You live with type 1 diabetes for close to 19 years, you read tons of diabetes blogs, have d-friends you meet up with on a regular basis and chat about everything diabetic under the sun….you know things.
Like, I KNEW when I went to bed and my blood sugar was hanging out in the 200s (because I had an infusion set site change right after dinner) that if I gave myself a little shot to try to correct it, just a couple of units to get me over the non-absorption hump I was having post-site-change, that inevitably, I would crash in the middle of the night. But did I listen to myself and NOT take the shot? Did I eat/drink a little something more before bed to maybe stave it off? No, and no.
Which led to me being startled awake the other night at around 3:15am by the “Buzzzt, buzzt, buzzt, buzzt” vibrating and beeping of my Dexcom CGM. Bleary-eyed, I look at it, and it just says “Low.” Yeah, not good. Then comes the body assessment. Oh, I’m here in bed, lying in a pool of my own sweat. No joking, it’s an enormous amount of sweat, and I detest sweating, so I pop out of bed hoping the sheets aren’t so soaked that I can’t crawl back into them later.
My husband rouses awake and asks if I need him to go get me something. I just mumble, “No, I’ve got to fix this.” Off to the kitchen I go, with the best-laid plan of only eating about 15 grams of carbs and then waiting 15 minutes to start going up. On the way there, I stop off and check my blood sugar with my finger-stick meter, just to confirm the Dexcom was on the up-and-up (or rather, down-and-down?) Yup, big fat 39. At this point, I’m actually giving myself a pat on the back at how alert and intelligent I feel at 3:15am with a blood sugar under 50.
I proceed to drink a half a cup of 2% Lactaid milk, along with eating a slice of whole wheat fiber bread. I know, not the quickest way to bring up my sugar, but it’s the way I like, would keep me more level throughout the rest of the night, and made me feel like I was controlling the number of carbs and calories like a champ. While I was waiting the proverbial 15 minutes, the idea popped into my head to document these moments in a couple of haikus. We all know your brain goes to weird places when you’re low. You can see my scrawling here in the picture, but if you have trouble seeing it (or reading my terrible handwriting), here are “My Diabetes Low Haikus” typed out:
Must eat fifteen grams of carbs
3am sweating (this part apparently was very important to me, since I had to use it twice)
Bread, milk, chocolate cure all
Awake to prove life.
Huh, I didn’t eat any chocolate……yet! Off to the fridge to get a couple of my secret stash of dark chocolate peanut butter caramel salted truffles. Nom, nom. Then, it was like I suddenly couldn’t stop eating. The chocolate tasted soooooooo good. (Side note – I have actually started liking things I *used* to hate, only because I happened to eat them when I had a low. That happen to anyone else? It’s like, the low changed my taste buds, or made them more aware or something.) I think I ate maybe 4 of them. Then I broke out the Samoas – my most favorite Girl Scout cookie EVER that I have to import into NC because our GS troops here don’t use the bakery that makes them. (I buy 6 or 7 boxes in February, and ration them out for 12 months. That’s dedication.) Ate 2 or 3 of those cookies. Uh-oh, I didn’t follow the fifteen-wait-fifteen rule AT ALL.
My lips and tongue started tingling, and I was awash in a wave of dizziness, which usually means my sugar is moving up out of a low. Checked my sugar against the finger-stick meter again, and it was up to 65. We’re only going up from there with the ridiculous amount of carbs I had just eaten, so I took a few units of insulin in a square wave bolus over the next hour in the hopes of staving off the bouncing high I was going to get after this binge.
With the chills now, I head back to bed, but have to change clothes because my PJs were literally wet with sweat. Gross. Woke up that morning in the 200s again. Sigh. I freaking knew it!!