Tag Archives: birthday party

20Mar / 2013

Carbs Hiding Inside Pizza Fat

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20 (slice 1) + 20 (slice 2) + 40 (cake) + water + diet pepsi + running around in a bouncy house + dodge ball = I subtracted 0.05u from the algorithm’s recommended dose. Point zero five. Because pizza! Cake! Frosting! But also: running. excitement, party.

Tonight: party pizza = thick, Greek/Rhode Island type but v. narrow slice. Outsource SWAG Facebook. Consensus = 20g CHO/slice. Plus wise/unsettling wisdom:

party craziness always causes that ‘party low’ followed by the ‘pizza high’

and…

our challenge with pizza is the 3 hours AFTER!!! SO glad to have the pump and we set a temp basal at 120% for 4 hours and he still might spike at the 6 hour mark!

Bigfoot plan: conservative bolus, pizza/cake/dodge ball, bounce house, crazy follow w. +100% temp basal later on. For anticipate delayed pizza high. Which experience so often, but never graceful manage.

But…

3h pp: 64.

So…

BSpouse: Babe, he’s 64. What should I do?

BFoot: (Disbelief! How can he not know what to do?!) Gah, treat it

BSp: But should I do some kind of longer-term thing like milk and a peanut butter cracker, or just straight glucose?

BFoot: (Disbelief II! Such a good question! It’s like he’s in my own brain but at a higher speed!) Ohhh, good question. Milk. No. Skittles. He could be tanking from the party insulin and excitement. Or. No. Milk and a peanut butter cracker. Just—treat it. Just—do what you think.

Skittles. 12g CHO. 15 minutes later: 98.

How satisfactory! Not too skyrocket. Seem overkill throw in even +50% temp basal. Because although know carbs hide inside pizza fat not myth/certain carbs HIPF real + impending, still afraid make Bubs low.

And then, minutes later from bed, small voice Mamma? I feel sick

BFoot: Sick how?

Bubs: Just sick

BF: Crummy tummy? Headache? Tired from the party? Icky from the pizza and cake?

Bubs: I don’t know

BF: I guess I should check your blood sugar, just to make sure nothing weird is happening…?

Bubs: (Nods with the dignity of long-suffering Ingalls-Wilder**)

178. Too many Skittles. Or this: carbs HIPF begin emerge. Or this: both simultaneous. Set temp basal +100%, 1.5 hours.

Bubs: Mamma? Are you going to kill me?

BF: What?

Bubs: Are you going to kill me? You did something different. You didn’t bolus me for the 178.

BF: I set a temp basal, so that instead of giving you a big push of insulin all at once, you’d get a little more over the next hour and a half, and then I’ll check you again and then…

Bubs: Are you sure?

BF: Well, actually, no, I am not sure at all about what I am doing, but I am quite sure it won’t kill you or, if it does kill you, I am quite sure I will not be blamed <–not say.

BF: I’m sure (Really say).

Bigfoot back downstairs for empty dishwasher/listen Fresh Air Sex and the Citadel. Then just as author describe devout Arab women lingerie, small voice panicky Mommy! My pump! Bigfoot think—pump missing? Bigfoot leave in swim bag again? But not even swim. Know pump in right place. I was just holding it! Maybe disconnect? Maybe site pull out. Maybe site hurt. Maybe malfunction, get really hot, burn bum third degree, smoke come out, hiss sound, burnt fragrance. Arrive upstairs. Skinny arm hold pump aloft, rest of person under duvet.

Screen report NO DELIVERY.

No delivery? Why T F? Answer: temp basal +100% = exceed maximum permitted basal rate. Aha. Very crafty, pump safety feature. Because for 1 hour each night bedtime, basal 1u/hour. So +100% = 2u. And limit = 1.5u. So. Cancel temp basal. Bolus 1u. Zzshoooop. Hour later: 137.

Equivocate. Even though extra IOB from correction bolus, temp basal +50%? Check again 1 hour? Cancel temp basal if drop; maintain temp basal if steady/rising? So much—ugh! Carbs HIPF yes or no? +50% can’t be right  might be right. Just started first Facebook Scrabble game, got V-O-Y-E-U-R (plus 1 more vowel shall remain nameless.) Could be Bigfoot lucky night.

**Sorry for shock—>Almonzo on mind after lady-friends relive childhood crushes on assorted LHOP characters today; for record, girl Bigfoot only have eyes John Travolta.

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30Jul / 2012

Weekend = Almost Perfect Fail.

Butter, 11 months before surgery.

While visit Cape, Butter with babysitter. Dog bite Butter (dog.) Biting dog name Sugar! Bigfoot know—seems like should get along, make shortbread. But now Butter in surgery. (Sugar fine.) This how come to pass BG disaster du jour. No one test Bubs until 10AM. Part because somewhat distraught. Part because distracted: one person drive to vet while other person drive Jack to camp. Other part because not equipped handle extraneous intrusion—only can do diabetes.

395.

Of course Bigfoot not able hold tongue. That’s why we test him as soon as we get up! & other sharp wisdom. Realize it not matter how got this situation. Now dog in surgery! Son super high blood sugar! Who can say how many hours Bubs exist this height. Check notes: 10PM 168. 12AM 192. Correction 0.15u. Then: nothing.

Now in complicated math tangle.

So.

10AM 395. Correction: 2.15u.

11AM 321 (correction probably working=good); eat 50g CHO, bolus 2.5u.

12PM Just checking in, make sure correction still working. 431! Crap. No ketones. Yay.

Inject 3u old-school syringe; trou already drop (site change) so not mention re-introduction of Mr. Orange Cap.

New site, new insulin. Prime. Fill cannula. Await improvement.

Look at that vast empty space. 

12:30 eat 78g CHO. Pump recommend 3.9u if BG normal. Bigfoot bolus 3.9u, assume syringe correction will gobble up 300 mg/dL of 431 mg/dL part of situation. So consider BG normal for math purpose. Yes?

OCCLUSION! NO DELIVERY! Hard not imagine pump speak all-caps message in whiny, beleaguered grocery clerk voice. PRICE CHECK AT AISLE NINE! Check site. Check tubing. No occlude. Try bolus again. PUMP NOT PRIMED! NO DELIVERY! PRICE CHECK AT AISLE NINE! Prime already perfectly primed pump, try make pumpbrain happy. Fill cannula with 0.05u for good measure, keep up ruse of correcting failure to prime. Bolus 3.9, 3, 2, 1, 0. Ahhh. Breathe.

1:30PM 165. That really fast: down 100 points per half hour. With beans, cheese, whole wheat tortilla, chocolate milk in equation too. Plummet or normal? Maybe 3u in syringe too much. Because probably something got through with earlier correction. But how much? Crap. Not know. No way know. Breathe.

Also now Bubs feel like total crap, look like damp noodle. Pallid with rosy hint of slight sunburn. Breathe. After lunch, play ping pong. After few serves, decide just want to volley, no score. OK. After few volley, need move table into shade. After volley in shade, move to swing set. After swing, play Creationary. After 2 turns each, depart from game not say anything flop on couch, stare at ceiling. Bigfoot sure BG skyrocket from lunch, decide most likely all of insulin in fridge spoiled—maybe too cold? Must be why Bubs feel so noodle. That when see 165.

Now will check every 30 minutes. This experience make Bigfoot think pump too conducive mystery. Long for straightforward days syringe. When only way child not get insulin is because adult forget.

GOOD THING(s)

  • Dream babysitter BACK IN ACTION! Walks, sees, everything OK
  • Delicious smell of peanut butter graham cracker on child breath
  • Handsome man painting front porch bring Bigfoot iced coffee
  • 1h. after 165, 89. Italian ice ready for low
  • Always more opportunity handle novel situation w. smart/graceful: water slide party at 4PM

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Bigfoot sure this not right placement Pinterest button

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