I committed this Diabetes Awareness Month to also making it My Diabetes Awareness month, and henceforth doubling down on my d-efforts in order to get my A1c to that coveted “somewhere under 7″ status. So peeps, I’m trying. And when you pay this much attention to this obnoxious disease, you start to notice patterns. Patterns that you simply can’t ignore anymore if you’re truly going to go from good to great management.
The pattern I’m noticing and quite literally can’t ignore (because it’s waking me up to tell me I can’t ignore it) is high BGs in the middle of the night. I’ve blogged about this before and vowed to do a basal test to see if that needed some tweaking but I haven’t done it. Mostly because in order to test your basals in the middle of the night you have to eat dinner at like, 5pm all early-bird special and stuff and I find that particularly hard to do. Which I am certain is at least part of the problem.
Jacob and I tend to eat on the later side of the evening – 8pm -or 8:30. He usually gets home around 6:30 or 7 and then we often go together to the grocery store and always try to cook with fresh ingredients when we can. Although this is a good way to prepare food (and our bonding time), it means nothing is actually ready to eat until about 2 hours before bedtime. We also rarely cook anything carby, like pasta or potatoes because it’s tough for me to manage and Jacob is a saint, but that means we make up for that lack of volume with more proteins and fats. These macronutrients, as we know, break down hours later. So I’m pretty sure that our late mealtimes and food choices are contributing to peaks in the BG circa 3am.
I’ve been much better this month about actually doing something about those middle-of-the-night highs and not just hitting the Dexcom “snooze” button and waking up all dry-mouthed and yucky, but I’d love to prevent them in the first place. If we don’t change our food choices (which, since we don’t eat any carbs, I can’t really ask my poor husband to also cut all the fat out of diet as well) in the evening, I’ve got to find a basal strategy to combat it, which may mean running temp basals on nights with late mealtimes or just setting a basal pattern that ramps up around 2am.
But to be sure it’s the food and not the general basal rates, I’ve gotta do one of those annoying basal tests.Maybe it’s time to go visit my grandma on the east coast and let her treat me to the 5 o’clock special!