“PB. On on your finger.”
“Ohhh. No, it stands for pre bolus.”
Yes. That’s right. It says PB on my finger, in black permanent marker.
One of my biggest challenges when it comes to my self-management is remembering to bolus before my meals. I either remember halfway through my meal, when I finish, or in a few instances, a half an hour after I’m done. I’ve talked about this in an older post and how pre bolusing feels like I am giving up some of my control. However, I know that if I can remember to give my insulin before I eat, I can drastically cut down on my post meal bg spikes. Sometimes it takes hours for these spikes to return to a normal level. I know that all of this will ultimately help to lower my A1c and hopefully finally get me from being in the 7’s to the 6’s. I know what I have to do, now it’s just remembering to do it.
Clearly that’s easier said than done.
This habit of bolusing midway or after eating is so ingrained that I am truly struggling to remember to pre bolus. I’ve tried to think of a few ways to help remind myself. I don’t really eat at the same time everyday so setting an alarm on my phone wouldn’t really work. Plus, I don’t always have my phone visible while at work. Ultimately I decided to try something different. I would give myself a “cue to action.” A visible reminder of a behavior that I want to change. I figured if I wrote PB on my finger, I would be sure to see it. After all, I use my hands to eat, how can I miss black bold letters written on my hand?
Well, apparently I can. I’ve had mixed results with this pseudo experiment. I do see the PB written on my hand, unfortunately it’s not at times when I’m about to eat. It’s when I’m sitting at my desk working on my computer. When I’m stuck in traffic driving to and home from work. Or when I’m using my phone. Of the few days that I have written PB, I have remembered to pre bolus for only a few of those meals. A few times I remembered, but wasn’t able to because my bg was low. But there were a couple meals that I still completely forgot. I got so caught up in my conversations and food that the thought completely escaped me.
My conclusion? There is potential. Even though I didn’t remember for all my meals, I still remembered for a few. There was some improvement. Maybe writing on my finger is just not the right cue to action. Maybe I need yellow sticky notes physically put on or around my food. A sticky note on my packet of oatmeal. One on my tupperware container. On my dinner plate. Places where I literally can’t miss them. Kind of like the notes my mom used to write for my lunches in elementary school, only way less exciting:
“Hey Reva, PB! Love, Me”
It’s more work, but in this case, the benefit is definitely worth the extra effort.