1993
Get up. Check blood sugar. Result 249 mg/dl. Take 249-100 because I am optimizing for blood sugars to get back down to 100mg/dl. So 149 is the difference between optimal blood sugar and where I woke up with my blood sugar level on election day 1993. If I take 149 divided by my correction factor of 1 unit of insulin for every 50mg/dl drop, I add three fast-acting insulin units to my morning dose. I then think about what I will have for my morning meal.
Breakfast: spoon size shredded wheat, skim milk, and a banana. The food equals about 88g of carbs; I use my insulin: carb ratio, which equals 1 unit of insulin for every 10g carbs. For now, I have 8.8 units of insulin plus three units for a correction; this totals to be ~12 units of insulin. I am going to be riding my bike to campus, and therefore I want to reduce my insulin amount to take into consideration leisurely movement across campus and therefore, I cut my breakfast insulin by 50%; this equals 9 units of insulin, add to that my long-acting insulin. I go to fridge and get insulin out of fridge, gently roll long-acting insulin between my palms draw insulin into syringe and then I take the shot. Now time insulin effect with effect from eating cereal and it mostly works...and this is only breakfast! Whew. As a health coach with a perspective from thriving with diabetes, I get it.
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