Innocent sip of OJ leaves black mark on my record

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01/17/2014

In diabetes we have a rule: the rule of 15. What this means is, if you have a low blood sugar, you should consume 15 grams of carb, wait 15 minutes then test again. It's a good rule and it can work pretty well if you can stick with it.

I woke up this morning around 4 and according to the CGM, my blood sugar was an excellent 98, which I confirmed with my meter. However, since I was planning to roll over and go back to sleep for another 3.5 hours I decided to have a swig of OJ in case my numbers were trending down. I have noticed in recent months (years??) that I do not need 15 grams of juice. This was never more clear than this morning. I had some juice (maybe an ounce—3 carbs—at the most). I'd like go on the record here as saying that even at that dark hour, I used a glass, no carton chugging for me.

Fast forward some time (maybe an hour? I was too groggy to care) and the CGM woke up me to tell me my sugar had soared to at least 240. Could be overnight hormones, could have had a rebound from a low after all (I really don't think so), could have been the juice. But it was interesting all the same, and will be something I ask Erica about when I see her. That's the whole point of the device, to track trends, but also anomolies.

I think the rule of 15 could apply to a lot in life. Take this morning when I discovered that someone had burnt toast badly enough to scorch my brand new stainless steel toaster. It's less than a month old and it has a big black mark. Did I immediately text the likely suspects? Leave a passive-aggressive note? Nope, I waited a few minutes and the urge passed. I'm still ticked, but I am sure the offender will do their best to clean it up. It wasn't intentional, after all.

Theresa Flaherty

 

Comments

Management of the diabetic condition is ceetainly unpredictable at times. Likely was a combo effect of the OJ and another factor. Perhaps your liver had begun to destroy some insulin as it can do in the morning., causing a rise known is some circles as the dawn effect and in others as the incretin effect.