Category Archives: Baby Steps

Improving my diabetes one step at a time.

Step 9

Step 9: Communicate more with my diabetes team. Thanks to my health network’s patient portal, I’m in closer contact with Awesome Endo and Awesome NP than ever before. This option isn’t exactly new, but I haven’t made much use of … Continue reading

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Step 8

Step 8: Record the data. That should actually say, “Record and act on the data.” I’ve been recording all of my diabetes data—fingerstick BGs, CGM values, carb consumption, insulin delivery, exercise details, infusion set changes, etc.—for the better part of … Continue reading

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Step 7

Step 7: Get believable basal rates and carb ratios. They have a huge impact on how my day plays out, but it’s been a while since I verified these basic settings. They’re the baseline for changes that I need to … Continue reading

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Step 6

Step 6: Ask for help. Nobody knows my diabetes experience better than me, but that doesn’t mean I’m the only one with ideas. Other people can help, too, by providing insight into diabetes, information about what’s in the food I … Continue reading

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Step 5

Step 5: Use CGM. Once upon a time I used a continuous glucose monitor, and it was helpful . . . when it worked. It didn’t work often enough for me to trust it, though, so I stopped using it. As a result, … Continue reading

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Step 4

Step 4: Tolerate lower blood glucose. 120 mg/dL (6.7 mmol/L) isn’t low. 80 (4.4) isn’t low. Context matters, of course: 120 during exercise is time for action, and 80 before bed means it time for a snack. But right now, … Continue reading

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Step 3

Step 3: Bolus more insulin. More than sixteen years after I started using insulin, it still freaks me out. There . . . I said it. It’s not the insulin itself but the potential for hypoglycemic events. They feel terrible, get in the … Continue reading

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Step 2

Step 2: Try harder to know or estimate carbs. Knowing the number of carbs in things makes bolusing decisions (somewhat) easier, so why not do it? Taking the right amount of insulin is a separate issue, so let’s leave that … Continue reading

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Step 1

Step 1: Test my BGs more often. Whether it’s high, low, or in that happy 80-150 range, not knowing what it is doesn’t change the number. It only means it takes longer for me to react to it. So . . . test.

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