Well, this morning turned out ok. Could have been a lot worse. I woke up with a horrific headache, but at the time still felt hungry for breakfast. I was 80 so I took my normal 7 units of insulin and then went ahead with prepping the English muffin*. I like to give the insulin a good 5-10 minute head start. Well, by the time I sat down a wave of nausea came over me and the food suddenly looked disgusting and I was like, “oh shit”. This is what we call ourselves a little conundrum. I started by drinking a huge glass of OJ, (which actually has more carbs than the English muffin) and I waited and watched my DexCom for about 60 minutes (fast-acting insulin peaks between 60-90 minutes). Around that time I had to drink another small OJ and about 30 more minutes later, two glucose tabs. Shortly after I was holding steady at 135 and it had been about 4 hours since the insulin (fast-acting insulin is pretty much out of your system after 4 hours), so I finally started to relax. Just sucks when you feel sick like that, but you've already taken insulin so you have to force feed yourself.
Wow, that's a lot of OJ to form an "equivalent" to an english muffin! Generally, if I'm under 100 in the morning, I don't pre-bolus before breakfast... just in case.
ReplyDeleteHey Scott, so if you're under 100 will you take your insulin right as you start eating or wait even longer than that?
DeleteThis is scary. I'm glad I read it. It sounds like what would be a tackle + tube-frosting moment for a hypo-nauseated child. I'm glad you know how to take care of yourself.
ReplyDeleteI read this catchy thing once (but I don't really do it): use the first 2 digits of your BG# to tell you how long to wait to eat after bolusing (for example: 100, wait 10 minutes. 150, wait 15 minutes. 215, wait 21 minutes.) Anything 2-digit (76, 85, 92, whatever) gets a zero-minute wait.
I LOVE the trick to use the first 2 digits of your BG. I've never heard that before. Between my anxiety of insulin immediately making my go low and my general level of always being starving at meal time, I rarely wait, but always good to have something to work on. =)
DeleteDude, those situations are THE WORST! Well, wait, I think dosing, eating, then puking, is a little worse, but not much. :-)
ReplyDeleteI think that two-digit idea is brilliant!