62 Before A Meal - What's A Girl To Do?

You and me both, Magic 8-Ball!

The last few days I’ve been waking up low. Not super low, but low nonetheless.

Yesterday my pre breakfast blood sugar was 62, and this morning I woke up with a 65 blood sugar.

Sidebar: I’m slowly working my way off an extended temporary basal rate due to my ongoing sinus issues, so before you say: "Kelly, just cut back on your early morning basal rate,” it’s not so easy. When I cut back from my original Temporary Basal Rate of 1.4 units on Sunday afternoon to 1.3 units. I woke up on Monday morning with a 240 blood sugar. I decided to stick it out until Tuesday in case it was a fluke, but Tuesday’s Breakfast blood sugar was 222. So I increased my temporary basal rate to 1.35 units, and it seemed to be working quite nicely.

Until I woke up yesterday morning and felt low the minute I opened my eyes. Magic 8-Ball in the form of my meter confirmed my suspicion, and flashed the number 62.

No breakfast bolus for me! I had my coffee, 1 slice of Ezekiel toast w/peanut butter & ¼ of a small banana, & a ½ a glass of vanilla soy milk and went I with my morning.

And I felt great. Until I took my blood sugar at 10:30 a.m. and was rocking a blood sugar of 290 - And I was pissed! And not just at the number, but with my self! I knew better! I knew I should have been monitoring more closely, but I had a heavy workload and for one stupid reason or another, the morning slipped away from me and I neglected to test.

I gave myself a correction bolus, and I have to say, for the rest of the day my numbers were perfect. Until this morning, when I woke up with a blood sugar of 65.

Once again, no breakfast bolus for me! I had my coffee, a pear, a ½ a glass of vanilla soymilk and some cheddar cheese. And now, with my meter & test strips next to my laptop, I’ll be monitoring my numbers every hour until lunch.

The whole, low right before a meal & mixed in with a temporary bolus thing does not make Kelly a happy camper!

Oh, Magic 8-Ball, if only you worked in real life! Thank God I have the D-O-C!

How the heck do you guys handle a right before a meal low blood sugar combined with a Temporary Bolus Rate balancing act?