We're planning for a pregnancy, so I've been working tirelessly to stalk my blood sugars. I'm wearing the Dexcom, testing regularly, and really aggressively chasing highs and lows in pursuit of that nice "between the lines" look on my blood sugar graphs.
So when I changed my infusion set last night and neglected to take the 1.0 u bolus in anticipation of the high (which seems to be the only way I can keep the highs at bay after a site change), I knew I was in trouble. Sweaters on my teeth, and my tongue thick with dehydration, confirmed by the 254 mg/dl on my meter. I cranked up a correction bolus and sent it cruising in, along with some frustration and a few choice curse words.
A few hours later, I was on the steady but seemingly safe decline, with the Dexcom keeping tabs and my meter serving to confirm. No worries. I ate a snack (cottage cheese with some frozen raspberries) before bed and snuggled against the pillow (read: cat) at a blood sugar of 187 mg/dl. Higher than normal, but I knew it would continue to come down.
Didn't anticpate the 3:30 am wake-up call of BEEEEEEEEEEP!, though.
I have no idea what my blood sugar was. The Dexcom showed me only as "low" and I woke up crying, for some reason. Chris was next to me, fast asleep, but I didn't wake him up. I don't know why. A bottle of glucose tabs sat on the bedside table but I didn't reach for them. I don't know why. The shape of my body was outlined in sweat on the bedsheet and my hair was sticky, and for some reason combing my hair down before I went to get juice took priority over eating something to correct the low.
I don't know why.
I don't remember a lot of this low, and that scares me. I was dizzy. I was stupid for not waking Chris up and asking for his help. I remember hearing the Dexcom wailing from the bedroom as I stood at the fridge in the kitchen. I drank the juice directly from the carton, drinking well past my eight sips and gulping until I couldn't catch my breath. Yet, I remembered to wipe down the floor to clean up what I spilled. I don't know why.
Hitting that stride, hugging close to the center lane of 100 mg/dl, is really what I'm aiming for. I've been doing better lately, so every time I'm way off target, I feel the symptoms too late for lows and very intensely for highs. I know this is a signal that I'm in tighter control, but once I'm stuck in the spin cycle of high-to-low-to-high and back again, it's hard to climb out. And a lot of time my morning number sets the stage for the rest of my day. Last night's low blood sugar left me at 199 mg/dl this morning, and I still haven't settled back into range. I feel frustrated, knowing my A1C is being drawn at the end of July. But last night's events kicked my ass too thoroughly for me to focus on anything other than muddling through the day.
It's that pesky penguin truck again. I hope the tire tracks aren't too visible this morning.