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A man sitting at a table with a sandwich on a plate in front of him

In the Moment Choices with Type 2 Diabetes

88 mg/dl. The number on the meter tells me what I already know from the shaky, dizzy feeling that emerged during the tail end of a train commute home. While not hypoglycemia by definition, an inclination with that kind of number when accompanied by those types of symptoms is to feed it with a decent amount of carbohydrates.

Factors that affect decisions to manage blood glucose levels

Do I always answer that number and those symptoms with a higher carbohydrate meal? No, not necessarily. I look at current physical activity levels, recent history of blood glucose levels, and what time of day it is that I am experiencing them.


It helps to know that I am training for a 10k run in August, after having done the same for a 5k in June. A minor shoulder injury has me in physical therapy as well, and the exercises are working muscles that are likely stimulating glucose metabolism. While carbohydrate intake has increased past winter levels, it is more due to several snacks a day to keep blood glucose levels even throughout the day. On this day, I know how hard I am training for a long run and how I am strengthening injured muscles, and that allows me to think towards something a little more carbohydrate-heavy.

Recently, blood glucose levels had been steady around the predicted 6.2 A1C that the blood glucose monitoring mobile application I use shows. When I say recently, I look at the last two to four weeks for any values above my defined level of hyperglycemia. If there has not been an ongoing issue, I would be more likely to give myself a break and eat something I enjoy that may not always be on the menu at home.

Snack decisions

Late afternoons have almost always been a rough time with symptomatic low blood glucose, especially when I am working out more regularly. Snacking before a workout helps, but in this case, it was the effects of last night’s run still affecting blood glucose levels nearly twenty-four hours later.

Then I am just honest with myself. A peanut butter and jelly sandwich sounded good. Bread is not always around my house, but on this particular day, it was as a rotating item to keep lunch interesting. With all the work towards training towards a new running goal, I figured a treat would be in order without damaging the A1C level that my preferred tracking mobile application was predicting. It might have ended up being a poor decision in the moment, but it would sure be a tasty way to stave off hypoglycemia symptoms (even if not hypoglycemia by definition).

Was a post-meal blood glucose above my defined level of hyperglycemia? Yes, but I try not to beat myself up about it and took note of where things were with my fasting blood glucose in the morning.

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.


  • Meryl Krochmal, RD, CSP, CDE, CNSC moderator
    1 year ago

    Hi Rachel! My name is Meryl. I am a fellow contributor. Congratulations on working towards your 10K run! That is awesome. Have you ever considered wearing a continuous glucose monitor? With you increase in activity/training you may find that you have more peace of mind knowing what your glucose is doing every few minutes along with the direction you glucose is going. I hope you don’t mind me putting in my input 🙂 Take care! Meryl 🙂

  • jrobindo.2
    1 year ago

    I believe that having a rewarding snack is fine. I mean it’s not like you’ll be eating this every night for the next six months. Type two people should not deprive themselves of an unhealthy snack every once in a while. As long as they don’t over indulge I think it’s fine.

  • Margot moderator
    1 year ago

    Thanks for your response @jrobindo-2 ! Best, Margot, Team

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