Big Fat Queer

March 25, 2010

Danger Will Robinson! Crash! Crash! Crash!

Filed under: Eat Less; Move More — bigfatqueer @ 9:01 pm
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I felt really great yesterday. It was a good day… until 4 o’clock this morning when I had a pretty severe hypoglycemic crash. Even asleep in dreams I could tell something was wrong. I woke up in a cold sweat, shaking. I grabbed my emergency Snickers and my glucose meter. I tested at 60. I don’t know if it was on the way down or back up, but the response was pretty severe. My endocrinologist explained to me that one component of the feelings of a crash is the flood of adrenaline. Adrenaline raises blood glucose levels, so when levels drop too low, the body releases adrenaline to compensate. This is only the second time since my diagnosis 14 years ago that I have had a crash in my sleep, which is especially scary because if I don’t wake up and eat sugar quickly, I could lapse into a coma. A crash also makes me ravenously hungry. I chased the Snickers with a Coke (I keep a couple in the fridge for this purpose) and an apple. I was up for about an hour and tested at 148 before I went to bed. I got up at the normal time, but I was so wiped out and wobbly that I took the day off. I am still not fully over it, but a good night’s sleep should help. I had dinner a little early to that my insulin would have plenty of time to run its full course before bed. In addition to compensating for less food and more activity, I think because of those factors my insulin resistance may have declined. I will be more careful, especially at night. Better to have a higher blood glucose level than to crash like that, or worse.

For lunch I had a grilled Swiss cheese on rye and some roasted vegetables. I bought a package of peeled garlic cloves at the greengrocer earlier this week. I would not normally use all of that before it goes bad, so I decided to roast a bunch of cloves. While I was at it I took all of the leftover veggies I had in the fridge and roasted them too after tossing them in a pinch of kosher salt and two teaspoons of olive oil. Delicious. The garlic added a wonderful savory flavor. Lunch was about 500 calories.

Dinner was four shrimp dumplings and five pieces of sesame shrimp with two slices of rye toast, about 600-700 calories. I will have a smoothie shortly. I will test my glucose at least a couple of times before bed. No exercise today.

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