It was twenty minutes past ten. I knew that I would be stopping for morning tea within the next ten or twenty minutes. A scan of my Libre registered 4.6 and steady, and I gave a pre bolus for the hot cross bun that I was about to eat.
By the time I was seated at the table and buttering my toasted hot cross bun, my insulin pump registered that twenty minutes had passed since my bolus.
As I sat there in my seat, a weakness swept through me. An uncomfortable sweat broke out across the entirety of my upper body. The thought of getting up to wash my plate felt far too difficult, leaving me paralysed in my seat.
I eventually willed myself back up, made my way down the hall and sank into the chair behind my desk. A scan of my Libre registered 2.3 and slipping downwards. I didn’t have the energy to grab the meter that was in arms reach of me to double check. I was tempted to correct with a glucose tab, but I knew that the hot cross bun wouldn’t take long to bring my blood sugar back up.
As I slowly devoured about three quarters of the refreshing cold water in my drink bottle, the weakness began to subside and I began to reassess how I ended up here.
The 4.6 was bordering hypo territory, meaning that I didn’t have as much room for a pre bolus as I normally would. It was also a Libre scan, and a finger prick could have been as much as half or 1mmol lower. Add to that, I hadn’t eaten breakfast earlier because I wasn’t particularly hungry, which could have heightened my insulin sensitivity.
Most of the time, hypos don’t really stop me from what I’m doing. It’s usually nothing more than the odd glucose tab to ward off a downward trend arrow, sometimes more.
But paralysing moments like these? They remind me of just how much weight rests on the decisions that I have to make each and every day.
Unfortunately I think our experience shows that carb counting with DAPHNE, the GI and even insulin index and eating to the meter are flawed. Took me 50 years + to realise that !!
There are better ways but we have to be prepared to admit that !!
I do not often trust a CGM when it is that close. I am glad you are good Frank !!
Frank you need to give up the sugar !!! It took me 27 yrs to realise just because I have insulin doesn’t mean it’s ok to have something surgery … I went to a conference for pumps and saw a room full of diabetes have pudding after their meal 😳it makes the pharmaceutical companies happy .. end of the days when diabetics are told to eat carbs …Or over treat hypos because too much insulin … look into Plant based diets it’s reduced my meds in half …