Eureka! The experiment worked!
It was Saturday night and I was tired. I’d already brushed my teeth and was about to climb into bed and tuck myself under the covers.
But first, a quick glance to make sure I could safely turn in.
I was starting to flatten out from my downward trend, and there were no arrows indicating the trend was ongoing, but it was still a bit too close for comfort for me. A quick confirmation on my handy-dandy meter confirmed my suspicion: 91 mg/dl.
I really didn’t want to eat anything. For me, every carb gets magnified tenfold when I eat it before bedtime. Then it strikes me again in the morning. That wouldn’t work. (Besides, I had that minty-fresh Crest taste in my mouth, and didn’t want to ruin it!).
So I decided to try an experiment (it’s the second bullet in that ambitious New Years post). I turned to the most unlikely of tools: my Bolus Wizard.
First comes the blood glucose level: 91; then the carbs: zero.
Then the magic happens.
Looking at those Correction and Active Insulin values, it appears that I’ve got 0.4 units of excess insulin flowing through my veins already. If only I could take 0.4 units of Anti-Insulin…
My basal rate is 0.4 units per hour! (Interesting how they didn’t put the leading zero before the decimal point on that screen). If I could just suspend my pump for the next hour, everything should be good, right?
Well, I’m not feeling quite that confident. And besides, at midnight my basal rate goes up to 0.5. So I did what any PWD would do: I SWAGged my math.
Ten percent temporary basal for an hour and a half. A little higher than completely suspending it, but extending the temporary basal for one-and-a-half times what I should really need. (By the way, have I ever mentioned how deathly afraid I am of getting a basal of zero? I feel it’s asking for DKA – even though that is nonsense. More below…).
Then, with the aid of my sleepiness and my reliance on the CGM to wake me if the experiment failed, I went to bed.
* * *
It was a crying baby, not a crying CGM, that woke me six hours later. Let’s see how that experiment worked…
So my CGM and my meter are about 10 mg/dl off. But I avoided a low without eating anything, and my blood sugar remained about as still as I did as I slept. It’s the little moral victories that make me feel good.
Now, to deal with that morning breath…
* * *
PS: A little about that DKA fear I mentioned earlier. I talked to my endo about how I’m worried about suspending a basal for a super-bolus, and he said that there’s no reason to be. Novolog has about a four (or more) hour duration before it’s entirely out of the system. Also, in an attempt to demonstrate the safety of Low Glucose Suspend (LGS) technology, a test was done where people’s pumps were randomly suspended for two hours without them knowing. Their BG prior to suspending could have been anything. None of these study participants went into Diabetic Ketoacidosis (or any type of ketosis) as a result. I’ll be trying some more super-bolusing in the future…