I am pretty disciplined with my diabetes.
But, there are always times when you allow yourself to "go off the reservation" a bit and embrace a little chaos. In fact, in my last few relapses of poor control, it was really just a stringing together of these kinds of justifications that led to an extended hiatus. "Oh, birthdays and ice cream only come around once a year..." "Well, we are out for dinner".
I do really well with my daily routine, but when there is a "feast day" of some kind, extended family, booze... it all gets kind of whacky, and no matter what, I end up with an evening and overnight of high blood sugar, even without serious missteps. Here's the thing... I eat too much of whatever I eat. Low-carb, no-carb, I just eat too much because it's a celebration and it's fun. This eating too much thing is really my problem. My stomach gets stretched, glucagon is released (read about Dr. Bernstein's "Chinese restaurant effect" theory), and now I have insulin that is outmatched and useless.
Let's look over today, our family's Easter feast day. I started by eating some deviled eggs and some smoked salmon and some olives for appetizer. Quality food. I was already full. Of course, I bolused. Next up, ham, salad and grilled veggies. All good stuff. So, all together, not to much in the carb realm... but, I was beyond full.
I saw my sensor BG level hitting 140 mg/dl post meal.
I got out my secret weapon. Walking. I took two brisk laps around the block and during that time I saw my BG hit 160 mg/dl and then change direction and return to 130 mg/dl. Then it started creeping up again...
When I got home I tested and found that my sensor had it wrong. I was 200 mg/dl. I took our dog for a brisk 20 min. walk and saw my post walk BG at 111 mg/dl. Okay, so hopefully I'm stable enough to go to bed and not see any more rises.
My insulin seems to work slowly, unless I exercise. When I do, I find that it accelerates everything. For me a correction has become a bolus and a walk. Done.
Hopefully, someday... I will figure out how to approach a celebration without consuming more food than usual. Or, I will just plan to walk a lot.