The question is: What types of decisions and frequency of diabetes related decisions do you make in any given day?
My initial reaction to this question is, “Ugh, where do I begin?”
You see…because my type 1 diabetes involves so many decisions each day, many of them are kind of innate.
I feel this is a good time to share something. You may think I’m nuts or a liar or both (or maybe you do this, too!) but for example, I never consciously carb count.
Seriously. I can’t remember the last time I “carb counted”.
Before you think I’m psycho…have you ever driven to work or someplace usual and realized as you parked, “I don’t remember driving here”. In other words, you were not fully present in the act of driving some place because you do it all the time and just go through the motions. Ever done that?
That’s what I do with carb counting. When I realized this today, I checked out my meter. This past week I’ve tested about 8 times a day, averaged 130 on my meter for the past week, and had 3 lows (62, 53, and 58). So I’d say that my insulin has been approximately on target for what I eat. This tells me that I’m aware enough to do a pretty decent carb count, just not aware enough to remember the steps. It’s a dangerous place to be because that’s how I’ve also given 20 units of fast acting insulin instead of Lantus. On um, two occasions in the past. I’m on autopilot so much and in those instances I grabbed my insulin and just dialed the units, without giving much thought to how many units or which insulin I had. I’ve also tested, walked away from my meter and 20 minutes later said, “Omg, I don’t recall looking at my blood sugar result” and have had to check the memory on the meter for the last result. Suffice to say I’m working on being more mindful when I test and give insulin and prepare to know how many carbs I’m going to have.
If you have diabetes you already know all of the decisions I make and how often I make them. Because you make them, too.
I just wanted to take this opportunity to discuss a personal phenomenon of mine, one I’m trying to break. After 17 years of looking at food and automatically scanning it for carbs, it’s a difficult change to make. However, I’m pretty sure it’s a habit that needs to be adjusted.
Any of you do this? Just look at a plate of food and subconsciously add up the carb count, translate that to insulin units, and give the insulin? If you do and if it’s any consolation, it’s like we diabetics are a new breed of human. Kind of magical, even. Now if only I could clean the house without even being aware I’m doing it. THAT would be magical.
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