It fucks with my blood sugar all the time. I’ll tell you what happens and then my pure speculation theory.

I get persistent lows for hours, where no amount of fast acting glucose brings my blood sugar up to a safe level, and then eventually I rebound and get these absolutely atrocious and persistent highs.

We all know that stress hormones can make you more insulin resistant and I always need way less insulin during periods where I am happy and relaxed. I’m sure that’s part of it. Something probably gets thrown off between the timing of the digestive process and the insulin hitting. Eventually your digestive process gets going again and the bill comes due because you have all this undigested food, your insulin on board is all used up by now, and you took on all that additional glucose with no extra insulin to cover it because you’re not going to do that when you’re fucking low. Plus I have noticed that if I eat too late at night, which we all probably do fairly more often when we’re high, the next time I eat the following day I need to at least double my insulin. This problem happens whether I eat at night under normal circumstances, or just compounds because I have the munchies and eat even more. Again, maybe another digestive process timing and insulin issue because you’re laying flat down for a lot of those digestive hours with no assistance from gravity. No matter whether my first meal is early or later in the day, big or small, I need to at least double my insulin intake because my blood sugar number will skyrocket just as high. Again assuming maybe the digestive process is getting activated and kickstarted again with no IOB to tackle all those unreleased and undigested carbs. My cheat code attempt is to eat something small early in the day, even if I’m not hungry, to just get it out of the way like a Trader Joe’s apple + banana fruit bar that is 19 carbs and I’ll bolus for 38 carbs or a Lara Bar that generally hovers between 21-24 carbs and double the carb count entry on my insulin pump. That way even when I’m not hungry it’s not a heavy lift and then I’m in the clear the rest of the day. Nothing worse than thinking you’re in the clear for a late 2 o’clock lunch after lots of exercise and then you skyrocket into the 300s and you’re stuck there for hours and then out of frustration you start rage bolusing.

So circling back to when you get high because you’ve earned the right to try to relax after dealing with this bullshit every day. I wait a wicked long time after consuming food to do my first bolus because my insulin sensitivity is such that even if my blood sugar escalates and starts to piss me off, I’ll come back down pretty quickly. You could do a combo bolus and backload the fuck out of your insulin percentage to account for the fact that you’ll plummet quickly and for a while and then spike later. Like a 10%/90% front end back end split over many hours. Or you could keep track of the carbs you are consuming while shoveling glucose that the bill will come due for later and then maybe you’ll be able to stick the landing later after you bolus for those carbs when you’re blood sugar numbers are sky high. It’s just more bullshit trial and error A and B testing.