In the last two days two things have happened that have made life a little crazy. I will start with Friday when all things were going well.
It was the first sunny day in a while and I had to get the grass cut and the kids wanted to play outside. Not a real problem just a lot to do. After picking up my son from school we went outside. I worked on cutting the grass while my two kids harassed each other. Since it was nice out I told them when I was done we would cook hamburgers on the grill and eat on the patio. They were both hungry (I was too) and I began to prepare dinner. While preparing dinner I checked my blood sugar and it was 142, not bad but I was a little puzzled that it was high since I just finished mowing the forest my yard had become. Dinner was ready. I ate one and a half hamburgers and twenty tots (a total of 83 grams) plus a 0.4 correction for over 120. I started the bolus started and shortly thereafter started eating. It was our first meal outside in a while and it was good. With the CGM it offers a look into the way my sugars are trending and with this big meal I was wondering how it was all working out, about an hour after my bolus I looked at my pump and my Sensor Glucose has the double up arrows (meaning my blood sugar is rising over 40+ points every 20 minutes). The sensor glucose is 190. I am bit concerned so I check my blood glucose with my meter and it is 221. Now I am panicked, in an hour it raised about 80 points.
I think back to my training and inspect my pump and infusion set. I noticed the quickset connector is not locked into place. Now what? I decide to call my Medtronic CGM trainer and leave a message. It is after 6 pm on a Friday and I am not really sure who to call. While waiting for a return call I decides that I probably didn't get any of that insulin or any basal insulin in a while so I checked my blood glucose again and it is over 330. I did a blous for an amount a little less than the original before dinner because of the exercise. I am not sure where my reading topped out at but slowly enough it started to come down. I checked periodically to make sure it was coming down and to see if I needed additional insulin to make that happen. I had another couple of small boluses and got to under 200 about 11:20 pm. It was a very frustrating day especially since I had been doing very well. The Medtronic rep did get back to me rather quickly and concurred that I took the right action, so I felt good about that. All was well until Saturday.
Saturday I had some some yard work to do. I also needed to change my site and restart my CGM. The morning went well and I laid my daughter down for a nap and I got ready to do some work. Everything was going quite well on this very warm Saturday as I worked in my garden. Then I felt something pulling at my shirt. My CGM with IV 3000 dressing was coming off, and my infusion set was coming off as well. I was in the middle of what I wanted to get done and was sweating, I thought if I stopped and tried to do a new site it would just fall out because I was sweating and working. I decided to try to use additional IV3000 dressings to hold them in while I finished. They stayed but barely. Plus now I wasted some dressings and had to do a new site for each.
After I cool off and stop sweating I clean up some and start a new sensor site. First time applying one by myself and it didn't take much for me to mess up. I got the sensor in fine and everything else went smoothly except I forgot to take the clear tape off the sensor. I found it impossible to remove the clear tape off the sensor without removing it. I was not very happy about it because getting the CGM was a hassle I didn't want to waste the sensors. I started over and get the sensor in no problem and even remembered to take off the clear tape. While I waited for the transmitter to charge I started my new site for the infusion set. This went goes fairly well but I felt like a pin cushion since I have had four insertions in a matter of a few hours. Live and learn. It is still way better than injections 4-5 times a day.
As the day wore on I needed to do my 2 hour check for the sensor. My reading was 263 and I couldn't use that as you need to have a stable reading near or int he normal range. I took another 5 hours to get to 150 so I used that and moved on.
I did do something different from the first time of setting the sensor, I taped differently. There was a tip in one of the learning guides for the CGM that talked about using half of a IV3000 to go over the sensor and part of the transmitter. That has worked great so far as it allows air to pass through keeping the area dry, especially when sweating.
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