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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