woke up at 4:45am to make it to the gym before work. usually, this puts me in a foul mood. but i haven't done this since before christmas, so i was okay with it. i managed to roll out of bed, don several layers of fleece and a wool hat, and call pete to meet me there. i woke up with an abnormally good sugar: 95 at 4:50am. gadzooks! better yet, i had a pretty fatty dinner last night of a mozzarella and prosciutto panini, and green salad with pine nuts, so i guess that my dual wave bolus actually worked!
macadamia nut. peanut. red pisachio nut. white pistachio nut.
so all in all, that was grand to wake up like that. now here's the part that strikes me as weird: when i work out in the afternoon/early evening, i always have to have a snack of between 17-25 carbs with no insulin. and i also turn my pump off while working out. but when i exercise first thing in the am, i usually keep my pump on at a minimal basal rate of anywhere between .05 and .10 u/hr and don't eat a snack. today i had one gummi lifesaver before i went, which is 3 carbs. anything more than that, and my sugar is guaranteed to shoot through the roof.
why the remarkable difference? i think there are two main reasons. first of all, i think my lunchtime insulin still somewhat active when i do my late afternoon workout. when i do my morning workout, the only insulin that i have in my body is from my overnight basal rate. my last bolus of dinnertime or dessert insulin would have become inactive sometime during the night. secondly, i wonder if it's that dawn phenomenon of my body being more insulin resistant in the morningtime. i think it's probably more reason one than two, because if i wake up on the weekend and eat bfast before going to the gym, i significantly cut my bolus rate. the exercise helps with my insulin absorption a lot and i run the risk of going low if i don't, even in these morning hours. but i'm sure that these are not the only reasons for this morning and afternoon insulin variation. i have no clue what the other explanations are; i'm just glad that i know the variation exists.
musing about all of this brings me to the conclusion that the best kept secret of diabetes is this: you can throw the flippin' science out the window most of the time, because this disease makes no sense. it's all about the trial and error, and sometimes (okay a lot of times) making random adjustments because you know your body and what it can do.
unrelated exciting note: my sister might come to visit this weekend-- i am hoping for at least two doughnuts to celebrate the occasion!
Thursday, January 11, 2007
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