The next day after starting the pump on insulin I was ding pretty well. I decided that I wasn't going to be hesitant in my meals, instead acted how I would act in any normal day. Carb-less snacks were still happening so the basal rates could be worked on, but meals I was going to eat although be sure to count the carbs in what I was eating. For lunch that day I decided since I had to take my kids to two doctor's appointments that we were going to have Sonic (I think I get more excited than the kids). So after the last appointment I needed to drop off a prescription at the pharmacy for my son and barreled down the road to get our lunch. I ordered the SuperSonic Cheesburger (58g), Large Tots (33g), and a Diet Cherry Limeade (4g and super yummy). In total I had to bolus for 95g of carbs. It was delicious, way too much food but well worth it and on the 2 hour post meal check I was 133. At that moment, I was pretty hyped up as it was all going very well and I didn't have to try to figure out how to give myself 9 1/2 units by humalog pen. The rest of the day went very well and my confidence was through the roof. Life was good.
The next day, April 21st, I had my last training day and first site change. The 9 am appointment started with more diet and nutrition training. It was good as I had some questions and it was nice to review and be quizzed a little bit on the subject. Sometimes being put on the spot is tough but in this situation it was relaxed and besides this was very important to my day-to-day life. The second part of training was going over our basal and bolus rates, blood sugars and the site change. I have been avoiding the more dense hairy areas of my abdomen so far but I know the time is coming for that "KELLY CLARKSON" moment. I was nervous because I wanted to do it right, the one mistake I almost made was leaving the needle guard on the infusion set when it was time to insert it. The nurse was watching and reminded me so it was not a problem. Overall it went very well, a little pain with pulling off the old site sticky material but tolerable. Putting the new set in was easier than I made it because I was nervous but it got done and was ready to go. The nurse set up my bolus wizard and we went through some practice exercises. This was awesome, it calculates corrections for me, it calculates food bolus amounts for me when I put in carbs, I wonder if it does windows too? Granted the bolus wizard needs the right settings to be good and those may change for me in the future but so far so good.
With the appointment done it was time to go home and start living. The carb ban on snacks was lifted but I was going to be cautious as I am my third day into this and want to do a good job as I am still adjusting. Then it starts, Lunch I was high (186) pre meal and then 221 post meal, dinner I got back down to 133 pre meal and 211 post meal, I am starting to wonder what is going on. The dreaded 3:00 am check I was 301. I was confused, tired and feeling lousy so I did a bolus which I was reminded later you shouldn't do in the middle of the night. I was still awake at 4:00 am so I checked again and I was 299. What is going on? I did go down the next morning to 220 and was 192 post breakfast. My ear hurt, my head felt like it was underwater so it was time to call my Primary Care Doctor to get in and see what is going on. I called the office and they said they would call back after my Doctor's appointment but to test for keytones next time I go to the bathroom. It turns out I had the beginning of an ear infection and my wife just had an ear infection so they gave me a prescription for antibiotics and sent me on my way. Then pre-lunch I was 150 and post lunch I was 122 and the keytones were negative so I was feeling better. The doctor's office called back and changed up my basal rates and the rest of my day went well beyond being sick. Dinner pre and post I was in normal ranges, bedtimes I was 127 and 3:00 am I was 130. Went back to sleep happy but it was difficult with being sick. I was hopefully I would get better quick as we had Easter egg hunts and other stuff going on during the weekend. Easter weekend was bound to make things more interesting and frustrating at the same time.
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