Over the past few weeks I’ve had a strong desire to discover how much insulin I really need. Not only do I dread finding a place to give myself a shot, but I hate wondering if i gave myself too much or too little insulin for the meal. I decided to start giving myself a little less each day to see what the resulting bg levels are and to my surprise they haven’t changed much at all. I can’t complain, my abdomen is loving the time to heal but I can’t help but to wonder how long this will last. I guess time will tell. But for the last week I haven’t had any meal time insulin and I’ve reduced my night time insulin (Lantus) to 4-5 units without reducing my overall carb intake. In fact, I’ve been eating everything from cheeseburgers to potatoes with no real changes in bg levels.
Unfortunately I don’t know too many diabetics who were my age when diagnosed, well actually I don’t know any diabetics, so there aren’t too many people that can personally advise me to do otherwise. I’m very new to diabetes, so figuring this stuff out is trial and error. I don’t wear a CGM, so I only know what my bg level is 2 hours after eating. But since I started this I haven’t gone below 75 mg/dL and wake up between 80 and 90 mg/dL every morning. I think the key to this working for me has been a good mix of protein, sports and general awareness of this condition. I’m also still making lots of my own insulin, something I hope lasts as long as possible.
January of this year when I found out about this annoying condition my need for insulin was pretty high (for me). I was guzzling megatons of water, pissing every 15 minutes and going in and out of random dizzy spells. The day after being diagnosed I started my insulin treatment with 4 units of Humalog for every ~30 carb meal adding 1/2 a unit for every 10 carbs after that and 10 units of Lantus before bed. Of course, with an a1c of 14.6 (372 mg/dl avegage bg) I think my body just gave up entirely on making insulin, or maybe my pancreas was tired of trying to save me? I have no clue, but luckily I found out in the safest way possible and began to get my bg’s under control .
Here’s a snapshot of my bg’s for the first few days after discovery:
Since then, especially in the last few weeks I’ve stopped using insulin before breakfast every morning because I would go low no matter what I gave myself, I even tried one unit but still ended up low. I reduced my night time Lantus to 9, 8 then 7 units and still may need to bring it down to keep from waking up low. In just the past week without any major diet changes I’ve actually skipped about 4 days without taking any meal time insulin. Maybe playing basketball is helping, hmm… not sure. Either way I’m sure this isn’t something that will last forever, I’m still a new diabetic but I’ll do whatever i can to prolong this “honeymoon” stage I appear to be in. Hopefully it lasts a while.
This is an idea of how it has been for the past few days with barely any insulin at meal time:
All of these bg results are checking before and 1.5 – 2 hours after eating with or without insulin. I wake up pretty much at the same bg every morning and usually go to bed slightly above 100 (usually orchestrated by me eating a snack late). We’ll see how this goes for a while and hopefully my doctor isn’t too upset with me for changing my regimen on my own!