar.
For those holiday days, yes, my TDD was as much as 50% higher, so the average would also be higher. Problem for me with both those “holiday weeks” were that I had events Wedneday thru Sunday midday each time, so the “bleeding” was over several days. After the holidays, though this week, after all that was done, my TDD has been pretty much normal again.
Nice results @Thas! I find the consistency in your average lines pretty remarkable. For comparison, here are my 2 months - I do not see such similarities in the average lines, which is a reflection of my somewhat chaotic daily schedules. As a result, my 30-day lines look ‘good,’ but this is deceptive - averaging just smooths out my spikes, which happen at various times during a day. The hectic schedule also makes it more difficult to identify any patterns - I need to work on that.
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