So anyways… I pretty much eat the same thing for breakfast every day during the week. You would think I have the insulin dose right by now. I usually give a pre-bolus of 3u for the carbs and then when I actually start to eat I give an extended bolus for the protein/fat. I generally see a pretty flattish line from breakfast to lunch with the occasional weirdness thrown in.
This morning was a bit noisy and chaotic in my house but I went about my morning routine. The kids were running around and I kept getting asked questions as I was getting breakfast ready. I usually give my boluses in the kitchen, which is a noisy and busy place but it is how I have always done it. I entered the pre-bolus in the pump, entered the insulin dose on my cell phone in xDrip and went about the routine. There was a conversion thrown in there about perhaps lowering my son’s basal rate and my wife joked about “blaming” his low blood sugars on some random thing so I pulled the phone an out played “Blame it on the Boogie” on youtube which had 75% of my children dancing and cheered up my youngest son who was crying about something at the time.
When I got to work, I suddenly remembered that I forgot to take the protein/fat bolus, so I did an extended bolus with a little bit up front (because I was late to give it) and went back to working.
About 1/2 hour later I noticed on my watch that my BG was rising and the CGM arrow was starting to point up at an angle (which is abnormal for me at this time of day). I thought that is weird and kept working. Then my CGM alarm went off at 8.0 (144) and I started the - “what the &^$%% is going on routine” and gave myself 2u in sugar surfing fashion. (2u is my normal dose to hit the weirdness with and I use 4U for extreme arrows up weirdness).
Then I went through the list of what could be causing the problem:
-Did I forget to bolus? No - and if I did I probably would have seen an earlier BG rise.
-Was it the coffee? No - usually caffeine did not raise my blood sugars.
-Was it breakfast? No - it is what I always have without issue.
-Am I sick? I hope not - but possibly.
-Have I been getting enough exercise lately? - Well maybe not enough but really…
-Do I need to raise my basal rates in the morning like I did a few months ago? - well maybe.
And finally for some strange reason which I cannot explain… I picked-up up my Omnipod PDM and reviewed the boluses for the day. And the 3u breakfast bolus was not there in the history. It was completely missing. Which kind of explains everything. But I was 100% sure I gave that bolus. I remember inputting that 15g for carbs into the pod. I remember my son screaming about something that I was trying to ignore until I completed the bolus. And then there was that Jackson 5 song and the dancing.
And then it hit me… I am wearing my pod on the left side of back right now and sometimes I get communication failures since I hold the PDM in my right hand. Usually I just move the PDM closer to the pod and it communicates. BUT it would have been so noisy in the kitchen this morning that I did not hear the beeps from the controller that the communications had not worked.
So I sheepishly gave the missing 1u from the breakfast carb bolus and reminded myself that sometimes the reason for the highs are pretty simple.
Anything silly you folks have done lately?