Have you ever been in that “spring cleaning” mood? Over the weekend I was. I’ve been sick for the last few days and I thought a deep cleaning of our bedroom would make me feel better. My idea was to wash everything on our bed (comforter, sheets, pillows etc) and do major vacuuming, mopping of the floor and dusting.
In doing so, I pulled out my night table to get the dust that collected. At first, I found some test strips which I had expected. They tend to fall on the floor when I’m checking my blood sugars at 3:00am. What I found next I was not expecting…
I found proof behind our bed that a diabetic lives here.
Look at all those juice box wrappers! A whole bunch of them behind my bed.
Yup, you’d think a child slept in this bed. You’d think I never cleaned. And you’d think I’m a slob.
Well, I’m not. I’m just a type 1 diabetic trying to correct a low blood sugar in the middle of the night.
Dear Dexcom, Omnipod and my body — I hate these middle of the night lows! It’s now 3:30am and I am now wide awake.
I had my typical-middle-of-the-night-alarm set to check my blood sugar level. My meter said I was 52mg/dL. My Dexcom said I was 49mg/dL. Whoops, how did that happen? For how long have I been like this? How did i miss it? It’s for nights like these that I love my Dexcom.
Tonight, we somehow missed hearing Dex vibrate and alerting that I was low. I guess my husband and I were both in a deep sleep.
I am not complaining, just annoyed with how frequently it does happen. Thank you Dexcom for catching my low blood sugar before it could be much much worse. I am proud to say that my blood sugars are much more controlled since using Dexcom (and having my hubby sleep next to me!) Now, I’m back off to sleep.
With the use of Dexcom and advice from my endocrinologist, I have been watching my blood sugar levels much more tightly lately. My a1c from an endocrinologist visit 3 months ago was 7.3% (average BG of 163mg/dL). Recently, it has gone down to a 6.9% (average BG of 151mg/dL). With that extra encouragement from my doctor (and my husband), I feel like I can get it into a ‘normal’ or ‘acceptable’ range more quickly than ever before. In case you want to find out your a1c to blood sugar ratio, click here for a niffy little calculator.
Last night, I changed the settings on my Dexcom. It was set to alert for a LOW blood sugar at 70mg/dL, and a HIGH at 170mg/dL. Looking back on yesterday, I did not have one high blood sugar!! Wahoo! That is a huge accomplishment for whatever type of diabetic you are. I decided to change the settings on my Dexcom, with a HIGH of 150mg/dL to gain even tighter control.
Right now, I have reached my HIGH alert. I just had a LOW and may have over calculated. With my old calibrations, Dexcom wouldn’t have been going off yet. Instead, I have tested my blood sugar and already given myself insulin. On top of it all, I have decreased the rapid incline of the double arrows up to a slower increasing arrow of where my blood sugar levels are headed.
In the last couple days, I have felt like a super-woman — completely on top of my blood sugar levels! Hopefully I can stay on this positive track and get my a1c down even further.
Sometimes we just can’t help it! We go around a corner to quickly and rip a pod off our arm. We pull down our pants a little to quick to use the bathroom, and there goes our dexcom sensor.
Yup, this has been a bad week for me with all my diabetes gadgets. At least I got a good run outta this dexcom sensor. It hasn’t been wasted, and I got my money’s worth by using some skintac. Just needed to share. #diabeticprobs
It is very hard to constantly balance my normal life, and my life with diabetes. Most people don’t understand the stresses I deal with on a daily basis. Today, I would like to share a “Day in the Life of a Type 1 Diabetic”. These are everyday struggles that I and so many other type 1’s deal with everyday.
To start off, I need to show you the devices I use to manage my diabetes and explain how they work. My OmniPod Insulin Pump is a wireless pump attached to my body. It constantly is giving me insulin to keep my blood sugars down. This device gets changed every 3 days. Whenever I eat, I need to test my blood sugar level. I use the meter (the part I am holding) to check my level and to give myself extra insulin (aka bolus). Food, juice, carbs etc. raise my blood sugar level. Insulin in my pump bring it down. My goal is to keep my blood sugar levels between 80 – 140mg/dL. I also have the Dexcom Continuous Glucose Monitor which monitors my blood sugar levels. The sensor and transmitter are attached to my body (that’s my upper thy). The receiver is the pink part I’m holding that vibrates to alert me when I am higher or lower than my target range. For right now, I have low alerts set at 70mg/dL and my high alerts set to 170mg/dL. I wear these devices on my body 24/7, and they wirelessly communicate with the other devices you will see throughout this post.
2:06am – My husband is yelling at me to turn shut my Dexcom off. Apparently it’s been vibrating and he can’t sleep. I am extremely drowsy and definitely not awake; I reach for it and knock it off the end table. Grab my OmniPod meter and try testing instead. Blood sugar level is 228mg/dL. Ugh, that’s why Dexcom is vibrating! Go to correct with bolus, and realize I never changed my pod before going to bed last night! Now I really need to get up.
I realize I need to use the bathroom, as high blood sugars make me thirsty and use the bathroom more frequently. I do my business. Then, I quietly locate new pod, fill with insulin (as seen in this picture), rip off the old pod, prime new pod, use alcohol swab to clean new spot and stick it on my stomach. Pinch up the skin and bleep! New pod cannula is inserted. Now I can bolus for 1.15units of insulin to correct my high blood sugar. I then shut off Dexcom so my hubby doesn’t complain and go back bed.
5:10am – I awake from OmniPod meter vibrating, telling me it’s been two hours since I changed my pod. “Please check blood sugar level.” Thirsty, so I already assume I’m high. Blood sugar reads 226mg/dL, Dexcom reads 228. Bolus 1.0 unit of insulin to correct. Get up to get a glass and drink some water. Why hasn’t my blood sugar gone down from my last bolus? I don’t care, I’ll correct again. I’m tired and going back to bed! This was one of those awful “I’m not getting any kinda sleep” kinda nights!
8:10am – My husband woke up, and said it snowed. I got very excited and had to check it out… Yup, all the snow is there!
Since I got up, I decided to check my blood sugar to see if it went down. Blood sugar is 116mg/dL and Dexcom says 138mg/dL. Dexcom shows a red blood drop (in the top right hand corner) which means it needs to be calibrated.
Dexcom requires me to enter 2 blood sugars per day for calibration and to make sure it stays on track. After entering my correct blood sugar, Dex says I’m 123 mg/dL. I am perfectly ok with that! Go back to bed for an hour.
Around 10:00am, my husband asks me to get up, come outside and help him shovel a little bit. I get outta bed, grab my phone and Dexcom, throw on some boots and go out to play. I shoveled a little bit, but not too much of a workout. It was more fun to throw snowballs at the dog and watch her try to eat them!
I should’ve realized that I skipped breakfast. Around 11:00am, Dexcom alerts me to a low blood sugar… a pretty low blood sugar (I don’t remember the number, but it was vibrating without me noticing).
Without testing, I run inside, grab a juicebox and go back outside. That’ll fix it for now, but I know I need some carbs to keep my blood sugar from dropping again.
Ahhh, but look at those pretty trees! (Yea, I got made fun of for taking this selfie… but I love the snow, so I don’t really care!)
1:15pm – Just got done with snow shoveling, and had fixed that low blood sugar. I was still low… at least Dexcom was saying I was. Ate quickly without testing. I had eggs, toast and hash-brown potatoes. Now I’m going to pay the consequences for all those carbs. I’m going high as Dexcom can show you. Blood sugar reads 144mg/dL. I’m definitely going high, and quickly! Bolus 2.85 units of insulin for what I just ate.
5:50pm – For dinner, we went out. Blood sugar is 154mg/dL which is slightly high, but good enough for me. I bolus for my sandwich and fries. I also have a glass of wine, which is always a miss for managing my blood sugar levels.
Shortly after dinner, I get extremely frustrated. My hormones start ranging. My frustration makes my blood sugar level goes up.
Annoyed. Aggravated. and High. Not a good combo.
8:44pm – It’s been about an hour or so after the frustration that I realize I’m thirsty. I test my blood sugar at 269mg/dL. Yikes!!
Dexcom didn’t read it well, didn’t vibrate to alert me that I was high and was way off. It says my blood sugar is 166mg/dL. NOPE! Luckily it was time to recalibrate and I enter in my new blood sugar. It was still off, but a lot more accurate.
9:50pm – This is my bedtime reading… well my last test before I went to bed. It’s an early night as I have work earlier than normal in the morning. Bedtime reading is still high at 244mg/dL. Dexcom is reading 238 and dropping. I bolus another 1.0 unit just in case and try to get some sleep… Hopefully I don’t go low overnight!
Today was filled with a lot of lows and highs.. and not much in between. With my target range being 70 – 150mg/dL, I was only within my goal 33% of the day. Another 67% of the day was high. This is not a normal day for me… but it is proof of how the most minor things can throw off my blood sugar levels, and for hours afterwards! What I thought would be a typical day turned out to be much different than expected!
I am in the process of creating another blog post called “Day in the Life of a Type 1 Diabetics – Part 2,” which hopefully will be a much more “normal” day for me, and a regular work day. Stay tuned for what is to come.