2 days ago for my dinner I did not receive the bolus. I realized because I started to feel ill and tested my blood sugar.
My Dexcom had been very sketchy- the sensor was having trouble disconnecting constantly and the sugar app also although it had been better than the dexcom app.
It connected once and all of a sudden it said 220 an hour after I ate so I tested. It was indeed higher than that and I knew something was wrong so I checked my inset. **I pushed on the inset right away to feel it and the needle went in further twice so somehow it had come out of me. I had just changed the inset before bolusing to eat because I was worried the one I had in was in too long.
I kept testing and it kept going up higher each time. Not long after the 220 after disconnecting again for a while it said 40 lol. My finger sticks confirmed what I figured had happened that I did not receive the full bolus as well as my symptoms that I get when I’m going up a lot etc. however I think I had to have gotten some of it because I think I would’ve gone up much faster and a lot higher had I not gotten any of it. But bg was 135 finger stick when I ate, and I decided not to do a pre-bolus wait because I was so hungry and tired after having gotten soaked in the rain when I walked the first time. I corrected for the bg and kept the basal up and I figured it would drop from the activity and not go too high.
When I put the new inset in I pushed it in and it felt like it was in fully but somehow it had come out a bit I am guessing. I am now using these little patches to put over it which are like IV 3000 but a different brand. I switched to them from opsite 3-4 months ago which was causing bad irritations, but they cause irritations also on and off.
I’m thinking what happened was that the patch must’ve been so sticky that maybe it pulled the inset out? It’s so strange because there is adhesive on the inset and I’m sure that I pushed on that as I usually do so I don’t know how this could’ve happened. I didn’t bang against anything or do anything that would’ve caused it to come out and it had the patch over it so the whole thing is very bizarre.
So my blood sugar ended up at 319 I think maybe higher after a walk and water to help lower it. I changed the inset right away. I was scared to inject so early on at one hour because I didn’t know how much insulin I could’ve gotten and I ended up going for another walk. I think it’s probable I did get some of the bolus because I think it would’ve gone even higher but there’s no way to know for sure. Fortunately I decided not to eat my yogurt and I think that helped it not to go even higher maybe.
I had just gone for a walk before this happened. I waited until the 3 1/2 hour mark at which point I did a 2 1/2 to 3 unit injection correction and kept my basal up for a few hours. finally by about 5 to 6 AM I was back down in a normal range and feeling better but exhausted. I fell asleep and then woke up quite low not having had my snack before sleep.
Has anyone ever had anything like that happen with a steel inset where you think the inset somehow came out not completely but enough so that you didn’t get a full bolus? I don’t recall this ever happening to me before. Fortunately as awful as it was it was not a situation where I was sleeping and I ended up going to DKA territory.
I also put in a new dex sensor and the current one had been restarted once and was on day 5 or so. I’ve been having a lot of trouble after restarting lately. So I’m wondering what is going on with that.
So what I have been doing now is I press on the inset to make sure it is really in me before a bolus. This is going to get pretty tiresome but I’m scared this could happen again.