A Bloody Mess

The title pretty much sums up my day yesterday. I'm not going to lie- it was kinda a rough day diabetes-wise.
*Disclaimer* This post contains girl-stuff and a lovely little pic of my bloody back (per a failed dexcom sensor), so to all you dudes out there- might wanna skip this one.
Okay so, first: That smoothie I drank night before last? I majorly over-bolused for it and ended up with a low that dropped from 66 to 53, even after I treated. I was a little freaked out by that, ended up eating half the kitchen, and had a high BG from 12-4am (in the 200s) according to my dex. *Insert non-paid promotion here* That dex was a life-saver. I would've went to bed with a BG of 106 (what my glucometer read) if I hadn't seen the arrow pointing straight down on my receiver.
So, needless to say, it was a bit of a rough night. Morning dawned with a good BG and I headed out to school. I stopped by work to grab a biscuit, which shot my BG up to the 200's and left it there until lunch time (around lunch time I discovered mother nature had left me her present for the month-possibly the cause of those higher BGs). I took extra insulin for lunch and was still high until I accidentally ripped off my receiver (which still had two more days) and had to change my dexcom site.

Now you see that picture? And where that little girl's transmitter is?

Yeah that didn't really work out for me. Maybe because my skin is thinner there because of stretch-marks from that rapid growth spurt (more like weight gain) of my preteen years. 

So I ripped that site out after I realized the little window had filled up with blood. Ouch. And I wasted a dex transmitter which makes me sad, because I only have three more.

Theeeeen last night the site where I did my Lantus injection bled and I was just like...

Oh well! After all, that's life, right? 

My day diabetes-aside was fine. I got to have lunch with my parents and actually clocked out of work on time. Plus- everyday with Jesus is a good day!

 So don't think I'm trying to be a negative Nancy- just trynna keep it real. 

~Realistic T1D

Death by Holidays (goodbye honeymoon phase)

Alright, I don’t know about you guys, but when I’m stressed out, super busy, or on vacation, I get a little lax in my management if you know what I mean. Finals week, Thanksgiving, and Christmas vacation are all perfect examples of this. Finals week was, well, stressful. And when I’m stressed out, I like to eat. I mean, who doesn’t love a good a candy bar when you’re on the brink of mental collapse? (Okay, that may have been a slight exaggeration, but you know what I mean) When I say “lax in management” I don’t mean that I completely stop taking insulin or ignore a bad BG reading. It means that I snack more than I should, don’t check as often as I need to, and fail to stay within my normal carb range. I try to shoot for around 45-60 carbs meal. Well obviously, that goal is not even realistic on Thanksgiving.

Let’s start with Thanksgiving. Lots of food, right? Want a general idea of HOW MUCH food? I took nine units of insulin to account for my loaded down plate. At a bolus ratio of 1-15, that means it was about 135 carbs. Post-Thanksgiving meal, my tummy was NOT happy with me. As a diabetic, I rarely eat until I am stuffed. And this was the first time since the beginning of this year (my diagnosis) that I had really gorged. And oh boy did I pay for it! The stomach cramps that night that followed were NOT pleasant. I can’t remember if I checked my BG before bed or not. Forgetting to check my BG before bed was a bad phase for a while (more on that later). So after Thanksgiving I seemed to be having difficulties staying in range. So I monitored my carb intake, insulin dosage, and BG’s closely for a couple days then decided to bump up my bolus rate. So I started doing a unit to every 12 carbs instead of 15. I also upped my daily injected of Lantus from 5 to 7 units.

So that was Thanksgiving. Now on to Christmas.

Pretty much same story, different holiday. Poor control, snacks, too many carbs, too much food in general, ect, ect. This past week I was out of state visiting a friend before school starts back. All week I kept seeing a reoccurring high post-prandial (after meal) BG. So, I upped my intake again, and tried 1-9 for a couple meals, with results still above my preference. Another bump down, and I seem to be back on level ground with a 1-7 ratio.

Now I’m wondering if I might need to give Lantus another bump up, considering I went to bed last night with a BG of 113, and woke up with a 130.

I said all that to say this: Honeymoon period is obviously either over, or in fast decline, and I can’t help but wonder if I was responsible. Did all that over-eating, inconsistent snacking, and irresponsible management finally send my pancreas over the edge? It’s a question worth asking, but I’m not sure if I’m brave enough to admit all of the above to my endo next week. He’s bound to notice those highs and missing bedtime BG’s. Good thing he is a super nice guy.

 ~Regretful T1D

Long Acting Insulin

Lets talk about it for a moment, shall we? Lantus and I have never gotten along. From the first injection at the hospital, to last nights affair. Lets start with the hospital story first.

Well, actually, let me describe long acting insulin's purpose to those of you reading who don't know what it does. Long acting insulin does just as the name implies- it acts over long periods of time to maintain your blood sugar. It absorbs slowly as apposed to fast acting insulin (ex. Humalog or Novalog) which works quickly with your body's digestive system to process your food. Fast acting insulin is takin 4-6 times a day (any time you eat or need and extra insulin boost to bring down a high).You take long acting insulin at the same time every evening and it works throughout the next 24 hours to maintain your BG.

Back to the hospital: Very first injection of Lantus happens the night I am diagnosed. The nurse injects it into the back of my arm and it stings going in (which it is apparently not supposed to do, but all insulin stings going in this gal). 5 minutes later the injection site was still burning, along with welting, and itching. My first thought- Great, I'm allergic to insulin. We call the nurse in there to take a look at my lovely little welt, and she states she's never seen it do that before. She will call the doctor and let us know what to do. She comes back with an icepack and says that the doctor said its just skin sensitivity. So we hold ice on it until it feels better. It did this for days after. I finally bought an icepack and just always had it ready when I took Lantus. Eventually it stopped welting, so that was good.

That was my first experience with LAI (long acting insulin. Your welcome for my made up, unofficial abbreviation :b). I set an alarm on my phone that goes off every night at 10 pm, because I've found I'm not very good at remembering to take Lantus. It frequently gets forgotten, especially when my phone is dead or I go to bed early. Which is a story coming up here in a sec. Before we talk about early bedtimes though, I want to tell another story.

One night, about a month ago, ten o'clock came around and I COULD NOT find my Lantus pen. Like, freak out mode, OH MY WORD what did I do with it. The night before I had taken it at work. I often work a closing shift which puts me getting off around 10:30, if not later, so I take my insulin at work. Another privilege of the pump my friends: No more having to stop in the middle of stuff for Lantus. If only my pump would get here.. another story for another time.

So I cant find my Lantus. I'm freaking out. Of course that was my last pen I had in reserve, and we have no 24 hour pharmacies around us. We called my emergency endo number and the sweet endocrinologist on call at the hospital told me to check my BG every 3-4 hours and inject fast acting insulin according to my sliding scale: "And hopefully you won't get ketones" she adds. Lovely. It was going to be a looong night. Before I went into panic mode, I called work to see if anyone was still there and if they could look to see if my pen was anywhere around. Long story short, my Mom and I made an 11pm trip to CFA to grab my Lantus pen that a coworker had found under one of our coolers. Dumb Kelby. Apparently it fell out of my pocket. BUT, I took Lantus that night and the inevitable all-nighter stabbing catastrophe was avoided.

Now we are to the whole point of this post, with a surprisingly shorter story than those above. I had a headache last night, went to bed at 9pm and accidentally turned of my Lantus alarm in my sleep instead of hitting snooze. Woke up at 7am, realized I HAD NOT taken and Lantus, told my Mom who preceded to say my FULL name in exclamation followed by a, "Check your sugar now!". It was 99. Wow! Gods good, right? I took Lantus right after I checked my sugar, then made it through the day without any major highs or lows. Thank God.

Moral of the story: Lantus hates me. The End.