I don’t try to profess that I am some sort of diabetes genius. I am not perfect, I make mistakes and things regularly do’t go to plan. More recently I have been trying to get my act together a bit more and make some changes while I’m pregnant to keep both me and baby healthy.
The change I wanted to make which would have the most impact was to start bolusing for my meals in advance. Giving my insulin 10-15 minutes to get going before I eat has a hugely positive impact on my blood glucose levels, and it’s a habit I really wanted to get back in to. I found doing it for breakfast quite easy, as I know what I’ll have and usually weigh it out. I struggle with lunch time as I’m not always sure when I’ll eat, but dinner was also relatively easy. Or so I thought!
Last week we were having a simple dinner of jacket potatoes. They are one of my favourite meals, especially served with beans and cheese! An extra bonus for me is that, if I weigh my potato before cooking it, I can have a fairly accurate count of the carbohydrates in the meal before eating it. On this particular day I used this to my advantage and used my pump to give me my insulin 15 minutes before I knew we would sit down to eat. When I checked my blood glucose before taking the insulin I was within my target range (4.5-5.5 mmol/l) so I knew I would be doing well with my bolus.
Once the potato was cooked I pulled it out and cut into it, so I could pop my fillings in and get eating. I was gutted to find that the inside of the potato was complete rotten and not edible. Not only was I missing out on something for dinner – I had over 11 units of insulin coursing through me ready to get to work on the carbohydrate.
Luckily we had more jacket potatoes in the house, so I was able to get another one in to cook pretty quickly. I had done them in our microwave oven so it would only take another 15 minutes to cook and get nice and crispy – but that was still too long to wait for me. By that time the insulin would have hit me and I just know I’d have gone hypo.
I debated having a slice of toast to keep me going, but ultimately decided a glass on apple juice would be a better option. I didn’t want to fill up on toast when I would still have my dinner to come, and apple juice works faster too.
On this occasion it all played out fine. I drank the juice, then ate my dinner (and took some more insulin to cover the extra carbohydrate in the juice and to account for a slightly larger potato). I had a pretty good blood glucose level at 2 hours after the meal too (around 7.5 mmol/l) – which I felt was deserved after all the faffing! It helped that Piglet was in bed, as I didn’t have to think about what he was doing too while working out a plan of action for myself.
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