One of Those Nights

Last night was one of the more interesting nights with diabetes. Here is the long version of the story.

I was overdue for a pod change. Yes, I was pushing it, but there was a ton of insulin left and wanted to get the most of it. This meant going the 8hrs. until it completely conked out on me. I have done this before with no problems, and I knew I would get home in time to change it out. BUT, I was not counting on the low that would happen before I left work...and in typical Nancy fashion, I over-corrected. With my brain a little fussy from the low, I waited it out and then went home and figured after the change I would bolus for the brownie, glucose tabs, and the 8 oz. of real Coke that I frantically ate. (There may be more that I consumed, but I'm trying to forget about the extra calories...and my stupidity!)

By the time I arrived home, all was well, and I changed the pod and checked my bg to find I was in the low 200's. "Already????" I thought. Crap, this is gonna get nasty. I bolused quite a bit for the increase I was anticipating. Then the fatigue set in, and my eyes wouldn't stay open even with toothpicks. I laid down for a quick nap before Brent and I had to head out for dinner with friends. 20 minutes later, and very groggy, I was able to get my head together and clean up. "I'm feeling good now.", I think to myself on the ride to the restaurant.

My plan was to pre-load some insulin for the Mexican food that was to come, so when we got there I checked my bg and was shocked to see it in the high 200's. WOW, that was some over-correction...I must have needed more insulin when I got home. "Oh well", I thought..."it'll come down."

After dinner Brent and I made a couple of stops and headed home. The beeping sound of the Omnipod went off to remind me to check my bg...it's been 2 hrs since you ate, check already! Now this is where it gets interesting.....

You know when you get the blood on the strip, and the wait is longer then it takes you to say.."S**T...it's high"??? Then it beeps back at me..."S**T...you're HIGH"!! Now, I can count on one hand how many times I've actually had the HIGH reading. That's not saying I've never had highs, but the HIGH reading where you're bg is so high that it doesn't give you a number....that's where I'm at. I look at my site, and all looks fine. What the hell? That was some taco salad I had..ok and chips too. So I do a super bolus, and check an hour later only to find it screaming at me HIGH again. "Ok, that's enough of that!"

I pull out the ol' syringes and give myself a super duper rage bolus (with new vial of insulin) via traditional shot and then change out the pod. A little blood backed up in the cannula, but that's nothing too out of the ordinary. I was hoping this would do the trick. Oh, wait...I bolused the new pod too. Now I have something like 8 units of insulin in me, and the wait starts.

By 11PM, I was getting an actual number on my PDM. "Ok", I thought, "this is encouraging!" I desperately wanted to sleep, so I set my alarm to wake me up in a hour to check again. 338...nice, more encouragement! Set the alarm again...265. Is it dropping too fast? 8 units is a lot for me, but I haven't corrected a high like this in a very, very long time. For a fear of going low, I set the alarm again...193. Since this is about 3-3.5 hrs. after the super duper rage boluses, I was happy to sleep peacefully. More like a rock!

Where am I now you ask? I woke up at 198. Of course that's not where I would like it, but I guess my overnight basal is correct since it didn't change at all.:)
Obviously all the highs after the pod change were from lost basal, and no boluses. Or maybe partials of each.

Ahhhh, life without insulin!