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March 25, 2011

When I woke up Saturday morning, I had no idea what to anticipate my BG as.  I’ve actually been waking up quite well lately, (and I’m sure that will change now) but the “oh no what will it be” is apparently automatic right now.  I was 152 mg/dL, which is darn near perfect for a day of skiing.  When you stick 11 people in a hotel “room,” breakfast is a little chaotic.  But I grab a bagel and I’m totally all set and diabetes is great.  Our goal was first chair, and we were almost successful.  We got second.  And at the end of that run, I felt low.  So I took out my pump, pushed the basal down to 70% and went on my way.  And after the second run, I still felt low.  Grab the meter and I’m in the 60s.  Scoff down some tabs (of which I didn’t bring enough, but wasn’t about to admit that then and there), and take out the pump again and push the basal down to 50%.  And I was on my way.  No more feeling low for this girl! And we skied about half the mountain.

As a ski family, we’ve always taken snack breaks.  A few people have even mentioned that.  So when a few of us were in need of warming up and energizing, we stopped in at the lodge.  Now I still remember the days when the food was homemade, and the eternal optimist in me still believes that I might walk in one day and it will be there again.  But on this day, it was nearly true.  I grabbed a hot chocolate, and my cousin even showed me the container of marshmallows.  And then I turned around and saw the cinnamon buns.  I ran over to my mother and asked if she wanted to share.  I don’t remember why she didn’t want to, but I decided to go for it anyways.  And I felt better because said cousin was also getting one.  Not only did it at least look  kinda homemade, it was giant and it was swimming in syrup/frosting.  I am not sure what I bolused for this delicious treat, but I do know that it was definitely bolus-worthy.  And then I was wondering whether I would need a temp basal for the rest of the ski day.  I decided to reset the temp basal, because I could always do another bolus if I didn’t need it, and a high BG wouldn’t stop me from skiing.  The whole family skied around a lot of the mountain, and then the cousins took off to ski some more.  When we went inside at lunch time, I was 179 mg/dL.  So I probably didn’t need such an extreme temp basal, but things definitely could’ve been worse.  We went back out after lunch, with another temp basal, and at the end of the ski day, a 70 mg/dL was staring me back.  Not so bad either.

The reason these temp basals are perplexing me is because when I first got the pump in 2002, I needed temp basals while I was skiing.  And I of course always thought I would.  And then I slowly needed more and more insulin during a ski day.  But now, I’m needing more extreme temp basals during my ski days, making for some trial and error days.  (But maybe that’s all diabetes ever is?)

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