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Slap Me Upside The Head

When a friend by the name of a utensil texted me and said "Is there anything I can do?"  My response was, "Slap me upside the head and ask me if I've learned my lesson."

We both agreed.
*SMACK*... ouch.  Did I learn my lesson?

I knew my reservoir in my pump was low.  I checked it this morning before I left for work.  I had JUST turned around to lock the front door when *beep... BEEP... beep* 20-unit Low Reservoir alarm.  I paused for a few seconds with my hand not moving from my key that was in the lock.  I looked back and forth (as one often does while pondering something).  I hesitated, locked the door and went to my car.  20 units of insulin should be enough to get me home on empty after the gym after work.  I clearly hadn't had my watered down decaf yet otherwise upon further calculations I would have known better.  I just kept thinking that by the time work finishes I will have set a low temp basal for the gym anyway.


Post lunch BG check left me with a serious high.  This unfortunately and (unplanned) left me with a big correction bolus.  Which in turn left me with - nada drop in my pump.  I don't know when the river ran dry but I noticed it at 4:00pm.  One more hour of work and then an hour home.  2-3 hours without insulin.

Never mind the gym, I said to myself.  I'm likely going to be battling some blood wars tonight.  I did think about zipping out to the gym after I did a site change but after really thinking about it, I decided it would be better to baby my diabetes than cause unknown factors that might further fluctuate rampant blood sugars.  I was pissed off at myself for being so irresponsible but at the same time my legs are still sore from the previous night's weekly stair episode.

Did I learn my lesson?  Um... to be honest, probably not.  I don't carry spare parts with me and I don't really intend to.  I often store an extra set at work especially when I commute an hour but I haven't been at this job long and well, I haven't really thought of doing that yet.  I'm not new to letting my pump run almost totally dry either I will admit. I regularly wait till I've already got the 10 unit low reservoir alarm.  I am a baaaahd diabetic.  I don't run my sites the regular 3 days, I run them 'till the reservoir is cooked.  Sometimes up to 5 or 6 days depending on how much insulin I'm using.  Go ahead, ream me a new one.  I can't say I'll listen.

Did I learn ANYTHING?  well yeah, next time I hesitate before leaving the house I'm going to do the math before jumping to conclusions.  THEN I'm going to go back in and either grab things for a site change or do one right there.  So what if I'm 5 minutes late for work.  It's better than trucking home on empty.

My actions after inserting a new site were justified.  I was aggressive and rage bolused down the high I was already at and then set a TBR of %150 for the following 5 hours.  That caught me up to speed with barely a blimp in the radar.  Yeah I just said blimp instead of blip because when it comes to diabetes, a blimp in the radar makes so much sense, don't you think?   So I refrained from carby food and tried to be patient.  All was well.  I woke up rather high this morning but if I expected perfection, I wouldn't be a diabetic.

The biggest bummer? I was looking forward to the gym (even though my legs were relieved).

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