I don’t have to bolus for meals anymore.
I’ve been shoveling out after the most recent large snow fall.
Its a pretty herculean effort.
Sometimes a half hour of shoveling is OK, but an hour of shoveling is NEVER OK.
Yesterday I shoveled for 25 min and I had a plan. But by the time I got back into the house and started heating a huge bowl of cheese tortellini, my brain was starting to send me strange low bg thoughts.
I’m certain I ate 60g of tortellini, 4 kiwis, and 40g of unknown Mexican candy. I had Breaking Bad playing on Netflix in the background and for a while I thought the Mexican candy was laced with drugs and was causing me to hallucinate, for a spell. I ended up going high because the 40g of Mexican candy was super high sugar and not part of the original plan. I simply wasn’t thinking straight.
I have a week’s worth of detailed BG records. The data is problematic. I’m just in one of those ‘bad phases.’
Frequently, anaerobic exercise sends me high. That’s clearly not what is happening this season, but that’s why I run tests at the start of the season.
The basals are flatline, absent any eating or exercise events.
Strategy #1.) If I eat 2 pieces of toast, and dose and extraordinary amount of bolus, I hit 400 post meal, but then return to normal within 2 hours. So, eating is making me kinda sick.
I had intended to increase the basals to an untoward level in order to shake those postprandial peaks, and just deal with low blood sugar fallout by snacking throughout the day.
But, this unusual exercise pattern makes me nervous about implementing strategy #1. I’m worried that I won’t be able to do any amount of shoveling if I increase the basals. Plus, I’m starting a new job soon and don’t want to set myself up for failure. Lower risk is better.
I’m gonna run some pre-bolus tests and see if that helps. But it feels like if I do a really large pre-bolus, a lot of it is kicking in around 4 hours later. I might require a 4-hour prebolus. It’s acting like correction, which makes me think my basals need increase. But the basals appear flatline. If I needed to increase the basal, then I don’t think I would be getting these extreme low BG’s from shoveling…unless I’m just out of shape and this pattern will go away. I see these significant low BGs associated w/ exercise when I’m out of shape sometimes.
Here’s one that came out on the money:
As long as I combine some shoveling with the morning meal, and bolus heavy, it works. As long as I combine some shoveling with an evening meal, and don’t take a meal bolus, the data works.
There’s nothing practical about this strategy.