An Unlikely Outcome
After a long day of cooking, cleaning and yard work in preparation for hosting Easter dinner, we were grateful to adjourn to a local family-friendly Irish pub for dinner. My daughter knew what she wanted before we walked in the doors. 'Remember how good their fish and chips is? I'm getting that.'
I was pretty sure she hadn't come close to finishing the plate the last time we went, so I delivered insulin for 40 carbs to start and waited to see what she would eat. My estimate was 12 per fillet and 2 per fry with a few carbs thrown in for good measure. I figured the 40g to be about half her plate, and knew giving some of the insulin a head start could only help the cause later on.
I guess the combination of cleaning her room, helping me cook, and softball batting practice built up quite an appetite. Before I knew it her plate was almost clean.
I bolused for another 40 carbs despite her sharing 2 or 3 of her last fries and a small piece of fish.
It's extremely rare that she eats more than 50 carbs per meal. Consuming 80 is almost unheard of. When there is fat involved, I usually actively discourage it. No matter which 'tricks' we try to contain it, her blood sugar inevitably objects. In the back of my mind, I worried what those blood sugar numbers would look like later, but after a long day I was just happy to sit and relax over my own meal and let her enjoy hers.
As she set out her Easter basket to be filled, her post-dinner blood sugar was 234. I figured that to be only the beginning. Yet that correction brought her quickly down to 175 an hour later. By 2 a.m., the meter read 133. At 7 a.m.? 93.
This story contains no advice. My daughter consumed a significant amount of fried food while I haphazardly guessed the carbohydrate content. I used no temp basals, combo boluses or other diabetes tricks of the trade to yield this result. I can almost guarantee you that next time she orders the same entree the blood sugar results will be wildly different.
All I can figure is that in recognition of our hard work and the occasion of Easter weekend, the diabetes gods chose to smile on us Saturday night. On a day when you most need it, I hope they are similarly gracious to you.