One week after starting with the new endo, she dropped my lantus dose by four units (four! units!) - I'm now on an 8/8 split. She did so because of some of my middle-of-the-night lows. Well, it seems that those have certainly abated. Yay Golds! But, hoo BOY has this been a friggin' learning curve. All of my carb:insulin math is totally out the window... or at least all of my eating-out math is. And I'm a New Yorker. Eating out is our thing!
I spent most of my weekend over 200, and visited the land of three-hundredia a number of times. I can't for the life of me figure out how to fix it. I mean, I sure as hell am not at a 5g to 1u ratio. I do that with an apple, and I'd kill myself. But ice cream? (And I'm talking a piggo entire container of ice cream = No error on my counting. I'm going strictly by label!) Fuhgeddaboutit. Sky's the limit. Or, rather, the BG is sky-high.
Clearly, fatty meals are always tricksy with the ol' insulin. But could I really have changed all my math that much? I know, I know -- four units is a lot of lantus. Especially when you stop to consider it was 20% of my daily intake. But is it THAT much? Was I really using it to clean up all my "bad" BGs?
I need to get a grip on all of this before I (fingers-crossed, knock wood) go on the pump!