Ninja Insulin #dblogcheck

You would think after close to 15 years on the pump I would know all the tricks of the trade, all the quirks of the pump, all of the sneakiness of insulin absorption…..but, nope.

I’ve come up with some blood sugar savers that really do work for me, though….like, when I change out an infusion set site, I used to ALWAYS have high blood sugars for hours afterwards. Thanks to a comment by Katy, I was encouraged to “ka-chunk” in a new site without removing the old one for a few hours, let it settle in & calm down, and then connect up the pump to the new site. Bells ringing, fireworks going off, and a ticker-tape parade later, I rarely have any post-site-change highs anymore, and when I do, they are due to other variables of life.

Sneaky, sneaky....

But lately, I’ve discovered a new brand of insulin….the Ninja Insulin. I swear, I take a bolus for a meal or correction, and go about my business, but my blood sugar remains slightly high. Then, I drink some water, or sometimes, even eat a couple grams of a carb, and whoa! Here comes that insulin out of nowhere, and suddenly I’m on a downward trend of blood sugar. It’s really weird. It’s like it’s been hanging out in the shadows of my bloodstream, just waiting for the right time to take effect. It’s a most puissant ninja.

Don’t forget to #dblogcheck today!!!!

Wordless Wednesday – Take THAT

Suck it, diabetes!

(I also like to make this face when my diabetes has been misbehaving. If my Dexcom goes off ONE MORE TIME in the middle of the night because of a low or high, I might just lose it. Sometimes I wonder if I will ever sleep a straight 6-8 hours ever again.)

Low Hallucinations

(Don’t you hate it when you clickety-click around on your screen while creating a blog entry, your computer is slow, and you accidentally hit “publish” before actually creating the post? Yeah, I did that today.)

Last night, while heading out the door to go to dinner with my d-girl friends, my Dexcom starting blaring, and I (correctly) guessed it was the “blood sugar heading downwards” alarm. I didn’t even look at it. It was sooooo close to dinner. I knew better than to drive the 9 minutes to the restaurant without having something working to counteract a potential low, so I shoved a Pillsbury Ready-to-Bake! Pumpkin Cookie in my mouth, several grapes, and swigged some milk to wash it all down.  I don’t ever drive with a low, and I was still feeling OK, so I felt plenty safe enough to get in the car.

Yummy pumpkin goodness. Even raw.

“Please do not eat raw cookie dough.” Does anyone really pay attention to that warning??

On the way to the restaurant, I got stuck behind this old, beat up blue sedan, and could barely make out the back of the driver’s head through the dirty rear windshield. It appeared she had a head full of pigs in a blanket in her hair. Huh?

As the sedan turned and I managed to pass the car, I glanced over – just to make sure she wasn’t actually wearing  those morsels of tastiness – and sure enough, it was a head full of hair curlers, NOT pigs in a blanket. This kind of “low hallucination” seems to happen to me a lot. If my blood sugar starts edging towards 70 or so, food-related connections start happening more and more frequently. Now, I was barely in the 70s at that moment, which isn’t terribly low for me, and consciously I *knew* that lady didn’t really have pigs in a blanket in her hair, but I did find it amusing that it was the first thing that popped into my head.

What is your funniest low hallucination? (and now I’m off to find me some pigs in a blanket for lunch….)

Test, Bolus, Eat, Repeat

A public service announcement for Type 1 diabetics from my daughter:

When I first got this t-shirt, she saw all the symbols on it, and asked me what they were, so of course, I told her and explained them, in the best way I could for a 2 year old to comprehend. Now, it’s just a game for her to say the words, but one day…she’ll really get what it means to me, and I hope she’ll realize the weight of those words on my daily life.

One of many awesome T-shirts from: http://type1diabetesmemes.spreadshirt.com/

One of many awesome T-shirts from: http://type1diabetesmemes.spreadshirt.com/ (photo credit for this goes to them as well)

For many years post-diagnosis, I never wanted the general populace to “know” I was different, and I hid all my diabetic accoutrements when I was out in public….when I was on MDIs and was eating at a restaurant, I would excuse myself from the table and discreetly go to the bathroom to take a shot or check my blood sugar. Once on the pump, I used to do the same thing (because it was housed in my bra, and digging around in your shirt at the dinner table is usually frowned-upon.)

But now? I’m wide open. I will whip out my pump or test my sugar anytime and anywhere. I don’t care. I’m like the honey badger in that respect.

I frequently wear t-shirts with obvious diabetes-related content in the hopes that someone will see me, realize I’m one of their peeps, and we’ll have a “diabetes in the wild” adventure. And every day, until there’s a cure, just like the t-shirt shows: I test, bolus, eat, repeat.

Period. Insulin Resistance. Period.

Attention men: You may want to stop reading now. We’re about to delve into one of those mysterious women-folk-things that might make you queasy, so don’t feel obligated to read this post in it’s entirety. But if you really want to, by all means, feel free! Maybe you’ll learn something. It’s really not THAT gross, I’m just going to say “period” a lot. You’ve been warned.

OK, back to this period thing. Being a woman of child-bearing age, I have a period every month. Having type 1 diabetes on top of that means, my body goes through weird cycles of hormones that connect both of those things. I’m sure other type 1 women have noticed this, but I finally paid close attention this month, and here’s my personal amazing discovery, always with the disclaimer that Your Diabetes May Vary (and I am in no way a doctor or medical professional):

On the first few days of my period, I CAN EAT CHINESE FOOD and NOT go high as a kite sugar-wise! I was curious as to why, hormonally, this might happen. Then I looked at a chart of the cycle of progesterone and estrogen hormones.

I learned many, many things about my body (some I wish I didn’t know) when we were undergoing fertility treatments trying to have our little girl. The main thing I learned, and saw in action very frequently, was that progesterone made my blood sugars run steadily higher the more of it I was taking. (This also supports why, in your 3rd trimester of pregnancy, you become the most insulin resistant as well – it’s when you have the most progesterone coursing through your body.)

In the little chart above, you can see progesterone levels come crashing down at the end of your monthly cycle, thus, triggering your period. For me this past week, these hormone changes equated to one visit to Red Bowl, with me eating “flower chicken” (no breading on the chicken, and a light sauce low in sugar), veggies, a small portion of fried rice AND half an eggroll, and actually going LOW afterwards. It was so unbelievable, I had to try it again a couple days later. The next time, I got a little more brave, ate some wonderfully evil-and-carb-filled Spicy Chicken, bolused appropriately for it in a dual-wave, and peaked at a high of only 165 about an hour and a half later. It was truly magical.

The one thing I didn’t get the test over the last few days was pizza. Next month, I will! Now, I’m not saying we all should go out and eat vats of Chinese food and pizza when we are all on our periods, but if you’re going to do it, may as well do it when it will affect ye olde blood sugars the least, right?  (Oh, and speaking of monthly reminders – you might want to change out the lancet in your checker 🙂 )

Wordy Wednesday – Low? Low…. Low!

If I could just bottle this to use on the days I was running high, it would be worth it.This was my Dexcom G4 view for the majority of the day yesterday. It didn’t start going up until I consumed a VERY carb-filled Italian dinner last night, but even then, it spiked up, then sorted itself out pretty predictably (after a few hours.) No post-breakfast spike yesterday morning or this morning either. What am I doing different? What am I eating different? Nothing out of the ordinary, as far as I can tell. Could it be a new bottle of insulin? Could it be the new-ish infusion set site absorbs better?

This diabetes thing……always confusing. always a moving target, always a celebration around the corner for the beneficial accomplishments, or a curse on those not-so-controlled days.

Diabetes Theme Song

Listening to the radio this morning, I heard an oldie but goodie by Filter:

Funny, this was the first time I considered how it could relate to diabetes… I could sing this song to my pancreas, and apply a lot of meaning to those of us who have diabetes. (Can you tell I always loved looking for the “hidden meanings” in poetry in high school English class?)

“I wish I would’ve met you
Now it’s a little late
What you could’ve taught me
I could’ve saved some face
They think that your early ending
Was all wrong
For the most part they’re right
But look how they all got strong
That’s why I say hey man, nice shot.”

The people in the car next to me also shot me some funny looks as I was belting it out at the top of my lungs. Rock on, diabetes.