Barely remember pump lesson #2 although happen today. When lesson end, drive up/down Wickenden Street (alone) convinced sudden onset hypoglycemia require Fellini’s pizza. Try picture Fellini’s beverage display. See clearly: San Pellegrino, Orangina, Arizona Iced Tea Diet Green w/Ginseng. Beer? Not sure. Maybe very low shelf. Need see for self. But not able park; ho-hum diabetes emergency snack instead. (It mini Luna bar.)
Do remember nurse look like Julianne Moore say, “After Dr. Doughnut starts fine-tuning everything, Bubs will have different basal segments. But for now, it’s just zero point three units an hour, alllllll day long.” On paper nurse write basal dose=0.3u/hour. On data graph paper-y chart write also 0.3u/hour. Program pump together, expert watch entire time. But tonight pump say basal:
Now 11PM. Bigfoot grab self by metaphorical scrotum and reprogram basal doses: now all 0.3u. Feel very advanced. Or basal set up like that for reason unfathomable Bigfoot because so new this job? Consult spouse: do you remember doing anything with really micro-tuned numbers like 0.225 and 0.275? Nope. No remember. Only remember #0.3.
Also recall this: nurse disagree Dr. Doughnut say BS#80 OK bedtime, no eat snack. No snack because need see if drift low, low, low. That why check 12AM, 3AM. Data. After collect data, expert advise adjust basal. Nurse Julianne Moore chuckle, “You didn’t hear it from me, but I’d give him a snack if he’s under 120.”
BIGFOOT: Hwhaht? Hmmm? Snack?
JULIANNE MOORE, RN, CDE: I can’t…I can tell you that Dr. Doughnut thinks he doesn’t need a snack if he’s at 80. I’d be more comfortable if he was around 140 at bedtime. But you have good judgment, you’ll know what to do
BFOOT: No, I won’t. This is all new to me. I want you to tell me what to do
JULIANNE MOORE: Dr. Doughnut wouldn’t let Bubs go on the pump if she didn’t trust your judgment
BFOOT: But my judgment is telling me to ask an expert what to do if his blood sugar is 80 at bedtime tonight, so I’m asking you
JMOORE: I’d say you should give him a snack, but Dr. Doughnut doesn’t want you to do that
BFOOT: So say…for instance…tonight. His blood sugar is 77 at bed time. Should I give him a snack or treat it as a low?
JMOORE: 77…then, well, I’d say a snack would be fine. You’ll know what to do
Lucky Bigfoot! So far not need rely judgment. 9PM #97. No snack. 12AM #105. That nice.