Glucose Sensitivity

Since the SPR program ended at the end of September, I have held my weight steady. I was worried that I would rebound and gain back all the weight I lost in Q3 while on the program. However, since the program ended, my blood sugar has been extremely sensitive to carbohydrates, and it has been difficult to control with insulin shots.

Here is an example from yesterday. I went to sleep around 10:00 pm. for no apparent reason, my blood sugar began to rise at 3:00 am. The increase was slow at first but then a high glucose alarm woke me up at 6:00 am. I have not eaten anything since the night before. At that time, I shot fourteen units of Humalog and went back to sleep. When I woke up again at 9:00 am, my blood sugar was back down to 93.

What is going on? This happens during the day as well. I would measure my blood sugar, inject insulin as instructed by the inpen app or a manual sliding scale, and yet my blood sugar would seem to increase faster than the insulin can handle. The levels would eventually come back down, but after a huge spike in the CGM reading. If I try to chase the glucose high with more insulin, that often leads to low blood sugar, something enough for me to feel physically. I did bring this up to my endocrinologist and she agrees that I may be more sensitive to carbs after a diet program that had minimal carb intake.

I thought after the program, I could mix in some rice/bread/pasta once or twice a week. However, it does not look like it is practical since each time my blood sugar would go crazy like above.

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