There are certain signs in the weather that show the changing of the seasons. For fall, we feel a coolness in the air, we see changing colors on leaves, we begin to see frost. But there's also another sign that fall is soon around the corner: insulin resistance! That's right, as the air temperature drops, so does my sensitivity to insulin.
Case in point: last night's dinner. I made chicken quesadillas with rice, cheese, and 15 different kinds of beans (holy protein!). This dinner was relatively mild on the carbs, only 31 grams, with a nice amount of protein to help keep things steady. I peaked at 250 mg/dL with this meal, which kind of surprised me, but I leveled out at 123 mg/dL before bedtime with less than a unit of active insulin on board. I thought I was set for a nice streamline when I woke up this morning.
But around 4:00 AM I woke up to a high alarm from Constance, 184 mg/dL. I thought this was weird, but I knew I was starting to see a climb in my numbers around this time when I first got on Dexcom. I started to see this climb again during our beach trip, but I chalked it up to not eating the greatest. But it seems this trend occurs around the first week of fall and follows me through the holidays. When I got up an hour later I was up to 206 mg/dL according to my meter. After correcting and taking my bolus for breakfast, I was still streaming in the 180s before my breakfast peaked at 275 mg/dL!
It's really frustrating because I felt like I had this routine down for so long and it usually resulted in a 180 mg/dL peak AT MAX! Now I'm seeing fasting numbers at that level with post-meal numbers even higher. I think it might be time to bump up my midnight basal so as to hopefully control this problem. It's either the changing weather or a bad vial (which is possible considering my vial just spent over 24 hours in a car traveling last week, even with an ice pack I'm not sure it would last that long), but I won't know until I change my site in a few days. I'll probably wait to change my basals then or at my endo appointment next month.
For the most part, I love fall and it's my favorite season. But this change is one I can't tolerate!
DISCLAIMER: I am not a doctor, nurse, certified diabetes educator (CDE) or any medical professional of any kind. (But I did stay at a Holiday Inn Express!) Therefore, please do not use any of my postings as medical fact. I am simply a blogger expressing my highs and lows (pun intended) with diabetes. For changes in your medication, exercise regiment, or diet please consult a qualified physician.