
I think this is the highest blood sugar I’ve ever had, or at least since I could see my blood sugars. I sent this to a fellow type 1 friend in an email with the heading: ‘Don’t ask!?’ She wrote back: ‘I’m asking!!! Something you ate for breakfast?, sugar got in your coffee, bad news/stress…. Detectives at work!
Of course I’d already put on my detective hat and wrote back: ‘Could be any or all of those. I think the sensor was correct. I don’t know if my Fiasp (short acting) or Toujeo had spoiled as both were expired. Or, I didn’t cover breakfast correctly because I was at my friend’s house in NJ and she made oat muffins which I don’t ordinarily eat. Or maybe the heat tampered with my insulins or BS. Or I injected through scar tissue. Or…or…or…
Because when I realized how my insulin(s) wasn’t covering my breakfast, I was in the car with friends just starting out on our two hour drive from visiting a friend in New Jersey, back to Brooklyn. We made one stop before getting on the highway; we stopped at a supermarket. You know city girls just wanna walk up and down the aisles of a real supermarket. So while my friends shopped I walked up and down every aisle and around the property outside knowing exercise now was the only way to stop my blood sugar from rising and hopefully get it down.
And it did start to come down, from this high of 263 to 219, but then we got back in the car and it started going up again. By this point I’d likely taken 7 units of Fiasco in 1 or 1.5 unit shots and I was bouncing my feet up and down in the car to keep so blood sugar lowering motion going. Finally I chanced one more unit when I was 175 and half way home. Finally that knocked it down to 110 by time we crossed over to Brooklyn.
I dumped the Toujeo and started a new one this morning. I watched my blood sugar all evening and the next morning and all seemed fine.
So what did this detective and my friend come up with. We figured the most likely scenario was seriously undershooting for the oat muffin. But truly who knows?! As the song goes, ‘Mama said there’d be days like this, there’d be days like this mama said.’ Luckily we now have the tools, my CGM, to watch what’s happening in real time, and the knowledge to run small experiments like taking 1 unit and seeing what happens. Luckily too, while I was somewhat distressed not to be close to home and able to just grab a fresh bottle of insulin, I was grateful I wasn’t alone.
