Battling Winter Colds and Illness When Type 1 Diabetic
My carefully laid training plans were recently axed by a “stinking cold” that seemed to go round amongst colleagues and friends.
What started off with body aches on a Friday, feeling cold and having headaches on a Saturday, had turned into a proper cold by Sunday with all the common symptoms: Runny nose, cough, congestion, headaches, sneezing and feeling generally quite lousy. And with that started a new challenge altogether: Managing my diabetes!
From incubation to outbreak – Blood sugar observations
As the weekend progressed, my sugar levels became gradually harder to manage until, eventually, with the outbreak of the cold, they were staying up at around 200-220mg/dl (11-12mmol/l).
Any slow-release carbohydrates I would eat and cover with short-acting insulin (bolus) would send levels even higher within 30-60 minutes of injecting. My body had become highly insulin resistant and my diabetes an uncontrollable beast!
Real life example: Day 2 of the cold and blood sugar levels
My target range is shown in gray; levels between 85-140mg/dl (4.7-7.5mmol/l). I generally have good control with HbA1c results of ca 6.2%. When illness strikes however, chaos rules: Below graph shows how elevated glucose levels were despite:
A temporary basal rate at 140-150% from waking up throughout the day until early evening
an additional circa 15 -20 units of correction with short-acting insulin over the course of the day
Little carbohydrate intake
Notice the spike from 160mg/dl (8.9mmol/l) to 271mg/dl (15mmol/l) around 19:00 (7 pm)? This came after eating 12 grams of COH in form of Pumpernic Continue reading