Over the past few weeks, I’ve really been working on fine-tuning my pump settings. Adjusting sensitivity, ratios and basal rates. As such, I was expecting to have some days where my numbers would be all jacked up. And sure enough, there were some. Yesterday was such a day and as I was watching my son’s football game I suddenly asked myself “How long has this damn infusion set been in anyway?”
I checked my pump and it had been in for 5 frak’n days. When I realized that, a whole bunch of things clicked into place. I had been having these highs when I was getting down towards the end of my reservoir. My reservoirs had been lasting longer than I was used to because I’m taking less insulin now than just a couple of months ago. So lesson learned: only put 3 days worth of insulin in my pump!
Sometimes we will have WTF days where numbers just won’t be “right”, but I had become too focused on what had been happening today and the past week. Every once in a while, I need to step back and look at numbers for the past few weeks. I did that after I got home and changed sets and the pattern jumped out and hit me right between the eyes. Every 4 to 5 days for the past 3 weeks. Every 4 to 5 days after I had put in a new set. I knew something was out of whack, but I wasn’t looking at a big enough picture to see the trend.
Besides that recent discovery, things still are going pretty well. The Symlin continues to help me loose weight, down almost 30 pounds in the last 6 months. This has also helped reduce the insulin resistance I have, I now take 60mcg with breakfast and lunch then either 60 or 120mcg with dinner (depends on how many carbs), whereas I was on 120mcg with every meal a couple of months ago.
My basal rate currently comprises about 43% of my daily insulin, down from about 50% a couple of months ago. I still have a bit of trouble with numbers 3 to 4 hours after dinner being high, I been experimenting with square waves, so maybe I can get those settled down as well. My next endo visit is in a few weeks, we’ll see what the numbers say.
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Today’s snarky comment: I don’t need Wikipedia. My kids know everything.