Monthly Archives: March 2015

My Insulin is Artisanal Water.

Standard

Oh hi. I’m still alive, just buried under work and anatomy books. I came out of hibernation to vent! Isn’t that fun!?

It’s been one of those (14) days where I want to take a large hammer to my insulin pump. It feels like my average blood sugar has been 1,000 mg/dl. On the real, I’m holding steady in the 170’s at the lowest — usually in the 200’s. I have brief periods where I see 140 and below.. but brief is the operative word. I increase my basal rates and bolus extra to no avail. Last night, my CGM said I was 80 with double arrows down, and I didn’t even flinch. I knew it wouldn’t last.

I hear you asking: did you change your sites? How about new insulin? Change the location of your sites to avoid scar tissue? Increase your basal? Exercise? Are you eating right? Drinking enough water?

Yes, yes, yes, yes, yes, yes.

I’ve done it all! I threw away a half vial of precious insulin, I’ve gone through a pump set every two days (and I’ve put my set basically everywhere except my side boob and my forehead). I have very few options left to consider, it seems like (and thank you to my dear friend for troubleshooting with me this morning).

  • Husband’s theory: Insulin pump has gone AWOL. It’s delivering only half of what I tell it to give me. I feel like my pump is sophisticated enough to sense that, though. Plus — normally I can feel it when Animas boluses (because it injects at 75mph).
  • My most obvious theory: Basals need to be jacked up across the board. Seems odd to have happened all at once, but maybe it’s been happening more gradually than I’ve realized, and now I’m just frustrated. Today I’m rocking a 10% increase for 24 hours (and I’m still at 170 after bolusing extra for my peanut butter waffle this morning). I’ll try 20% tomorrow and then, *UGH*, some basal testing this weekend 🙂
  • My “I don’t even know if this is really a thing” theory: Have I developed antibodies to Novolog? Would my body be that cruel? I did some research and alas, this does seem to be an issue with some folks.
  • My far reaching theory: When I sleep on my pump set, I’m squishing the cannula, so I’m high at night and it’s setting my up for failure for the rest of the day. I can argue, though, that I haven’t changed my sleeping habits in the last 17 years, so..
  • Another logical theory: I’m stressed out. I don’t feel ridiculously stressed out, but I do have a lot on my plate right now.
  • My enemy theory: Someone at the pharmacy) hates me and my insulin is actually artisanal water flavored with bandaids.

Any theories from you guys? Any funny stories to distract me from beating a really expensive medical device against the pavement? Thanks for letting me vent. Hopefully I’ll be back soon with more stable sugars, more fun updates and better stories — my last pre-requisite course is done in May!