Tuesday, 4 August 2015

Climbing the T1D mountains

I've been woken up by my Dexcom / xDrip system several nights in a row because of a low. Waking up every 2 hours and having to eat something is not very pleasant. Last night I decided things must change and I tried something different and it failed terribly. On the left, my glucose graph from around 20:00. On the right, a popular mountain... can you spot some similarities ?? At 21:00 my levels started to rise, I did not want to try and fix that with exercise and gave myself a small correction bolus. At around 23:15 I really wanted to go and sleep, but noticed that I over-corrected, going low. Having several nights with many lows, it is definitely not a good idea to go to sleep already low. I ate a few pieces of malva pudding, thinking that I'm going to make sure I don't get a low during the night.... I ate too much (very little actually, but the pudding can mess with your glucose levels). 01:00, I woke up realizing I'm climbing a massive mountain and it looks like it's going up for-ever. Injecting another correction bolus and going back to sleep. Another mistake I made was to switch off my high glucose alarms, otherwise I would have noticed the peak much sooner. The correction bolus was not enough and the dawn phenomenon kicked in at 05:00, creating another peak. Getting out of bed at around 06:30, realizing I'm on a mountain and quickly gave myself a correction and breakfast bolus. If you fall from a mountain, you fall hard, at 08:00 I was crashing fast. I was driving to work at that time. I consumed anything I could find to eat in my vehicle, I knew that I had to try and stop the rate of the fall as much as possible. Everything takes time, food takes time to digest, and then there is momentum, it is difficult to catch a falling egg without breaking it. I managed to turn the curve to go up just in time. Then the oscillation starts again, at 10:00 I'm going over my target range again because of all the things I had to eat to prevent the fall. Staircase exercise to the rescue, and I'm down going low again at 11:00. Luckily the fall was not that high this time and 100g of yoghurt quickly corrected and stabilised the oscillation. Sometimes it is very difficult to manage the T1D mountains. I lift up my eyes toward the T1D mountains, from where will my help come? My help is from the Lord, maker of heaven and earth. (Ps. 121)


  1. Hi Jaco,
    Interesting reading - thanks.
    Any hints on how we can get our hands on a Libre? I was in France recently, but they were not fulfilling new orders at the time.

    1. Hi Alex,

      Currently Abbott SA does not even know when it will be in SA. The only option that I know is to buy them on ebay, but you will have to pay double the retail price on ebay. You can also try to find a friend in a country that does supply them and let the friend register to be on the waiting list. However the waiting lists are very long, months.. you won't be able to visit a country and simply buy them off the shelf, they ship the orders directly to the clients. I would go for dexcom rather than the Libre. Send me an email (gmail address is cronje dot jc) and I can provide you more detailed hints.