I've been having some troubles with my bloodsugars lately. Highs after dinner for no apparent reason. And then I remembered this morning that this often happens at the beginning of summer. Routines change. Allergies flare up as some wonderful plant blooms and sends my eyes into an itchy frenzy. Exercise patterns change. We eat a bit later than in the winter. It's not one thing; it's lot's of little things that add up to less than wonderful bloodsugars. And it's at times like these that I start the debate in my head as to whether I should do something. I'm a do-er in the rest of my life, and that quality has at times, made things more complicated when I'm faced with this particular dilemma. My first instinct is to start to adjust my insulin, bolus' first then basals. But I'm not sure if the elevated bloodsugars I'm experiencing are a pattern yet, so I'm not sure whether I should start tinkering. It's amazing how much of diabetes management takes place in my head. How much of the doing of diabetes starts with the running of scenarios. Is this a pattern? If I do x, will y happen? Or z?
Because diabetes is a very physical disease that requires a lot of mental attention, it can be crazy making when it's not always clear what's up or what the coarse of action should be. Or if there should be action at all. And so the ruminating begins. The writing of cryptic notes. The random questions to my husband. "Could it have been the SIZE of the slices of bread I had in that sandwich?" "Maybe it was the new salad dressing we tried?" "Or maybe I sat too long in front of the computer today?" "Or it's my allergies or the phase of the moon"? Each question gets more random and the weird thing is, any or all of them are plausible. In the end, it usually works itself out. Either the unpredictable bloodsugars are an anomaly and they correct themselves, or they represent a change in my insulin needs and I figure out what I need to do over time. It takes patience and well, more patience. And sometimes I figure out what the cause was and other times I don't. At times like that, I imagine that maybe it was just the moon.