Extremely interesting day today so far but not over yet. Can I get to the end of it with out screwing up? Blood glucose levels are not quite as low as I would prefer, but so far I have only a 51 mgdl variance. So here they are so far
4:17 a.m. 98 mg/dl — 4:45 21nph + 1asp. — 5:00 a.m. 20 grams carb.
6:44 a.m. 122 mg/dl
11: 41 a.m. 109 mg/dl / 1asp. — 11:55 a.m. 15 grams carb.
1:30 p.m. 110 mg/dl
3:15 p.m. 4 grams carb.
4:36 p.m. 149 mg/dl — 4:45 10nph + 2asp. — 5:00 15 grams carb.
So, now it is 6:15 Arizona time (MST or PDT, we don’t observe daylight savings time). I am getting ready for my walk and will take my meter with me to make sure I catch the spike which should occur roughly 7:15 p.m.
7:20 p.m. 75 mg/dl / 8 grams carb — 8:00 p.m. hypo symptoms 7 grams carb.
We’ll see where were at tommorrow morning to see if 10 units nph is enough. 2 units asp. was too much.
Let’s review the end of my interesting day. At 1:30 I had a perfect post meal reading of 110 mgdl. Without verifying it with a test I wrongly assumed that my blood sugar was dropping when in fact it was probably flat or even rising The error chain began at 3:15 when I unwisely ate a single peanut butter cracker. It’s four grams of yummy and delicious carbohydrate caused a spike ultimately to 149 mgdl. This caused an overcompensation in bolus dosing, I took an extra 1 unit of aspart which I thought would only ultimately result in a 50 point drop with my normal bolus of 1 unit aspart and that the drop wouldn’t be fully realized until approximately bedtime. During my evening stroll two hours after the end of my meal, the time at which I thought I would see maybe a small drop of 25 to 50 mgdl my sugar had fallen to 75mgdl. No big deal I thought, so I ate 8 grams of carbohydrate or two peanut butter crackers. This did not arrest the fall so I had to eat another 7grams of carbohydrate or 4 gummy bears. My symptoms resolved and then I did not recheck until this morning at which it was 92 mgdl.
A snack consisting of four grams of carbohydrate on a trailing basal of nph and bolus dose 1unit asp. was too much.
110 mgdl post prandial was in that circumstance nearly perfect particularly because it represented no spike not in spite of it.
1 unit of aspart taken at noontime on a peaking basal dose of 21nph prevents any spike in blood sugar 2 hours after a 15 gram carbohydrate meal.
8 grams of carbohydrate was not sufficient to arrest falling blood sugar taken on a peaking basal dose of 10 units nph and peaking basal dose of 2 units aspart.
10 unit basal dose of NPH was sufficient to hold blood sugar steady.