I’ve been thinking about my comment from yesterday’s post about not trusting myself to not over treat a low blood glucose. If I can’t expect myself to behave rationally and responsibly with something that, for our purposes, can be considered medicine, does this mean I have a problem with “non-compliance”?
When it comes to things like carb counting and managing bolus amounts and basal rates, there’s an education process involved and a general understanding of what’s supposed to happen. Sure, diabetes may not play by the rules, but there’s still a base level of logic that goes into that piece of managing this disease. But logic rarely applies to treating lows.
Survival instincts take over when you have a low blood glucose reading. All that matters is food – now. All too often, by the time I realize I need to stop eating the damage has been done and I know I’ll be chasing my Dexcom line for the next few hours trying to get a handle on everything.
And where does this leave me? It’s not like I want to get in to the habit of properly managing a low. This isn’t something I actively pursue. Yes, lows happen a bit too frequently for my liking, but this isn’t something I ever want to get in the habit of dealing with. Yes, I can be much better about dealing with this stuff, but how can I train myself to take a logical approach to a situation that I know I can’t experience logically?
Holy deep thought, Batman.
I don’t have any real useful advice to offer because I can rarely treat a low rationally.
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Let me tell you… you’re not the only one overtreating lows. Personally, I wish my insulin pump could tell me precisely how many carbs I need to treat a low (I mean, it knows my ratios and stuff, it could easily calculate it).
Sometimes I overtreat but mentally keep track of how many carbs I’ve overtreated by (or figure it out forensically)… then when my CGM starts shooting upwards and I’m mentally with it, I bolus for those extra carbs. I know I’m going to spike inevitably, might as well take care of it now before armageddon hits.
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