I was such a coincidence to find your post because as it happens, I’m dealing with the very same issues myself right now! I’ve been diabetic almost 15 years, and I graduated from a 2-year program in x-ray technology this past August. I was hired into my very first healthcare job back in November, and right now I typically work around 3 12-hr shifts a week. The stress from all of this rapid change has definitely affected my BGs.
I’m finally starting to settle in to my new job and overall anxiety levels starting to decrease some, but I have recently come to notice a marked difference in the way my BG behaves and my insulin sensitivity between days when I work and days that I’m off work. I recently went to the doctor and the NP at endo suggested that I start considering setting 2 different basal patterns for days when I work and days when I’m off (I’m on a medtronic 670G and Guardian sensor CGM). I’m thinking I may even need to set 3 different basal patterns: 1 for off-days, 1 for slow work days with a lot of sitting down, and 1 for high-stress, bat-crap-crazy work days! Most of the time, I can look ahead at my work schedule and know what type of day I’m in for, so I can switch to the appropriate basal rate early.
I’ve also found that getting regular, heavy exercise several times a week seems to really help stabilize my BGs overall. Maybe this is in part due to the exercise keeping my metabolism at a more constant rate, but I think it’s also because it helps lower my overall anxiety levels. I have chronic anxiety anyways, and all SSRI drugs give me sleep disruptions, so I’ve found that the best management for my anxiety is to get that regular, heavy exercise several times a week.
Anyways, I’m still trying to figure it out myself, but if your problems with BGs have been going on for a long time, it might be worth talking to your endo to get some advice.
Good luck and have a lovely day!