Feed, Starve, Bolus

Feed a cold; starve a fever? Or is it the reverse? And why don’t “they” tell you what to do about strep?

I woke up Thursday morning* feeling sick and thought, “I bet it’s strep. It feels like strep.”

I tried to go to work but when I got there they took one look (and listen) and told me to go to the doctor and go home.

I went home first and slept away most of the day and made it to the urgent care center shortly before it closed. When I got there, the intake person asked me about my primary concern. I told her that I was basically there for a strep test.

The doctor came in the room and started with the standard exam, but all it took was a look at my throat for her to say, “It’s strep.”

Help! There's a cat in my Dexcom!
Help! There’s a cat in my Dexcom!

It makes sense that my diabetes management is affected by any type of illness. Despite changing out the reservoir, insulin, and pump site, I had high blood sugars that just wouldn’t budge before I went to the doctor. It was almost like magic though a few hours after I took my first antibiotic dose. My numbers headed back into the normal (for me) range.

Over the next couple days though I noticed something in my numbers that I hadn’t seen before. For the few hours right before it was time for an antibiotic dose, my blood sugar would begin to rise. It didn’t matter how long it had been since my last meal, if it was a new infusion set, if it was new insulin in a new reservoir, or even that the same basal rates work perfectly at other times.

I know that our blood glucose levels are often affected by illness but I have never seen it so dramatically as last week. Has anyone else experienced such antibiotic-dependent numbers when recovering from an illness?



*Yes, Thursday morning over a week ago. Between extra long days at work, illness exhaustion, and everything holiday related I fell asleep trying to write this post several times over the past week.

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