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Swing Low, sweet chariot

Since my endocrinologist put me back on Novolog I have been exercising very tight control of my blood glucose. My goal was a pre meal value of under 100 and a two hour post meal "high" or 150. So far I had not experience any real lows and since I no longer get the sweats and shakes I test often. It had to happen sooner or later. I had a scary low.

I had hot flashes followed by rapid heart beat. I recognized the symptoms immediately and fetched my meter from the kitchen cupboard. My hand shook as I pricked my finger and squeezed a drop of blood onto the test strip. 63. Well...not too low. I called out to my wife and she got me a glass of orange juice. Within 15 minutes I was back to my old self. Shaken, not stirred.

Not sure what caused this one. Maybe too much Novolog. I had only three (3) units to go with the 46g of carb I had for dinner just a half hour before. I had mashed potatotos, Birds Eye Asian mixed vegetables, a grilled steak ( I fired up the grill just for that ) and some texas toast.

The Calorie King Exercise and Nutrition Manager shows that I had 48g or carbohydrate ( before the orange juice and BD Glucose tablet ). What caused a low so quickly after a meal? I am not sure, perhaps the fat (29g) in the meal slowed down the absorption of the carbohydrates or perhaps...who the hell knows. I hate this shit of not knowing what the heck is going to happen.

UPDATE: Checked my BG on two different meters around 8:15 PM. BG is 63 on both. WTF? So what's going on here? These meters must be failing.

UPDATE: Check BG again on different meter at 8:45. 85. It's climbing! Yeah. Now let's wait and see what happens at 10 PM.

UPDATE: 10 PM: BG is 116.

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  • Bernard Farrell
    21st May 2007 at 3:58 PM

    If the fat gram count you have is right, that would definitely slow down absorption of the carbs.

    With my pump I'd dispense a dual wave bolus. Some insulin immediately and some over an extended period of time.

    With a pen, I guess you'd need to give some before eating and hold back 45 minutes or so to give some more.

    That's a nice screen short. Is that the output from Calorie King? Maybe I need to get that software.

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