4
Apr

When life gets in the way...

Lately things at home have been pretty hectic.

- We adopted two rabbits. They're adorable and precious, but litterbox-training baby rabbits is not an easy task. It involves a lot of urine-soaked newspaper...

- The dog got an eye infection. Then an ear infection. The the other ear...infected.

- He passed it on to the rabbit (so all 3 pets [2 rabbits; 1 dog] had to be separated, and one dog & one rabbit ended up on antibiotics)

- The dog then scratched his cornea and developed an ulcer in his eye. He's on meds every 3-4 hours over a two-week period, and for now he's stuck wearing his cone 🙁

- My lovely and wonderful best friend is getting married in a little over two months, and as her MOH I've been honoured and delighted to start planning a bridal shower and bachelorette. Also, wrangling friends and family members into planning sessions and coordinating details has, on occasion, left me just the teensiest bit frantic. Even more than that is the ridiculous idea that I need to pretend that I've got a solid handle on everything that's going on --  I'm not sure where this compulsive need to fake it is coming from, but the cool calm exterior that is presented (when in fact I'm tearing out my hair or panicking over details) to others involved in planning is proving a bit draining to maintain.

- Work has been insane. Like, insaaaane. I have, through the sheer luck of being the person who sits next to my group's manager, been tasked with updating some of our systems and processes on top of my regular work duties. It's been fun and challenging, and I've definitely been learning a lot as I go, but I admit it's been a uniquely challenging project.

- My elbow has been acting up. I'm on a waitlist for surgery on my ulnar nerve (that's the one that runs through two bones in your elbow), but I've got about another 6 months to wait, possibly longer. My symptoms have been ramping up over the last two weeks, leaving me trying to balance managing pain with my desire to actually use my hand. More on that later, but to sum it up, it's been making itself increasingly noticeable over the past little while, and nerve-blocking meds are no longer helping.

 

It feels very strange to look back over the last few weeks. Diabetes has actually taken a backseat to the drama of everyday life, and this feels very...strange. My Carelink reports show that I'm trending higher than I'd like, and to be completely honest I haven't done much about it. I know I have an upcoming endo appointment in about a week, and I know she'll make recommendations for changes in my basal and bolus ratios. Does that absolve me of any responsibility to review my data and make changes in response to what I see? Well....no. It does make it easier to just wait to let someone else make the changes, though. Lately it just feels like life has been too busy to let diabetes be as important as it should be, and my Carelink reports are proving that my diabetes care is suffering. I hope that this upcoming appointment can serve as the kick in the butt that I need in order to prioritize my health again, at least for a little bit.

23
Feb

A moment of hesitation

Sometimes these moments of diabetes fatigue hit me out of nowhere.

Last night my pump site was itchy and sore. I'm not due to change it until tonight, so I figured I'd ride it out and just put up with the sore site for a day.

This morning I woke up late, rushed in to work without testing in the morning, and only checked when I got in to the office. I'd been going on my cgm values, which were a little high but nothing too critical.

My BG once I got to work? 18.7.

The most likely culprit is a site that's not absorbing properly any more. I know that to fix it the next thing I should do would be an injection (not a correction delivered through my pump!) and a set change.

I open the "diabetes drawer" at work, pull out my spare reservoir and Mio set... and I pause.

I just don't want to.

I'm actually finding myself contemplating getting the vial of long-acting Levemir that I keep in the fridge at work and switching back to shots for a day or two.

I know that a sore site makes me much more likely to want to take a break from pumping. A sore site is a reminder that I've got a plastic cannula below the skin, making a tiny part of my body itchy and uncomfortable.

For now I've delivered my correction and am waiting on the whole set-change-or-not issue. There is no need to decide right now.

It is uncomfortable, painful, and unfortunate, but it is not currently life-threatening. I can afford to take a minute to try to remind myself why I started pumping in the first place.

6
Nov

Ugggh.

These last few days have felt pretty miserable.

I've been super high for super long, and it's taking super-basals and super-boluses to even make a dent in it. I've been running a 180% temp basal for about six days, but unless I also supercharge my mealtime insulin (with SUPER EXTRA mealtime insulin), this happens:

image

I feel almost constantly bloated. I am ALWAYS THIRSTY. I feel sloshy from all the water I'm drinking, and I've had a low, throbbing headache for about 3 days now.

Ketones haven't been an issue yet, which is lucky because usually I'll get things under control then stupidly think that I can eat, which  -- WHAM! -- causes more super-highs.

I have checked my sites. None of this is from an infusion set issue. That's about the only troubleshooting I've managed to do.

It's like this horrible stupid cycle.

image

Round and round and round it goes...

13
Jun

Possible sitefail?

My ass hurts.

Hurts an awful lot, actually. It hurts when I stand, when I sit, when I walk. It hurts when I sleep.

I have a new infusion set on my butt, in case you're wondering.
Top left-hand side.

I started the new set last night, after dinner and before bed. Not a great idea, I know -- I can hear my CDE's voice in my head telling me to always insert a new site before a meal so that I can confirm that the site is fine. I forgot that I needed to change it last night, then I procrastinated, then before I knew it it was 11pm and time to go to bed.

I went to bed at 8.5, which is higher than I want to be, but ok since I *did* have a snack brefore bed and still had insulin on board. I figured I'd come down over the next two hours, and wake up fine.

Wake up...12.4. Argh. Bolus a correction plus insulin for breakfast, and after breakfast, still high. By this point I have a headache setting in, so I react (over-react? no...just react. I think.) with a higher temp basal and a super-sized correction bolus. As I write this, I'm on my way down (by mid-afternoon), so I'm wondering whether the high is from the new set -- maybe it isn't absorbing properly? It's probably more likely that the Insulin-On-Board from my before-bed snack caused a drop in my bg overnight, and my liver kicked in with some glucose (thank you,  liver) which brought me a little too high by the time I woke up. I'm not sure why that high has been so persistent, but the slight downward trend is looking promising.

I haven't had a site fail yet - & I certainly don't want today to be the first day that happens!

23
Jan

Arrrgh

Today has (thus far) been filled with SUCK. I woke up high. Corrected....and was still high later. I'm eating a salad for lunch & it's giving me heartburn... because im still high. I'm 3 hours into my mid-morning rage-bolus, and so far it seems to have done squat.

I'm not high enough to feel super sick (been hovering between 13 & 16 all day), but BGs have been high enough to make me thirsty and sluggish all day.

Oh... and the heartburn.

I am excited for today to be over :S.

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