Having diabetes has been a whole lot of math. Friends sometimes ask me to explain how I figure out how much insulin to give myself at any point in time. After I show them my insulin ratio and correction scale (typed out in a chart and taped to a notecard) they stop wanting me to explain it. It wasn’t always so complicated, but no one can quite seem to figure me out.
One of the problems is the dawn effect. In the early hours of the morning, between 4am and 6am, my liver decides to make glucose. It sends it out to my body and my blood sugar goes up. I don’t regularly wake up in the middle of the night, check my blood sugar and dose appropriately…so I end up around 250 when I wake up.
When I was diagnosed I was giving myself 10 units of Levemir (long acting insulin) in the morning and at night. I’m now at 22 units in the morning, and 26 at night. Yikes. I also started at 1 unit of Novolog (fast acting) for every 15 grams of carbohydrate. I’m now at 1:3 in the morning, 1:4 in the afternoon, 1:5 in the evening, and 1:7.5 at night. My correction scale is also not linear (out of control).
I’ve had 3-4 constant glucose monitoring tests but the hardware never worked right. Maybe it did, but my blood sugars were so messed up they couldn’t make sense of it. Who knows. I didn’t have any tests done in the ‘burgh. They weren’t very fun tests, but I’m good at tests so I’ll take as many more of them as I need to.
I’m gonna turn in my insurance enrollment information at the beginning of next week. GET THE BALL ROLLIN’!