Tuesday, September 22, 2015

Schedule Changes/Diabetes Changes

As most people with type 1 know, when your schedule changes, your diabetes management has to change. Even minor changes in ones schedule can cause an unexpected low or high throughout the day. While it seems like it would be an easy fix by changing your insulin dosages, it really isn't that easy.

Today I had my dreaded diabetes appointment at the clinic, and to be honest it wasn't as 'dreadful' as I thought. While there is always room for improvement, I think they know I have a level head on my shoulders and know what needs to be change.  I try to be very honest with them when I go to my appointment and I think that pays off instead of trying to make excuses for myself.

I did realize when looking at the printed sheet pump upload they examined, my blood sugars are kind of everywhere.  There really is no pattern to my blood sugars, I may be high one morning but low the next two.  I tried to think of reasons why this may be, as they asked me things like, "What did you eat?" "Did you change your site?"  "Were you sick?" While most of the time I couldn't remember, I did realize that my work schedule has changed quite drastically and that is likely the culprit in my diabetes scramble.

My work schedule is all over the map and I have been eating less and moving more. So, of course any one can assume, I am going low a lot more often.  However, I do spike every now and then which I am still trying to figure out why.  Taking on the new jobs plus working more hours has really affected my diabetes and how I go about managing it. I am still trying to figure out what works best for me and how I can prevent lows and random highs.  This of course is an ongoing battle and I know there isn't going to be a fix-all solution.

The diabetes clinic appointment made me realize that sometimes I need to slow down and look at the big picture.   I sometimes get fixated on the moment, for example, my blood sugar is 6 mmol/L and that's because I took the right amount of insulin for dinner.  I don't look at the day as a whole, where did I go high? when did I go low? How am I feeling? What can I change?    There is a lot going on in a day, a week, a month and in all of that your control of diabetes can easily be affected.

My goal is to put more of a focus into my diabetes management and activity make changes. While it's  important to know the numbers of right now, it's also important to assess your management from a big-picture point of view, and to make those needed changes based on the changes in your life.


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