Some may see the following as TMI (too much information). If so, I apologize. But, I thought that some might gain something from my experience. Part of this is a rant on what I see is the ill advised high carb clear liquid diet and prep for diabetics, especially those on MDI. I was not particularly as insulin sensitive as usual, perhaps that was from not taking Metformin, or maybe from a bit of stress thinking about it. Here’s my story.
This morning I had my 1st colonoscopy since graduating to MDI as a type 2 DM. In the past I had no problems with managing good BG levels. Not so good yesterday. My time in range has been perfect for nearly 180 days. No real highs with the odd, barely lows at night (63-65mg/dl).
Breakfast consisted of 1 cup apple cider, 1/2 cut Jello, 1 cup Gingerale and chicken boullion for a total of 94 grams carbohydrates. I reduced basal by 40% and bolused 6u which should’ve been enough. 20 minutes and BG spiked to 161. I started pedalling on my DeskCycle., BG peaked 25 minutes later at 232mg/dl. After 70 minutes of spinning BG dropped to 155mg/dl and continued to drop to 77mg/dl by lunch.
8.3oz of Miralax was to be mixed with a half gallon of regular Gaterade. That would be 100g of carbs. I decided instead to do half no sugar and half regular for a total of 50g. I had to drink 8oz every 15 minutes. I bolused 3u, by the 3rd cocktail BG started spiking hard. I got back on the pedals, getting off only to drink more and a quick trip to the toilet. 63 minutes, peaked at 172mg/dl. At bedtime, dropped to 103, ate 8 grams of glucose, and went to sleep, woke up with 103mg/dl.
I was thankful for a nice gentle DP and FOTF. Was at 130mg/dl when the procedure started and 129mg/dl at the end.
Everything good but, one polyp removed, waiting on the biopsy.