It’s Never Just One Thing

I’m having a really crappy blood sugar day.

I know it happens to all of us, but that doesn’t make it any easier.

I know that I sometimes I cause my own bad days, especially when I can’t contain my food cravings.  But you know, those days are a little easier to handle because I know the cause of it.

I woke up high this morning (well, technically morning I guess (11:37AM)).  I’m not sure, but I think it was something I didn’t count right last night.  I hate that I was high much of the night, but stuff happens.  I realized I had my high BG alarms on my Navigator disabled, most likely from some trouble I was having a while back that I just never remembered to enable again.  Having those turned on would have been valuable last night.  20/20 hindsight.

I had a little breakfast (a couple slices of toast) and added in a monster correction dose.  There are many of you out there that won’t eat anything until your blood sugar is down, but I’m not one of them.

I used up all the insulin I had left in my pump with that bolus, so I changed everything out.  New infusion set, new tubing, new cartridge, fresh insulin.  That’s a recipe for good numbers, right?  WRONG!  I struggle with high BG’s after a site change.  I don’t know what it is, but I know that it is not consistent, which means I can’t figure out what to do!  Today it has me thinking that going back to shots might be the way for me.

My breakfast and correction bolus (on my old set) held me pretty steady (but still high – around 250 mg/dl) most of the afternoon.  I was hitting the high with correction doses every hour and a half (on the new set now) and it just wouldn’t budge.

In the eight hours I spent fighting that damn 250’ish, I got hungry (what – I’m still human) I hadn’t eaten anything else until late in the day, maybe around 8:00 PM, and that’s when the shit hit the fan.  Even though I bolused aggressively and about 30 minutes before I ate, within about twenty minutes I shot up to 397mg/dl. I have been stuck there for hours.  About 45 minutes after I ate, and saw what was happening, I did a rage bolus.  I am just now starting to trend down.

So now that I’m on the downswing, I get the notification that my Navigator sensor expires in about two hours.  So I won’t have that guarding me against lows through the night.  Great.

What makes me angry about this?  That I didn’t do anything “wrong”.  This is not my fault.  I didn’t go crazy with food all day, in fact I didn’t eat much at all!  And I’m also mad because there is not just one issue to deal with.  There is the fact I woke up high, then the site change, then the first meal on the site change, then the expiring sensor, then the massive low I’m predicting I’ll have tonight.

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If it were just one issue I think I could handle it just fine.  It’s when they team up on you that life gets a little harder, and it seems when diabetes is involved, it is always more than just one thing.  It’s never a fair fight.

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Scott K. Johnson

Patient voice, speaker, writer, advocate. Living life with diabetes and telling my story. Patient Success Manager, USA for mySugr (All opinions expressed are my own and do not necessarily represent the position of my employer).

Diagnosed in April of 1980, I recognize the incredible mental struggle of living with diabetes. Read more…