(I thought that, due to the details, a blog post would better lend itself to this topic than a video.)
I also don't have typical meals. I eat what is in season, available, and ripe. I eat according to hunger, until I am satisfied. I typically eat mono-meals of fruit for most of the day, and sometimes make a "dish" out of non-sweet fruits in the evening. I also normally include 1 tablespoon each of hemp and chia, for essential fatty acids. I didn't today because I had a high-fat meal the other day and like to wait a couple days before eating fat again, after one of those meals.
My main work is on the computer--a sedentary job. I spend time answering messages every day, and then a variety of tasks: book writing/editing, video editing, blog posts, website work, researching how to do new things for my website/business, etc. I also make videos from time to time and spend time uploading them and organizing things on my YouTube channels or Facebook pages.
Other tasks I do are more physical. I am married to a hubby who works hard to provide for us every day, so I am happy to also take care of household chores (laundry, kitchen, ironing, general clean-up, etc.) I also go grocery shopping and run errands as needed, and sort and put away produce on the days we get our organic wholesale orders.
I like to mix things up. I generally alternate between physical tasks and sedentary tasks. If all my physical work is done and I feel like it is time to get up and moving, I will take an extra walk.
I do an exercise routine once a week, with bodyweight strength exercises. I interpret sign language (on my feet) for a couple of hours once a week as well. Almost every day I walk a minimum of two miles in my "barefoot shoes" (Vibrams). I am also working to include more rebounding (to help circulate lymph fluid) than previously....a few minutes here and there throughout my day.
In the past, I tested my blood sugars around ten times per day. Now, however, I am using a Dexcom continuous glucose monitoring system (CGMS), which gives me blood sugar readings every five minutes. I calibrate it twice a day with blood glucose tests. I also test anytime I feel "strange". The continuous glucose monitor lags behind by about five to ten minutes. Many times I realize something is going on in my blood sugar (a rise or fall) before it shows up on my CGMS.
The Dexcom CGMS is extremely accurate, and the readings from the (disposable) sensor become more accurate the longer it is worn at a particular site. I have worn it up to three weeks before. I now usually wear it one to two weeks, and replace the sensor when the previous one falls off. The one I have on today is very accurate; I have been wearing it for almost a week.
With all that background, here is today's "day in the life" post.
Yesterday evening, from 9-12pm, had a slow rise in blood sugar (up to around 150mg/dl as my CGMS showed) from my dinner smoothie (one of those "try new things that end up not being good so throw it into a smoothie" meals--2 containers of beet sprouts, which I blended up with 2 very large red bell peppers and 2 pink lady apples), so I did a correction bolus of 0.6 units at midnight, and went to bed when I finished my computer project around 1pm, with my blood sugar stable around 120mg/dl, as my CGMS showed.
9:45am: 1 unit bolus of insulin (I wear an Animas One Touch Ping insulin pump). My blood sugar usually rises when I wake up, from the "dawn phenomenon", so I generally give myself 1 unit of insulin to counteract that. I decided not to program my basal insulin rates to cover the dawn phenomenon, because I did not want to be tied to a schedule for when I wake up. I like to sleep as late as my body desires, to aid in the healing process. (I use a mask, earplugs, and have our window "blacked out".)
10am: I then took my vitamins (B12, D3, and my SUPERVISED therapeutic iodine supplementation protocol), chased by a raw zucchini, which I simply ate as-is. I used my fruit carbs chart (zucchini is a non-sweet fruit) to determine that for my medium zucchini, I was eating about 7g of carb, so my insulin pump's bolus wizard figured out that I needed 0.4 units of insulin, which I did.
*** I should note my current insulin pump settings, on which my bolus wizard calculations are based:
Insulin: carb ratio: 1 unit: 17 grams of carbs (I think I might be more sensitive to insulin than this, as I have been getting a lot of low blood sugars since beginning the iodine supplementation, but I haven't done the meal-by-meal analysis to change this setting yet.
Insulin sensitivity factor: 1 unit: 100 mg/dl (This also may need adjusting due to increased insulin sensitivity since beginning iodine supplementation.)
Basal insulin 24-hour total: 9.6 units of insulin. (This I have been monitoring, analyzing, and adjusting slowly downward since being on the supervised iodine protocol.) ***
I followed my vitamins with about 2-3 minutes of extremely minimal up-and-down movement on the rebounder. This was accomplished by basically the same motion one would use to stand on tiptoe, feet not leaving the rebounder surface.
I then reclined on the couch to read and reply to messages. Since I had a couple of very involved exchanges going on from some recent collaborative project contributions, this took a couple of hours.
11:36am: Took a look at our fruit inventory and decided the mangoes were ready to eat. Took four mangoes to the counter for eating. Cut up one mango and ate it. Calculated my carb intake. Those types of mangoes are generally 30-45 grams of carbs. I did a guesstimate of my carb total, entered it into my bolus wizard (which lessened my bolus due to low blood sugar), and completed the bolus of 7 units of insulin. Then I cut the three remaining mangoes (total of 4 Kent mangoes) and ate them.
I then returned to my work on the computer.
12:30pm: my CGMS asked for a blood glucose test to calibrate, so I tested, and was 162 mg/dl. The CGMS also shows a rather quick rise. Guess I ate those mangoes too quickly. It's hard to eat slowly with a low blood sugar--the body is saying, "sugar! sugar! eat! eat!" :) It's also possible that my body was rebounding from the low blood sugar, since it releases glucagon to counteract low blood sugars, even as "high" as 80mg/dl.
Back to work on the computer.
The tomatoes/Just Barley mix was in my plastic "walking cup", which I use to eat my food while I walk leisurely in my neighborhood. I finished my food about half-way through my 1-mile walk, and got inside just before the rain started. :)
Then, refreshed from my walk, I started on the household chores that needed done: putting away laundry, "flipping over" the guest bedroom and bathroom, and cleaning the kitchen.
At some point shortly after my walk, I felt like my blood sugar was dropping low (around 80 mg/dl), and confirmed on the CGMS, so I had 1 cup of fresh orange juice (from a jug from our local orange stand).
5pm: Housework finished. Time for some refreshment. :) CGMS shows my blood sugar right around 100mg/dl. Did the same guesstimate calculations as before, this time doing 8 units of insulin for 4 mangoes. Hubby ate some of my pieces, so I actually didn't eat quite as many carbs as I bolused for/intended.
Back to work on the computer.
Not sure if these lows are due to inaccurate guesstimating on carb content or to needing to adjust my insulin: carb ratio down due to iodine supplementation/increased insulin sensitivity. I seem to be consistently having lows in the late afternoon/evening, though, since raising my iodine levels (under supervision). Not sure if it is my basal insulin or bolus insulin that needs to be lowered, or both. Need to do some fasting at that time for proper analysis.
8pm: Blood sugar seems stable at around 90 mg/dl.
I should mention that one reason I am not in too big of a rush to adjust my insulin levels is that I am able to work from home and it is not a problem to have low blood sugars because fresh OJ is always handy.
On the days when I go out for the day, I am much more precise with my food measurements. For example, I worked as a volunteer at a big event on two days last week. It was much more physical than my normal activity. I made smoothies of 15 medjool dates/3 cups fresh OJ/Just Barley powder, with very exact carb measurements for precise insulin dosing.
However, due to the increased physical activity level, I still had low blood sugars, so sipped on one of the smoothies for low blood sugar treatment while working, and did half the required insulin for the other smoothie when I had my lunch break.
I also generally like to run my blood sugars a little higher when "out and about" to reduce the risk of hypoglycemia, and also make sure my blood sugar is over 100mg/dl and stable before driving. Since I work from home, I don't drive that often.
I also always carry some form of sugar with me while walking. If I am not eating a meal, I carry juice or something else with me so that I am never caught anywhere without low blood sugar treatment. This is also why I prefer to stay close to home when walking, so that I can just go home and eat a meal if needed.
My doctor does not like me running my blood sugars so low, but it is a personal choice with which I feel comfortable. I do not like to be low as often as I was today, but as I said, I am in the process of making adjustments due to increased insulin sensitivity from the iodine supplementation, which will stop at some point, once my body has reached iodine sufficiency and hormone levels are back where they should be. :)
If you are still reading at this point...wow! Congratulations for making it all the way through! :)