Prebolus: v. To give a bolus (short burst) of insulin given via shot or insulin pump prior to a meal, often given 10-30 minutes before, depending on the person.
Dawn Phenomenon: n. The lovely thing that happens when you wake up and your body releases itâ€™s own glucose for energy to get you going since you havenâ€™t had anything to eat since the night before, just in diabetics, we donâ€™t make our own insulin to combat it, and itâ€™s hard as all get out to figure out how much to bolus to keep us from going high since it can vary from day to day.
Prebolusing is something that I have had to really try my best to stick to since becoming pregnant. If I donâ€™t, my blood sugars go even whackier than they did before. Which prebolusing wasnâ€™t that big of a problem before in the first trimester because I either didnâ€™t have to bolus at all or I would be bolusing very little to cover the mealâ€¦ if you want to call it a meal. But now that Iâ€™m in the second trimester and all of the icky morning sickness isnâ€™t there, hunger that I didnâ€™t have then has come back full force, making it very hard for me to wait my time after bolusing to eat.
Of course, some situations donâ€™t really allow me to do so. Like when we go to a restaurant and they donâ€™t take as long to fix the food or when we go to my in-lawâ€™s for lunch or supper and itâ€™s already done. Do you know how hard it is to sit there and tell them youâ€™re waiting on your insulin to work? When youâ€™re smelling the good food, wanting to eat it, and theyâ€™re telling you â€œCome on, eat!â€ ? Which I will have to give my mother-in-law a lot of credit. She is beginning to understand why I do what I do and even tells me Sunday Lunchâ€™s menu when weâ€™re at church so I know before we get there. How cool is that?
But itâ€™s still a challenge. Like for breakfast. Calculating a prebolus for food with timing when you add the lovely Dawn Phenomenon in the mix is just brain-wracking, especially for me now. I wake up, Iâ€™m starving and my blood sugar is going to the sky without me doing a thing, making me want to eat everything in sight. Sidenote: I hate when Iâ€™m high and I want to eat everything! Especially knowing the hunger is not real, but only from being high, and that if my sugar came back down, I wouldnâ€™t be hungry. It is becoming very hard to wait the time, and often I think my wait time has passed when it hasnâ€™t or I wait too long and end up low, stuffing my face, and then skyrocketing anyway.
So, this morning, I did it. I finally set a timer. Figuring in the slight high (who would ever think I would freak at seeing a 130 on my meter! Oh how pregnancy changes EVERYTHING!), dawn phenomenon, and the craving for a Hardees Cinnamon and Raisin biscuit, I prebolused 30 minutes ahead and set my timerâ€¦.
When my time was up, I ate my biscuit (slowly as possibleâ€¦ if you can imagine that for something you can devour in two bites if you wantedâ€¦) and prayed for the best. Now the wait to see how this works out.
Speaking of waitingâ€¦. I just realized Diabetes is a whole heck of a lot of waitingâ€¦ but thatâ€™s another topic for another day.