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December 2nd, 2008
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Michelle Kowalski

Turns out my dinner-time debacle last night wasn't my fault.

While I blamed myself for a blood sugar reading of 500 on my afternoon candy grazing and failure to bolus, my new medical accessory was actually the culprit.

Thinking the candy was the problem, I bolused for dinner and went on with my evening. I considered that my site was the problem, but it wasn't red nor itchy nor anything else out of the ordinary. Two hours after dinner, when I was still 500, I changed my site.

It wasn't until I had the new site in that I pulled the old one and saw that awful bend in the plastic. I took it to The Mr. and said, "Here's why I was at 500." (OK so the candy didn't help!)

We both sighed a heavy sigh of relief that the high wasn't actually induced by an absent-minded diabetic.

I can't shuffle all the blame on the canulla, though. I changed my site and my reservoir around 1 p.m. yesterday. I went about my afternoon, my painting, my reading, my playing with the children, my snacking and never bothered to check my sugar. Since my site change was fairly soon after lunch, I should have at the least checked my two-hour post prandial. Instead, I was blindsided six hours later.

I think we get complacent with our management. We get into the mentality that "I've done this before and it turned out OK." I think that's where I was yesterday.

We can mark this off the list of things that I'll never do again.



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Here is my most wicked bend: http://www.flickr.com/photos/saraknic/1848910029/in/set-72157602338735002/

I think that one is pretty impressive too! I honestly have only had a few bad sites in all my years of pumping. Maybe you are just getting them out of the way early!


Ouch. Nice kink!
One night I did a set change before bed and corrected for a high, then set my alarm for a couple hours later so I would wake up to test. I slept right through the alarm (as I tend to do when out of range), and woke up the next morning at nearly 600. As great as pumping is, it can be SO easy to get into a dangerous situation if you forget to test after a set change.
Have you looked into getting a CGMS? Mine has really helped me to catch bad sites and missed boluses before they become a problem.


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Michelle Kowalski
Michelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)

Latest Posts: Thanksgiving=Bigger Push for CGMS | The Greasy Wheel | Waiting Impatiently for CGMS OK

Andy Bell
Andy Bell has lived with diabetes since the age of 14. He controls his type 1 diabetes by taking multiple daily injections. Andy is 28 years old now and despite his diabetes, still maintains a very active lifestyle. Andy works for the Juvenile Diabetes Research Foundation (JDRF) in the National Outreach Department. (Read More)

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