The rule of thirds

There seem to be many rules in diabetes management. The biggest one is that once you know the rules, they no longer work.

I've been very, very good lately. I'm trying to restrict my carbs to the level that works for me. I know where this is, I just don't always like doing it. I hear about people on the Atkins and Bernstein diets who say that their blood sugar is under fabulous control almost all the time. I'm not doing Atkins here, but I really doubt whether that would work for me.

You see, I've figured out that for me, blood sugar is only 1/3 about food. If I control the food, that leaves 2/3 left for general wonkiness.

Another 1/3 of my blood sugar control is about monthly hormone shifts. I've got those down, though they do require constant vigilance and management. I do understand them, though.

The last 1/3 is the wild card. This includes the impact of exercise in the moment, the long term impacts of exercise, stress, illness, site failures, tubing bubbles, insulin weirdness, seasonal allergies (a huge one right now) and the influence of the conjunction of the planets. Or something. Even if I have the first 2/3 of the blood sugar management sorted out, the last third sneaks up on me. Like now. Eating well, not at any particularly awful time of the month, and I've got alder pollen. I'm running a 200% basal these days and still making corrections. Yummy.

I wonder and shake my head in amazement at those with diabetes who manage to keep their blood sugar flat most of the time. Maybe they're all post-menopausal women (or men) who have no allergies, never experience stress or illness (or don't have a three year old in preschool) and lead a very predictable life? Methinks not. Anyway, I gape and I wonder and I applaud. And I also applaud those who struggle with blood sugar that's out of control, and I don't judge. Because sometimes that last third comes to bite you, and there's very little you can do about it.