At 3:21am, I woke up covered in sweat. The feeling was familiar; my blood sugar was low. I reached for my meter to confirm what I already knew. Yep, 48 mg/dl..
But my immediate thought was: I could have prevented this late night low… if I had followed my instincts.
Last night included an evening run, where I was proud to keep my blood sugar between 100 and 140. Afterwards dinner and a before bed reading of 77 mg/dl. Given that there was still some active insulin in me (insulin-on-board, I like that phrase), I knew that I needed to eat 12g of carb. And I did.
But a little voice told me:
“You don’t usually run in the evening… you’re probably going to go low during the night. Maybe you should eat a little extra.”
Since I am really trying to avoid all night highs, I ignored that voice. As I fell asleep, I was even thinking that I should check again– or set an alarm to go off in an hour and check then. But the thought of a full night’s sleep in the midst of our busy lives was too enticing. Second good instinct ignored.
I could have eaten a small snack and woken up during the night to check, but I didn’t want to wake up during the night. So here I sit at 4am very awake and blogging about my night time low… brought on by the fact that I didn’t want to wake up during the night.
I think that it’s time that I start listening to my instincts a little bit more, even when I don’t want to hear what they are telling me!
July 20, 2008 at 3:59 pm
48 is LOW! it’s funny how we fail to listen to our instinct. I know we all fail at listening to it 80% of time time.
You know we have a lot in common! Last night I had a small piece of cheese cake; I bolused for it. I checked my Bg’s 3 hours later and my bg’s read 134. I bolused before bed. I woke up this morning and my Bg’s read 123! I should have listened but I don’t eat that kind of thing often.
July 22, 2008 at 1:18 am
I should listen to my first instict with my daughter (T1 age 3) too! Next time when the same situtation occurs we will know exactly what to do.
July 25, 2008 at 2:07 pm
Hi, Kristen,
You have a nice blog, I have put a link to my blog.
Regards
August 10, 2008 at 6:56 pm
I too have a problem listening to my insticts… I think all diabetics do!?!? I am from Texas so I LOVE Tex-Mex!!! I know that I need to do an extened bolus but I always…I do mean always just do a regular one then 3 hours later my CGMS starts to alarm.. 190mg/dL,213,470,HI! It never fells I am then up all night taking shots and wishing that I would just listen to my gut. BUT MY BRAIN “KNOWS” MORE THEN THE REST OF MY BODY!