This evening we ordered pizza from Papa John’s. It was so good I ate 2 1/2 slices of a large pizza. I know pizza is not the most diabetic friendly food but that’s not the worst part. About 3 hours after I ate the pizza I was reading my book and my vision started blurring and I had a slight headache. I decide to test my BG just to make sure and was horrified to find 388. I couldn’t remember how much bolus insulin I had used, in fact I couldn’t remember even doing a bolus before I ate the pizza. I was so confused I checked the record in my OmniPod PDM and discovered I had not done a bolus at all. This is so unlike me, I can’t even remember a time where I forgot to do a bolus before eating.
I was so confused I couldn’t decide if I should do a bolus for the carbs in the pizza or should I do a corrective bolus for the high BG. I had to sit down and really think about it because my brain wasn’t work right and my mind kept wondering it was so hard to concentrate. I finally decided to do the corrective bolus and did a 7 unit bolus. I laid down to wait for this to take effect and intended to test in an hour to see if it was working. I fell asleep and didn’t wake up for an hour and a half. Testing showed my BG was 234. I set my timer for 1 hour and will test again when it goes off.
I don’t know why I forgot to do the bolus before I ate the pizza. I have been reading a very funny book that was hard to put down. That probably distracted me and the pizza smelled and tasted so good. But this is so unlike me it’s hard for me to believe I just forgot. I think I’m much too young to be getting absent minded. Right now I’m trying to remember if I took my supplements after I ate the pizza, I just can’t remember. Maybe I am losing it.
We all go through the same thing. I know I have done it. Unfortunately all you can do is correct for the high bs and go on. Pizza is bad for me too. I am playing golf tomorrow and I know afterwards we’re going to have pizza. I can only hope I bolus enough for what I plan to eat.
Even the most diligent of diabetics can have a ‘brain fart’ and just forget, get distracted, think they have when they haven’t. Chalk it up to your great book and the distracting smell of pizza :0) x x x
Now that you’ve brought up that pizza again, I think there are a few slices left over in the fridge. I’ll be up reading for a while yet and I could use a snack. yum
That’s the big advantage of my pump. The PDM stores all basal settings and bolus events. But I still have to remember to do the bolus. Lou brought up the good old “brain fart”. I guess we both had one.
I have 2 alarms, one is countdown, I set when I start eating for 2 hours to remind me to test and a 24 alarm. I still have to remember to set them or they’re useless.
The book was cracking me up but is getting a little repatriation. My next book is “Side: Effects Death” by Dr. John Virapen it is about corruption in the Pharmaceutical industry sounds interesting I’ll read that one tomorrow.
I’m always amazed at how long my BGs take to go down when I do something like that. You’d think o.k. my corrective is this much insulin to this many carbs, inject, boom, down. But instead it stubbornly sits up there for hours!!
I use novolog in my pump and pen when I’m off the pump. They claim that novolog peaks in 1.5 to 2.5 hours, I think it peaks in 1 hour in me. Maybe that’s because I’m so thin.
When I do a correction, say to knock down my BG by 100 (for me 2-2.5 units), I test after 1 hour. If BG is down about 50, I’m pretty sure the dose was correct. Just to play it safe I usually schedule another test 2 hours later.
I can’t understand why a corrective dose would take a long time to work. It never happens that way in me.