The past month has not been very kind to my diabetes management. I’ve chalked it up to lots and lots of travel, very little sleep, and crazy hot temperatures. But if I’m being completely honest, another factor is also at work here. And that factor is Half-Assed Diabetes Management. Honestly, my food choices haven’t been stellar. My bolusing has often been less than precise (hello SWAG) and downright lazy (why wait 20 minutes to eat when I want to eat NOW??). And once again, exercise is barely happening.
It’s easy to tell myself that everything will magically straighten itself out. It’s easy to look at my BG average and be pleased with the number I see. But truth be told, just because the average number is where I want it doesn’t mean my blood sugars are where I want them to be. After all, an average can consist of some very icky numbers that might still average into a very non-icky number. And the fact that I’m seeing random 200s every day at inconsistent times is not okay for my personal diabetes goals.
So here I am, ready to end the excuses and get proactive. My first inclination was to do a Major Overhaul. I thought I’d get back to basics and do some basal testing. Honestly, I’ve never basal tested before. My endo and pump trainer / CDE worked closely to figure my basal rate when I started pumping, and they got it right on the first try. Over the past couple of years, we’ve tweaked when needed. And when I spot trends, I do some tweaking of my own. So I figured maybe it’s time to check those tweaks with a good ‘ole basal test to get things straightened out.
But then I thought some more. Maybe a better course of action would be a Diabetes Tune-Up rather than a Major Diabetes Overhaul. I’m feeling motivated to start exercising
yet again. Testing my basal rates would mean putting off the start of my exercise routine. Sure, I could do that. BUT!!!! By getting back to regular exercise and (hopefully) starting to take off some weight, it stands to reason my basal rates will need to be lowered bit by bit. And my intuition (or rather, my rational mind) tells me it’s not really my basal rates that are causing my d-havoc anyway - it’s that list of factors in the first paragraph that are really to blame.
So for now, maybe it is wise to start with a little D Tune-Up. Time to tighten up the saggy areas of my diabetes management (and the saggy areas of myself!!). Time to run some Diabetes Science Experiments and, hopefully, get back on track.
Tune-Up or Major Overhaul? What has worked for you?