The last two weeks have produced two days that could be called "extreme excursions" for me. Why, you ask? Because of scar tissue! See if you agree with my reasoning and chime in with your rotation routine and any comments are welcome.
I have a routine for avoiding scar tissue and I thought I was doing pretty well, since I have been following it for about 15 years. Basically, I change my infusion site every 3 days. I start on the left side of my stomach, then move to the right, back to another left stomach site at least 2 inches away, then the same thing on the right. From there, I go to the love handles on my back, left and right, followed by the upper buttocks area, left and right. About 21 days later, I get back to the same basic area where I started.
On Halloween, I started a new site on my left love handle, exercised in the morning; went low, low, low, before my numbers started climbing. Of course, I choose this day to overcompensate for the low, since it just wasn't coming up after 10 glucose tablets. When I was over 400 for over four hours, and got a reading over 500, I finally said something to my wife. She calmly suggested changing my set and since my cartridge was low, how about new insulin? Bingo(!) - perfect solution!
By bedtime, I was @ 114 and I woke up the next morning @ 100.
Fast forward to this past Thursday and I had a new set in my upper left buttock. A post-meal reading of 148 seemed innocuous enough, but then it went up and up and up. After two corrections, seeing the constant up arrow on my CGM and a fingerstick reading of over 320, I changed the set and placed a new one in my stomach. Of course, I got a little overzealous on the correction dose and ended up low, but I evened out and went to bed @ 87, waking @ 78.
In looking at my love handle and buttocks, I can see that I am unable to get as much location variation as I do on my stomach. Today, I am trying my upper thigh - seems to be working pretty well so far.
I am a little worried though, because I don't have a lot of real estate to work with - actually more than a little worried.