Getting Used to an Insulin Pump

Posts tagged ‘Fasting Blood Glucose’

In Bruges

Choco Story - A Chocolate Museum

Choco Story - A Chocolate Museum

We spent last weekend in Bruges in Belgium, a really nice place with lots of history and architecture and chocolate, all of which were nice!

The holiday got off to a positive start although the young ‘un was a bit unsettled on the trip over. We went by train from Nottingham to St. Pancr(e)as to Brussels and then caught another train to Bruges itself. It was quite a long trip what with all the waiting around for connections, he was really well behaved though.

Things were fine until we got there and got settled in then I did a blood test and it turned out I was 19.6 mmol/l…Oh dear, the next couple were higher at 19.9 then 21.3, in the morning I tested three times between half six and half eight and didn’t get under 10 on any of them. This was when I decided I’d change my insulin, infusion set and cannula, the next test I did two hours later at 10:40 was 3.3 so I’m guessing my suspicion was right and something was up with some aspect of my pump or my insulin.

The next day went pretty well and with most of my results being around 6 then on Monday another good day, I put it down to eating ice cream and chocolates!

Funnily enough the 23rd (Tuesday) was also pretty good but I did have one test out of the ordinary at 17.4 while travelling on the train again, I was worried that the Eurostar was having some kind of negative effect on my pump but my worries were unfounded as the next couple of tests were around 4.

Yesterday was our first full day at home and I came to work, dropping the little ‘un off at nursery, I decided that I would be good and start redoing fasting blood glucose tests so I started at 12 o’ clock and got the following results:

6.9 mmol/l

6.9 mmol/l

6.0 mmol/l

5.3 mmol/l

6.7 mmol/l

7.1 mmol/l

I figure this is close enough to no change for me to leave it alone so I will do my morning tests again next and then something which I have been putting off and off which is night time.

I’m pretty certain I need to do these as I am having more insulin at night than I need for my supper in order to get my BMs about right in the morning, I think this means that at some point at night my blood sugar is going up and therefore I need more insulin, working this out shouldn’t be too hard it just requires that I get up through the night and do blood tests every couple of hours.

Anyway I’m signing off again now, sorry about my lack of communication recently but I’ve been doing some coursework for a thing I’ve been doing at work, however I’ve finished this now and therefore will hopefully get a bit of spare time back in order that I can start putting a few more updates on here again.

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A Long Afternoon

A Big Clock

When's Home Time???

This afternoon has been a very slow one to pass, as you can probably tell from the title I’ve given this post, however on the bright side it’s nearly over now!

Part of the reason it has seemed long is ’cause I’m doing some frankly not super-interesting stuff, however the other reason is that I have been quite low twice, a 3.3 mmol/l at 13:35 and a 2.7 mmol/l at 15:16. “Why so low” you ask? To be honest I have no idea, I had my lunch at about 11:30 in the morning (a habit I picked up many years ago when I worked with my Dad) so the one o’ clock test was two hours after lunch and then the three o’ clock one was after a particularly dull meeting.

Because one of the team bought in some gingerbread men I also had one of those after the last couple of Jelly Babies, at 7.8 grams of Carbohydrate it’ll hopefully be enough to keep me going without sending me sky high.

Anyway I thought I should give a quick update on how life is going as I have been a bit busy at work lately and not really had the time to craft my prose on all things Insulin Pump.

It’s been over four months now since I first got plugged in, it has been  a fairly steep learning curve since day one but it is now a part of my normal day to day life and doesn’t really cause me any problems as far as changing  the infusion set or filling up and putting in a new vial of insulin (which I just had to do at my desk at work!).

My control is obviously only as good as my guessing of carbohydrates and for the most part it doesn’t seem to be going too badly, for instance I had a HbA1C test a while back which tells you how your blood sugar average has been over the previous three or so months and it came out at 7.0 mmol/l. This is fantastic and I believe the best result I’ve ever had for one of these.

I’ve also pretty much come to terms with doing exercise while plugged in, at volleyball now I tend to eat about 12 jelly babies (around 60 grams of CHO) over the course of a two hour training session and that seems to keep my blood sugar fairly steady.

I still haven’t got round to doing all my fasting blood glucose tests, partly because I have been lazy but mostly because it is hard to guess when a good date will be for waking up every two hours in the night when you have a hectic lifestyle and a 15 month old baby, however I really must try and do at least one before my appointment to see the consultant in September in order that I can get as near as possible to perfect. I know almost certainly that my blood sugar goes up at some point in the night because when I  wake up in the mornings I tend to be hovering around between about 8 and 14 mmol/l, even if I haven’t eaten anything prior to going to bed with a 5 mmol/l.

Of course whatever happens I am still Diabetic and therefore my control will never be perfect but all that means is that there is always room for improvement and work on my control.

I feel like I’m rambling now so I’ll bid you adieu and write again some time soon when I’ve gathered my thoughts.

One last thing, I recently wrote a short article for the Nottingham’s NCT (the UKs largest charity for parents) Newsletter, I have scanned this in and posted it here if you are interested in reading something totally unrelated to Diabetes that I wrote!

 

Not a Barbecue!

I had quite a good weekend. Most of Saturday was spent at a Diabetes UK Networking and Consultation group meeting, which was quite good, they invited Diabetes Groups (Like the NottsType1 Group) to give suggestions on a number of topics around volunteering. We all found it pretty helpful and enjoyed it. Although personally I had a problem guessing the carbohydrates in the buffet they laid on so was quite high by the middle of the afternoon.

A Tasty Salad

A bit like some of what we ate on Sunday.

Sunday was also a good day, in the afternoon our neighbour popped round and asked if we’d like to go to theirs and have some food and alcohol, which we did of course being good neighbours. It meant the Little ‘Un got to play with some other babies for a few hours and we got some fantastic food and a few glasses of wine. Surprisingly I managed to guess the carbohydrates much better for this than for the sandwiches at the event the day before.

Today has been fairly quiet, although busy…if that makes sense, one of my colleagues is away which means I’m doing about twenty five things at once but my blood sugar has been pretty stable. I have recently noticed that I seem to be high in the mornings when I get out of bed so I think I’m going to have to bite the bullet and do some overnight blood tests to see what my BMs are doing overnight. Looking forward to that 😛

In case you haven’t heard I’m tlaking at the Nottingham Type 1 Diabetes Group Meeting tomorrow night about living with Diabetes as well as how I managed to persuade the NHS to give me an insulin pump, if you’re free then head along to:

The YMCA International Community Centre

61B Mansfield Road,

Nottingham,

NG1 3FN

at about 7:30 in the evening to see me talking rubbish for about 20 minutes.

Hopefully see some of you then.

Long Weekend Ahoy

Bank Holiday Forecast

What will probably happen this weekend!

I’m quite cheerful this afternooon because I’m off work until Wednesday because the University likes to extend alot of bank holidaysso we can get away from the students for a bit longer.

Yesterdays fasting results did not drop like a rock after five, in fact the last two were a 6.3 and a 9.2 so I’m not sure that really tells me anything other than I don’t really know what’s going on!

Volleyball was good last night, didn’t use the exercise setting or a temporary basal rate, I just had 6 Jelly Babies over the course of the evening and ended up with a BM of 7.8 at the end of the session, rising to 9.9 by the time I got home and had supper half an hour later so maybe didn’t need that many?

Anyway, it’s pretty much time to go home for me and I have a couple of things to do before I go so I’ll bid you all a good bank holiday weekend and speak to you again next week.

Perfect 5

Five

Will my blood sugar drop at five?

Didn’t manage the fasting yesterday either but I’ve been doing it this afternoon and it’s looking quite promising so far, all tests have pretty much been around the 5mmol/l mark so that is fine. It’ll be interesting to see if it drops at the 5 or 6 o’clock tests?

Not sure if I’ll make it to volleyball tonight as Deanne is travelling home from a meeting and isn’t likely to get home until 7:30 or 8.

Only other thing is that I tried leaving the old infusion set in for an hour on Tuesday night but still woke up at 14.4mmol/l on Wednesday morning so I either need to leave it in longer or just do a blood test and have an adjustment dose before I go to sleep after a changeover.

Low and Lower

Sad Face

Rubbish!

Seem to have been low a lot of today so didn’t manage to even start my fasting, think it’s something to do with what I’ve been doing at work so will have to try fasting again tomorrow.

Oh well, lucky there is no timescale on perfect control!

Holiday Time, Sort Of!

An Umbrella

Not that Kind of Holiday Sadly 😦

After today the updates may be a bit intermittent for the next couple of weeks as I am not at work for a bit. However I’ll do my best to keep updating every now and again until normal service is resumed.

My blood tests yesterday afternoon did not finish as I expected staying pretty much where they started for the rest of the tests, even going up a bit towards 6pm. I believe the reason for this is because once again I’m not entirely well, I have a sore throat, a cough and am apparently snoring like a herd of Aberdeen Angus (sorry Dee)! What with this and my annual leave I’m going to leave the fasting blood tests until after I’m back at work again.

I also badly misjudged the amount of mashed potato I had served myself at dinner time last night and ended up with a blood sugar around 18mmol/l which just goes to show that you’re much better to check if you’re not sure, which I wasn’t!

My time off work is going to be spent doing a variety of things including trips to Dorset and Cornwall, another (final) birthday party for the Little ‘Un and a host of DIY tasks at home so it should be a good test of my pump management skills.

The party should be good as all three of my brothers are making it, even the one who lives in Brazil, so it’s a nice way to celebrate my son’s first birthday, even if it is nearly a month after his actual birthday. There will be cake and chocolate and all manner of interesting foods.

Talking of tasty food I don’t think I’ve mentioned it before but Deanne is from Australia and with it being ANZAC day we should be having ANZAC biscuits on Monday (the 25th of April) so I need to figure out how much carbohydrate they have in them, not such an onerous task really 😉

Volleyball tonight should be okay, I’m feeling a little more confident about how to not have hypos and not get too high while playing now but I shouldn’t get too complacent because that is always when things go wrong.

I’ve also got the Nottingham Type 1 Diabetes Group website fixed and have updated that, including details of the talk I will be doing on the 7th of June on how I went about getting hold of my insulin pump and then how I’ve been dealing with adjusting to having it so be sure to check that out and keep the date clear in your diary.

So for the time being I’ll sign off and until I’m next on-line I’ll bid you farewell and have a nice bank holiday.

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