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February 9th, 2012
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We found 10 result(s) that match your search "delayed bolus":

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I've gotten into the habit lately of bolusing for a meal more toward the middle or the end instead of before. It depends on a number of factors, including what and when I ate last, what I'm getting ready to eat, and what my pre-meal blood sugar is. This mid-meal bolus stems from several instances when I've either gone low or started to go low before I even finish eating. It's pretty unnerving to feel a low so close to a meal.

 

Like today, for example. I tested at 130 not long before we headed downstairs to eat lunch. Since there are few tables for the amount of people who typically choose to eat lunch in the lobby, I went ahead of the microwave-users to secure a place for the five of us.

 

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I had trouble explaining to my endo at my last visit why I don't always bolus prior to eating. So much trouble that I was painfully aware that she didn't have diabetes and didn't understand some of the tiny nuances that come along with this.

 

Lately the main reason I've delayed a bolus is because I don't always know how much I'm going to eat. And it really sucks when you think you're going to eat X number of carbs and then bolus and then wind up not eating that amount.

 

Sure, there are other times when I go into a meal too low to justify bolusing up front, but for the most part it has to do with not really knowing how my stomach will react to what I'm planning to eat.

 

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Tuesday night and Wednesday morning, I had two bad lows. First was a 32, second hit 39. Both without warning and without any telling symptoms beforehand. I treated them and came up fine.

 

But last night, I started dinner at 108 (I'd been holding steady around there since 4pm despite a carb heavy meal). Within an hour and a half of a full-on Mexican meal, I was 90. I'd even delayed the bolus until about half an hour after finishing since Mexican food usually takes awhile to absorb (something about corn tortillas and high fat).

 

I didn't want to treat the 90 yet in case the food was going to start hitting. So I went to Wal-Mart with the guy I'm dating...keeping a careful watch over the way I was feeling. Generally, just weak. The effects of too much insulin and not enough glucose.

 

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Ah! It's a new day and my fasting blood sugar comes in at a sweet 103 mg/dl. "Not too shabby," I think, maybe feeling a bit arrogant.
I go about the business of the day - exercise, hop in the shower, dry the hair, feed the cat - get in the car for work. Drive 30 of the 45 minutes it takes to get there.
And then I think - caught in a wave of abject panic, "Where is my pump?"
I do the pat down, you know the one. I pat with flat, frantic hands at my bra, my hip, my waistband. And I know then exactly where my pump is. On the shelf in the bathroom, pumping insulin into oblivion instead of into me.
"Man." I think. I also think. Alright, maybe I say aloud - a number of colorful words not suitable for a family website.
And I head back toward home, calling the office to let them know that I've been delayed. (READ MORE)


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I'm really excited to share this blog with the whole wide world out there. It's been an insanely long time since I've seen decent blood sugar results last for more than a few hours. Overdue kind of long. So long that I was feeling like it might just never happen. But these past 24+ hours have proved otherwise...so I'm rejoicing with you.

 

Wednesday 8:30pm: I'm about two hours post meal and my blood sugar clocks in at 90. Italian food...amazing.

 

9:40pm: 114. That's without treating the 90 and just letting the Italian absorb in my system. Rejoice.

 

11pm: A small yogurt. No bolus.

 

Thursday 12am: 152. I cut my Lantus down by one unit for a 16 unit injection. I'm in the okay range for sleep, but with patterns like today, I'm not entirely comfortable.

 

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Sometimes I joke that my self-worth is wrapped up in my eyebrows; when they're well groomed, I feel great, but when they need to be tamed, I think I'm ugly. These days, my self-worth is wrapped up in my blood sugar readings. And I'm not sure that's a good thing.
Do you ever do that? The day is going along fine, then you get a reading that you don't "deserve" and the day just falls to pot? It's happening to me more and more lately. Some days, even before I lift my head off the pillow, the day is "ruined" by a high fasting number. My mind starts racing to what I did (or didn't do) to "earn" such a high number. Did I eat something I shouldn't have last night? Did I not exercise enough? It's first thing in the morning and already I'm feeling bad, guilty, like I did something wrong. Even if I hadn't. (READ MORE)


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The thing I hate most about trying to manage my diabetes is that it gets in the way of everything. Every time I turn around, diabetes is interfering in my life. Right now, it's the lows. I work out, I go low. I sleep, I go low. I eat, I go low. And what is that doing to my efforts for weight loss? Absolutely the reverse.

 

The frustrating part is that I have no idea to get around the lows. I'm still having some extreme highs. The lows seem unavoidable. If I change my insulin, the highs will overrun everything. But I can't keep up with these lows.

 

My day looks something like this:

 

Morning numbers are tolerable. I'm either running in a great range or a little on the low side but nothing concerning.

 

Once I eat breakfast, everything goes crazy. I spike easily into the high 200s if not 300s. This is with Symlin, but reduced insulin.

 

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A stayed with me for what seemed like forever, but was probably 10ish minutes. The kids' doctor, Dr. N, came in and stayed with me just as long. V was in and out offering help where she could.

 

A gave me SweeTarts. Then juice. We all talked about my pump and diabetes and Dex. We all watched the line on Dex continue to go low. And I kept saying this isn't about my blood sugar. I've never felt faint from a low before and I didn't have any of my other tell-tale low signs.

 

Dr. N asked if I had had diarrhea lately. Well, actually yes, I told her. She speculated that I was fighting something off. It started to make sense. I mean, I shot up to 300 practically without notice and in what seemed like a matter of minutes.

 

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Sunday, 10:30 p.m.: I'd just finished eating some cottage cheese and fresh pineapple thinking I was too low to go to bed. I had been 116 mg/dL after dinner and was around 110 mg/dL at bedtime. I had taken off Dexcom Saturday morning because the edges of the tape were getting frayed and the internal sensor was actually poking me funny. I decided to have a weekend without the extra equipment. But as I went to bed, I was really wishing I could see a trend line, especially since my finger sticks all weekend had been mostly lower than I expected.

 

Monday, 5 a.m.: I tested prior to getting out of bed and was not happy to see 322 mg/dL. It's kind of hard at 5 a.m. to figure out why you're that high, but I tried. The only thing I could come up with was that I was too aggressive with my bedtime snack. Also, I had momentarily gone back to using my lower abdomen for an infusion site and I thought it was possible that my site had gone bad.

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Jumping into the world of pumping is no simple task. And I don’t mean that it is hard to get an insulin pump. The hard part is picking through the available pump companies, deciding which one suits your lifestyle, and finding a way to pay for it. If you live in Duckburg and own a bank vault full of coins, you can pay the thousands of dollars for up-front costs and hundreds monthly for a pump. But for the rest of us, health insurance is the only avenue to an insulin pump.

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Nicole Purcell
Nicole PurcellNicole Purcell lists having type 1 diabetes last when she's asked to provide information about herself - because that's where it belongs.

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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)
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