
How do you deal with this?
Yesterday was a bit of a pig out day, but this is a common pattern for me;
- I get blood sugar down, and omnipod keeps me at goal through the night.
- I wake at 9A, and sugar immediately jumps, I assume this is my liver waking up.
- At 11A, I'm going to eat a half bagel, which by the label is 25g carb + 4g (cream cheese) + 4g (SF coffee creamer) = 33g total. I lie to my controller, and tell it 45 g.
- At 2P, 3 hours after eating and light housework, still 175 and now trending back up? I do another bolus with 0g carb, and it adds 1u to IOB
- Finally, at 3P, I'm coming down to 157.
This pattern will repeat for lunch, then dinner - every day. I never get close to goal until middle of the night.
Though I'm 86% to 90% time in range, with 0% lows, my 90 day average glucose is 145 and GMI is 6.7%. Recent hgA1c matches this exactly. This is worse than when I was doing insulin injections.
Does this match your experience? How do you deal with this? Do you lie about how much carb you're taking in? That doesn't seem like the right way to be doing this. Do I need to lie harder?