I celebrated my 42nd birthday yesterday. I don’t usually like birthdays, at least not my own, but this one was low key and quite pleasant. Celebrations started the night before, when Jessica and I went out to dinner for the first time since her birthday eight months ago. My birthday morning started a little later than most running days. I let myself sleep in until 5:00am and went running with a friend at 6:00am. We ran eight miles at a comfortable pace and I was back home by 7:30am.
The rest of the day was uneventful except for a few birthday emails, texts and phone calls. I don’t know why but I wasn’t reflective or depressed this year as I usually am on my birthdays.
I hesitated. It has been more than a year since I went paleo, and gave up dairy, grains and potatoes. And much longer since I’d eaten pizza or any carb based meal.
“I won’t try to talk you into it,” Jessica said, “but I think you deserve it.”
It didn’t take much convincing. We ordered pizza from a good place which makes very thin crust brick oven pizza. Shortly before the pizza arrived my mother came over with a very good bottle of wine to make the evening perfect. When the pizza arrived I checked my blood sugar (97). Before bolusing, I tried to estimate how many grams of carbs I was going to eat. I had no idea. I estimated 100 grams of carb in the few slices I intended to eat. But Jessica said “no way maybe 60.” I compromised and punched 80grams into my bolus wizard. (Thanks Medtronic, I love this feature.)
I ate the pizza and enjoyed it so much. I had forgotten how much I like it (love it). The whole meal was great – just pizza, salad and a fantastic bottle of wine. It was a perfect birthday dinner and I‘m happy Jess suggested it. When it was all over, and hour and a half after I bolused, my blood sugar was 191. I took a correction bolus. At 11:30 p.m., my blood sugar was 264. I was a little surprised but decide to correct it again using the bolus wizard and went to sleep.
When the alarm went off at 4:01 I was dazed. The late night of wine and pizza had taken its toll and I had to drag myself out of bed. I imagine that had I not agreed to meet up with some friends for a serious six mile tempo run, I would have just taken a day off.
I checked my blood sugar (181), got dressed and had some coffee. At 4:30am my blood sugar was 166. As I always do, I plugged the number into my pump but instead of cancelling the bolus, I accidentally took 1.3 units of insulin. The second I did it, I realized what I’d done. But tired as I was, I didn’t even think of disconnecting. Instead I just said “shit” out loud and ate a handful of grapes.
At 5:30am despite the accidental bolus, I was a perfect 140. We started to run at a slow pace. I felt sluggish and tired which I thought was a very normal state to be in after sleeping four-and-a-half hours and eating pizza and drinking wine. But after a mile-and-a-half warm up I checked my blood sugar. It was 61. I took a gel and continued to run, delaying starting the 6 mile tempo run for a few more minutes. A half mile later I tested again. This time I knew I was low. I could feel it. I had no energy and was weak. My blood sugar was 49. I took another gel, said goodbye to my friends and started to walk back towards my car. I tried to run a little more but just couldn’t.
Walking back I thought to myself, this is why I don’t eat pizza anymore.