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March 20th, 2010
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I started out at 192. I did a correction bolus and a carb bolus. The carb bolus was for four slices of pizza. I used the square bolus over 3 hours, hoping that I wouldn't end up too high.

 

I ate my pizza slices, enjoying every bite. By the time I finished eating, I had about two hours left on my square bolus. That should be perfect, I thought.

 

An hour later, I was 87. I still had almost half the insulin to deliver, so I suspended the bolus and drank a juice. I planned to check my blood sugar again within the next two hours to watch for the peak, then bolus the remaining insulin.

 

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What you don't want to hear from your diabetes educator is "hmm, good question." That is, unless it's immediately followed by a good answer.
There has been a burning question of ours since Charlie started on the pump back in September of 2006. During that time, we posed the question to several different people along the way, but never really got a clear answer.
So I present this burning question to you - the true gurus of diabetes.
How can Charlie skip a meal if he wanted to? Is this a mythical notion or do people out there actually achieve this? If Charlie didn't eat something two to three hours after a bolus, he would most certainly go low. I'll ask you exactly what I asked the doctor and nurse practitioner the other day. (READ MORE)


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Right now, I'm a complete bundle of nerves. Last night, I suddenly decided that today I would go off the pump. I know that I've been talking about it, but I assumed that I'd get it all straightened out and be back into "normalcy" before April 1st came around.

 

But you'd be surprised to find that poor control is actually NOT the reason why I'm going off the pump. In the past two weeks, I've had some highs and far fewer lows (which is just amazing). My averages are still in the 150 range though, which is what I'd settle for to get down to the 130 range (slowly, without lows).

 

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Long before I discovered the diabetes online community or even knew what exactly a blog was, my mother introduced us to her neighbor's granddaughter.
She wore something called a pump and her parents used frightening foreign words like bolus and basal.
We were still very much shell-shocked from Charlie's diagnosis. Measuring out units of insulin into a syringe and learning to count carbs was scary enough. What they were talking about was , was , quantum mechanics. It made us very nervous. We weren't the sharpest tools to begin with. We might not be smart enough for diabetes, we thought. (READ MORE)


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Yesterday I attended a lunch meeting with a company that we are looking at to update our current company's website. When I arrived at the office I checked my BG before I left the car. 135. I was going to correct for it but since it was 11:30 I figured I would wait until we ordered food and take care of it all at the same time.
When I got to the office and met with the web designer we quickly sat down and began discussing our needs. It was a really good meeting and I liked what he suggested as far as some ways to drive more business our way but I started to notice a very foreign feeling in my stomach. (READ MORE)


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I started using a pump back in October of 2007. It was a rough and terribly rocky start. The pump company wasn't helpful and left me stranded in the dark with this new technology. There were moments that it left me sobbing over the phone to my mother, claiming that I was seconds from throwing the expensive device against the wall. My A1c climbed from 6.9 to 7.6.

 

After about six months of that and some help from the online community, I finally got the pump closer to being stabilized to my life. It still wasn't pretty. My A1c plateaued around 7.3 and 7.4. I couldn't seem to make the pump fit with my life, despite what everyone was saying. Apparently, I wasn't as stable as I needed to be with my schedule.

 

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It's 10 p.m.; three hours post a high-fat, high-carb meal. At three hours I'm 122. That's an almost perfect place to be at three hours post-meal and right before bed.

 

But the problem is that I'm headed to bed and I know I'll wake up wicked high. Why not use a square-wave bolus, you ask. I just may, but the real problem for me is that I'd like to be able to use a dual- or square-wave bolus up front so I can sort of fix and forget. But I can go almost low around two hours post a high-fat, high-carb meal. Even at three hours I'm in a decent place, but by four hours I've skipped right over the high 100s and am square in the upper 200s.

 

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The other day, Michelle posted about censoring her blog to not upset her mother sometimes. I realize I do this too, but not for the same reason. I tend to censor my writing out of superstition. I'm like one of those people who mouth the word cancer. When things are going good for me, I know if I blog about it, things will quickly turn around.

 

Last week, I chose to not look over my shoulder (or toss salt over it) and jump up and down with glee over my new pump. I was so excited about it, and how much easier it made my diabetes control.

 

I should know better than to speak up when things are going good. I should have whispered instead. I even knocked wood to fend off the fates, but I guess they heard me over all that banging.   

 

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One of the first "cons" I had when I thought of pumping was that I didn't want something attached to me all the time. That doesn't even graze the Top 10 Problems With Pumping. What happened to me today is by far the No. 1 thing I hate about pumping: equipment malfunction, especially when you're coasting along enjoying everything going right.
I got so mad at diabetes and my pump and my meter after lunch. I was so mad that I was fighting the urge to cry. I tried a hip site the other day because I was running out of room on my abdomen. That morning my post breakfast was 250 for a meal that I'd normally be under 100 for. I briefly considered changing my site, but my BS went down with a correction. I haven't been running high since then, but I have been higher than usual after meals that I'm normally in range for. (READ MORE)


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Saturday night, I raised my evening Lantus dose to 16 units and kept my morning dosage at 13 units. I also moved the evening dose up by about three hours, hoping to stop those highs that sent me into sleep at 218 and 241. I also took the plunge and decided to do a trial run of boluses with the pump instead of pen or syringe. And I'm still as perplexed, but this time for the opposite reason.

 

Within a few hours of bolusing with the pump, I saw a 55 that bounced up to 114, 131, and back down to 93. Several snacks throughout the night left me at a morning number of 130. For most of Sunday, I stayed under 150 with a brief spike after working out. After dinner on Sunday night, I dropped to 84 then 69. And after about an hour, I was 146. But at 4am, I woke to an unexpected 47. I also lowered my evening Lantus to 15 units since I'd seen a rise in lows after the 16 units.

 

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Brenda Bell
Brenda BellBrenda was diagnosed with high blood pressure, high cholesterol, and Type 2 diabetes in July 2002. After a rocky start, her diabetes has been diet-controlled since January 2004 and she hopes to keep it that way for as long as possible. (Read More)
Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
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