Monday, August 30, 2010

That's What I Get.

For today's post, I do not aim to be eloquent or elegant.  What I do hope for is a gentle ear (or eye?) upon which I can recount this tale.

Simply put, Today seems to be what happens when I get cocky, and it's bleeping annoying.

For reasons I can't completely explain, Saturday and Sunday were great diabetes days.  I stayed around 90 most of the time, despite multiple snacks (yes, with carbs) and some SWAGing (no, I haven't kicked that habit yet).  This type of shenanigans-free blood glucose behavior is not normal for me; especially on the weekends.

Every once in a blue test trip, I'll get a day or two like this.  It gives me some confidence, and a sense of relief.  I almost start to think, Hey, you - this isn't so bad after all.  See how well you're doing?  And you're hardly trying!  You've got this!  It's all falling into place!  I want to give myself a big ol' pat on the back; like I've earned it somehow.  As if my 24 years of diabetes knowledge and experience has culminated to this focal point of awesomeness.

But, Today?, Oh no - today, that streak of awesomeness came to a skidding halt while I was at work.  Twice.


One of the most frustrating parts is my inability to see where I went so wrong.  A little wrong?  Maybe.  But not 35 mg/dL wrong.

I ate the same breakfast.  Took the same insulin for it, 15 minutes ahead.  Then I drank my coffee - like I always do - and took a few units for it, like I always do.  I watched my number creep up to just below 130 on the Dexcom, and was still headed upwards when it was time for my daily 15-minute morning walk.  When I returned, I felt... normal.  Nothing out of place.  I got back to work, but after a few minutes felt a little weird. 

Ping and I consulted:  35 mg/dL.

"What?!?!", I shrieked, in the safe silence of my own head.  This didn't make any kind of sense.  A 15-minute walk at that time of morning is very consistent in bringing me down between 50 -60 points.  I had the same amount of IOB as I always do.  NOTHING CHANGED.

I ate some dried mango (in retrospect, not the most fast-acting choice, but that darn dietician I saw two weeks ago is still in my head:  "You need to eat more fruits!").  I waited 15 minutes, then checked again.  I was 65 and heading back up.  Whew!  Back to work.

An hour later, I'm feeling weird again.  Ping, what say you?

41 mg/dL.

"You have got to be flocking kidding me!!!", I once again yelled in my head.  Puzzled, I busted out the Starbursts.  I ate four, waited 15 minutes.  Still reading "LOW" on the Dexcom (which means under 40). 

Ate four more. 



Ate the last four. 


Ping told me I was at 100, and so I stayed above that for a little while - but only a little.

Lunch came and went.  My one-hour post-prandial blood test was 113.  (Sweet!)  But it came at a price - half an hour later, guess who came a-knockin'?

45 mg/dL.

I ate some more mango, the yogurt I brought but didn't eat yet, and then proceeded to also get a cookie later that afternoon.  And you want to know what that did?  I peaked at 152.  (....really?  That's it?  After all that carbtasticness?  Um, okay...)

I just really don't get it.  My basals have been unchanged for weeks, I was eating the same foods I always eat.  Bolusing the same exact way.  Nothing in my routine changed... except the outcomes.

Um, excuse me, Phil?  Could you come back out here, please?  I just need...


Thanks, buddy.  I'm glad to have you on my side.


(Sidenote:  Phil is a ClipArt image a co-worker and I use frequently.  Phil gets his name from the fact that he has "had his fill/Phil of this crap".  He always speaks in italics, and with multiple exclaimation marks.  Sometimes he says "Roight!!" with a Billy Idol-esque flair, but mostly he's just peeved about everything.  I have a feeling he'll be making more guest appearances on this blog in the future, so I thought I'd introduce you all to each other.)


  1. This was Justice yesterday. It sucks . Total bullshit! Glad you're feeling better. ? I know Dexcom is your CGM so who's ping? And how does he know your sugars?

  2. Things seem to have leveled out finally - thanks. :) Ping is my pump remote, which is also my meter. For some reason I've never named the actual insulin pump.

  3. Do you find it difficult to deal with all of this and have to work on top of that? I quit my job last week (I am a hairstylist - the job with the least amount of flexibility and predictability) so that I could get a better grab on my sugars. I found that my fear of having a low while in the middle of a service (try polishing nails when your hands are shaking so badly you might as well have palsy) prevented me from dosing insulin properly. I am curious how other diabetics deal with the work/low sugar issue.

  4. Lisa - in a word, yes. I am fortunate that I have a pretty flexible work environment, but I always worry that at some point I'll overstep that because of the D. Customer service, while fun and lucrative, was not a good match for me, as I frequently had to work during lows I couldn't immediately treat (and never had time to test, other than at lunch). I wonder how others do it, too.

  5. I've been on phone conversations with people when I've become low without realizing it. On two occasions, I got to the point where I could not speak articulately any longer--the thoughts formed in my head but the words wouldn't follow from my mouth. Very weird. All I could say was, "I gotta go," and call them back later.

  6. Could have been my story yesterday. I am Frederike, from the Netherlands and T1 for almost 31y. Could hardly manage to get over 55mg/dl. Nothing different, just another day at the office. This morning I started at 306. Just shoot me. Is it a full moon?

    I work at an office. I test bg whenever I want (no CGM, insurance doesn't pay) and my co workers know what is happening when ik start talking like an idiot. When mu pump beeps they check their BBs :D

  7. Dang, what a ride. That sucks, and I'm sorry you had to deal with all of that crap.

    On the bright side, Phil totally made me chuckle. :-)


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