I have an endo appointment scheduled for Wednesday and in preparation I am logging EVERYTHING. This process makes me hyper-aware of the food I’m eating, how much insulin I am doing, how far in advance I take it, and how often I do actual BG tests. (As opposed to dosing based on Dex. Yes, I am one of those people.) After one day of logging, my BGs seem to have leveled out considerably. Which begs the question: How effective will a change made to my D-routine really be if it is based on an ideal situation (aka, a lie), rather than on reality?
I suppose it also begs the question: Why not just log all the time? But I’m sure the effect would just wear off with time and suddenly I’d have no quick fix for when my BGs have completely run away from me. Unfortunately, this logged data is what really allows any edno to see patterns and suggest changes.
What we really need is some way to record all of this data with minimal user interference. Like an oral sensor that keeps track of carbohydrate consumption, a GPS/pedometer to keep track of physical activity, and of course the CGM and pump to record BG and insulin information. There would be no hiding a snack or lying about the real carb count, no question about how far in advance a bolus was administered before lunch, and real time correlations between BG levels and exercise. Can we say, “Hello, Big Brother?” I prefer self-disclosure.
Back to the point. Logging introduces a paradox of sorts to my doctor’s visits; I’m am presenting myself in the best case scenario when the real problem lies in the average case scenario.
Dex & the City 