Plate with crackers and melted cheese

I forgot to eat

This evening unfolded like any other, with the familiar rhythm of preparing dinner guiding me. Yet, an unexpected discovery awaited me as I opened the microwave door: a plate of forgotten crackers and cheese, melted and abandoned from a snack attempt four hours earlier.

This minor oversight suddenly made sense of the “alert before low” that my pump had issued earlier. It also explained the unusual flat line on my Continuous Glucose Monitor (CGM) graph. I had been puzzled by this anomaly. I had a quite busy afternoon, and wasn’t spending a lot of time thinking about my diabetes. I wondered why my blood sugar was so good… Now it’s all explained.

Earlier in the day, I had bolused, anticipating to eat a bowl of leftover pasta. However, there was just a half bowl of leftovers available, which wasn’t enough for the insulin I had already administered. To compensate, I opted for some crackers and cheese, calculating that it would provide the necessary carbohydrates. Hunger nudged me towards this decision, yet, as the afternoon wore on, my focus shifted back to work, and the intended snack slipped my mind…

Medtronic 780G CGM shows a graph that trended downward and then back up, staying in range

Indeed, as the graph above illustrates, the outcome of this day was surprisingly positive. The alert from my pump served as a timely nudge, prompting me to consume a half package of fruit gummies, which translates to roughly 10 grams of carbohydrates. This quick action effectively brought my blood glucose levels to a perfect 90 mg/dL—a target I often aim for but seldom achieve with such ease.

Reflecting on the day, I can’t help but find a bit of humor in the unexpected turn of events that led to a “GREAT” diabetes day. However, this incident also sheds light on a deeper, more complex issue that goes beyond the immediate chuckle.

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Diabetes Management and Disordered Eating Practices

Amidst this light-hearted moment lies a deeper concern—one that extends beyond today’s fortunate mishap. The incident underscores a subtle yet significant risk: the inadvertent reinforcement of skipping meals as a seemingly effective diabetes management strategy. This could potentially be misinterpreted as a ‘reward’ for not eating, a dangerous precedent that might allure someone into a pattern of intentional meal skipping.

Such behaviors tread perilously close to the realm of disordered eating practices, especially concerning for those of us navigating the complexities of diabetes management. It highlights the fine line between managing our condition and inadvertently fostering unhealthy attitudes towards food and eating. While today’s outcome was positive, and my mindset remains health-focused, it serves as a poignant reminder of the importance of mindful eating and the vigilance necessary to avoid the pitfalls of eating disorders within the diabetes community.

This experience is a call to action, not just for myself but for all of us managing diabetes: to remain aware of the psychological impacts of our diabetes management choices. It’s crucial to balance our physical health with our mental well-being, ensuring that our strategies to maintain stable blood glucose levels do not inadvertently lead us down a path towards disordered eating behaviors.


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