Threshold

no spike after half oats another half oats more half oatsPretty pictures: Bigfoot new boyfriend show no spike after half oats.

Half normal amount oatmeal w. maple syrup = 23g CHO.

Bolus 20 min. advance.

Magic.

Whole portion oats/maple syrup (=46g CHO)–>definite spike/drop, then Bubs feel low 9:30AM, visit school nurse, feel low/icky, but not low, only feel icky from drop.

Bubs not mind small portion. Not hungry. Maybe baby-size breakfast OK because @school snack time = 10AM. Bubs eat 20-30g CHO again then.

More experienced friend say each D-child has “a personal carb threshold”— an approximate #g CHO above which BG run wild. Even if double temp basal. Even if mega bolus. Bigfoot picture eat carbs = toss microfine glitter into aquatic atmosphere; insulin is glitter-attracting aqua-lasso; only possible gather majority glitter within lasso if not ever-so-much glitter. Glitter & lasso aquatic for slow-mo.

Over the threshold X, the lasso is better than nothing, but fairly ineffective

Over Carb Threshold X, the lasso is better than nothing, but fairly ineffective. This picture illustrates what happens after a whole bowl of oatmeal. Not an actual photograph of aquatic carb/glitter lasso

IMG_6777-1

By glitter I mean carbs and by lasso I mean insulin. This picture illustrates the metabolism of about three bites of oatmeal.

Humuliation

Photo1-1

I love my big dummy.

Bad cold + yesterday no school = Bigfoot never get dressed. Luxury of spouse home, turn off brain & rest. Most of day in bed, House of Cards.

This morning, everyone leave (school). Snuffly Bigfoot rise. Stare breakfast dishes. Start make post-Nemo grocery list. Gloves, boots, coats all over floor. Not sure where begin: clean? Shop? Eat? Walk dog? Brush hair? Every task too difficult—maybe back in bed, more House of Cards? Realize need change insulin cartridge today. Usually do this before dinner. Might as well fill cartridge now, allow time bubbles rise, ready for action 5PM.

Then see this

skitched-20130212-092524

Something’s not right in the cartridge-change supply basket.

Then look again, closer

skitched-20130212-092622

That is orange for sure.

Call Bigfoot Spouse on school telephone because feel EMERGENCY juice skittering through veins.

School secretary so kind, “I’ll have to go find him, I think he has cafeteria duty.”

BIGFOOT: Thank you! I’ll wait!

While secretary find BSpouse, realize this not emergency. If emergency, would drive Bubs’s school, replace Humulin R w Humalog, consult spouse later. Only emergency is desire rip spouse new one. Yet self-awareness not induce magnanimity.

BSPOUSE: Hey babe, what’s up?

BF: Did you, you didn’t, did you, no, could you have, did you put this orange insulin in Bubs’s pump?

BSPOUSE: Shit

BF: You did? Do you remember when you did it?

BSP: When I changed the cartridge the day before yesterday. Shit. I’m sorry. I thought it was just some kind of new packaging

BF: Seriously? We also have Lantus. Would you have put Lantus in his pump?

BSP: No, but this one had the same name, and I didn’t want to wake you up to ask, you were so tired

BF: It’s not the same. It’s ORANGE. The one we use is BURGUNDY

BSP: But the name is the same: Humalog

BF: It’s not! Ours is HUMALOG and the one you used is HUMULIN. Gahd!

BSP: Well why do we even have it?

BF: So you just found any old thing that starts with H-U-M and injected it into your child! (Drama!)

BSP: What is it even for? The orange one?

Photo1

Hum vs. Hum: ho-hum?

BF: It’s from when we had Dr. Doughnut. She wanted us to have it on hand for some kind of emergency. I don’t know why I saved it***. I’m throwing it away. It’s all at room temperature now anyway, since the storm

BSP: Okay, babe

BF: You should feel worse!

BSP: I feel pretty bad

BF: You should be crying!

BSP: Okay

***That not true. Know why saved. Because film Life for a Child  make throw away insulin feel criminal.

That why Bigfoot cleanse brain/heart/spirit this experience with donation children in need insulin, diabetes care via Spare a Rose, Save a Child campaign. Donation frankly small: $17. Took three seconds, paid with PayPal.

In terms public health, share money IDF much more helpful than hoard wrong kind of insulin.

Meanwhile, since 1PM yesterday, BG#s all in range, so Bigfoot not rush over school change cartridge. Maybe Humulin R not so bad.

Endo Day

photo-6

All this fun plus a flu shot clinic at the high school afterwards. So. Much. Health. Care.

Endo today.

NUMBER

photo-8

If only this meant something more than a momentary glimpse of some hemoglobin.

6. Six! (Six point zero.)

THYROID

Still work fine. Still feel hard. (How will we know if something’s happening?) He won’t have the energy to enjoy life. Plus constipation. How are your poops? Bubs agog. Look Bigfoot in eye, inquisitive: srsly? Bigfoot nod. Bubs report they’re fine. Stare at hand on lap several moments.

Snack.

A normal—I mean GINORMOUS—snack.

TIGHT

Too many lows. Endo adjust basals down. Way down some spots. He’s waking up really tight. (Tight?) Really close to 70, 80, 90, 100. Let’s loosen this up. His A1c is low so we have some room. He shouldn’t be this tight.

HUNGRY

Bubs hungry during appointment. Five peanut butter cracker plus Luna Protein Cookie Dough nutrient extrusion. Whoa! How many carbs are you eating? (Forty-six.) Well, wow. You’re a growing boy. It’s fine! But Bigfoot get it. 46g CHO considered giant snack. File away snack disapproval for savor in mind during insomnia times.

Plenty time Bubs eat giant snack while Endo tap tap tap email 5 Rx’s–> mail order pharmacy; needle tips/syringes–>DME co.; & glucagon/Lantus–>Target. Everything from laptop. Such service.

Four foot nine? We think. It was metric. No idea on the kilos.

Four foot nine? We think. It was metric. No idea on the kilos.

TALLER

Not much say. Kid grow up.

EYES

Endo surprised Bubs no eye exam. Dr. Doughnut advise unnecessary new diabetes, useless as pediatric foot exam. New endo recommend Bubs visit Bigfoot own friendly eye doctor, dilated eye exam. Bigfoot no worry. Children ADORE sting-y eye drop/giant pupil daze. Bigfoot need eye exam too, think Bob Harper glasses very becoming for distract viewer attention away eyebags.

Remember these things.

Read tomorrow. Do not lose.

NOTES

Bigfoot beat. Although day consist one (1) hour work, leisurely return misguided tea (it poison?) purchase, walk dog, grocery store, & endo, feel post marathon but no endorphin. Too tired read/understand/act on notes.

NEXT TIME

  • Bring larger scrap paper
  • Pack low carb snack for display
  • I wish we'd signed up for the other kind

    Damn! Should have signed up for the other kind, 250.02

Combo Bolus Hack Bites Dust

Some examples of how not to bolus from when we thought the combo bolus hack was a slam dunk

Some examples of how not to bolus from when we thought the combo bolus hack was a slam dunk: don’t eat 50g and bolus for it and then keep eating 34g more and bolus for that and then eat 15g more and bolus for that too. And don’t repeat this several times a week and then wonder why you’re low at 1AM.**

Since very beginning attempt utilize Combo Bolus pump feature, Bigfoot/B. Spouse more likely hack combo bolus. E.g. bolus, eat, if eat little more, bolus little more, if eat dessert little bit later, bolus little more that time too. In this family mind, it like supersafe Combo Bolus because more flexible, easy halt extra insulin if Type 1 diner in question change mind re food amount.

But no. Endo say Stop This. Can cause lows. “Stacking.” Familiar that term from insulin pen times. Thought stacking concern pen/syringe user only, because pump calculate IOB. Hmmph. Bigfoot explain why think little bolus + bolus little more 1x, 2x for extended meal experience better for Bubs than Combo Bolus. Because unreliable predict what eat. Actually say this:

Why is giving increments of insulin over time different from a combo bolus? Sometimes I know he will be eating more over time, but don’t want to do a combo bolus because I don’t think I can cancel it or decrease the amount after I enter it.

Endo say no. Better use actual Combo Bolus. This paragraph not medical advice but it email from endo:

I am not sure why there is a difference between frequent bolusing and using the combo but experience has shown us that there is a difference. Even with the combo bolus, we still suggest not to rebolus for at least an hour after the whole bolus has been delivered. It is a difficult balance to decide how often to bolus and each child is different but repeated boluses every hour or so seem to “stack up” and cause lows later on.

    Before diabetes, I DEFINITELY would have had AT LEAST one of each

Before diabetes, I DEFINITELY would have had AT LEAST one of each, and ALL of the white chocolate brownies and linzer squares.

And so this happen: Bigfoot Spouse think ahead, make lowish carb dinner (grilled mustard-y pork tenderloin, one carrot, half apple, water) because aunt bring elaborate homemade Christmas cookie gift. (That not true, it Bigfoot think ahead/tell spouse grill this pork tenderloin from a bagCookie part true.) This cookie delivery major event of ring in holiday season. OK. So. Figure 12g CHO dinner + 25g CHO 2 cookies. Bolus for 37g CHO. Cookie time Jack Wouldn’t some milk be so good with these cookies? It true. Should have thought. Seem impossible deny Bubs milk–this once a year cookie heaven experience!–so break rule, bolus additional 6g CHO. Tiny speck insulin. OK. Hour later hear I’m hungry. Could I have a graham cracker?

BIGFOOT: Sorry, no (<–because try adhere anti-stacking policy, not because controlling bitch)

BUBS: Please?

BFOOT: Nuh-uh. How about a cup of tea?

BUBS: Okay…

BFOOT: How about a piece of cheese?

BUBS: Provo-lohhhne (said with low, drawn-out final syllable to show dejected mood)

JACK: May I have cheese too?

BFOOT: Sure! (feeling peppy now: someone’s making cheese seem like fun)

JACK: Ooh, and a glass of that mango juice?

BF: Uhh…

JACK: Bubs! This mango juice is so good!

BF: shut up (<–say in head only)

BUBS: I’ll just have water

**Obvsly, I am hoping that someone reputable will tell me this is a smart and very fine thing to do–and not just on special cookie occasions

Two Disconcerts, No Photo Available

Disconcert #1 (long one)

Yesterday Bigfoot math volunteer Bubs’s class. Notice Bubs read library book while teacher give math instructions, then continue read when divide into groups.

Friend call “Hey B, how about you, me, and P?” Bubs not reply, although this premium favorite friend group. “Bubs?” Bubs blink at friend say Nah, I’m leaving. I have low blood sugar.

Teacher hear, ask classmate escort Bubs nurse’s office, meanwhile math volunteer job begin: help children plan 8-person Thanksgiving feast for as close to $175 as possible using Shaw’s sale flyer.

Bubs not come back, not come back, Bigfoot think must be low, must be recover on nurse fainting couch. Then Bubs come back. Sit on floor near group. Group already chose turkey, 99cents/pound. Already calculate cost. Already choose beverage: it Mountain Dew. Ten bottles, $10. Now time for choose vegetables. Boys discuss merits canned vs. fresh. Bubs move away. Sit alone, criss-cross applesauce on cold floor, chin on palm of hand/elbow on knee. Pale.

BIGFOOT: Hi! What’s going on?

BUBS: I’m not going to tell you

BIGFOOT: Why did you leave your group?

BUBS: (Scowls, moves away)

BIGFOOT: Should I leave you alone? I feel like something’s wrong (<–insightful)

Then awesome teacher approach, explain Hey Bubs, your group needs you! Come on, buddy. That  type friendly man chat. It work. Then teacher explain quietly Bigfoot it turns out he was angry that he had to wait so long to test his blood sugar, because someone else was in the nurse’s office, getting their I think it was a GI tube? changed, so it took a long time. But his number was fine. Anyway, it turns out he was just angry that they chose the drinks without him. Guess he’s not so into Mountain Dew.

Meanwhile, Bubs move away. Sit alone again, scowl Bigfoot, mumble something.

BIGFOOT: What did you say?

BUBS: I said I’m DEPRESSED because you did not put anything. Edible. In. My. Lunchbox. So I’m not going to eat ANYTHING for the rest of the day

BIGFOOT: Well, you’re in luck. Because I’m here today. And there’s still time before lunch. So you can tell me what you’d like and I will go get it*

BUBS: I don’t want ANYTHING. Everything you make is always disgusting

BIGFOOT: (having seen this extremely negative rage personality before, makes an unbelievable offer) How about if I go to McDonald’s, and get chicken nuggets and an icy Diet Coke, and drop them off for you in the office?

BUBS: I TOLD you. I don’t. Want. Anything. Especially NOT FROM YOU

BIGFOOT: How about EATS?

BUBS: No!

BIGFOOT: How about Five Guys?

BUBS: Nice job on wasting your life trying to name restaurants. You don’t even know any good restaurants

etc.

After math volunteer job end (Bigfoot recommend each group $4.99 clementines, Buy One Get One Free Boursin cheese, avoid pre-made Shaw’s pie. Very help), nurse call Bigfoot telephone. Hello, Bigfoot? It’s not an emergency. Before recess he was 79. When he came at 9:30 he was 252, no ketones. When he left math because he felt low, he was 119, and then just a little bit later he was 79 so I knew he was dropping so I got him to eat part of a Luna bar…

All pieces fall into place. Bubs read instead pay attention because BG mid-plummet. Does right thing: visit nurse. But # is normal. So return same dismal situation. Sit in math, more plummet. Feel worse and worse. Probably feel something along line of “I asked for help because I feel like shit and they told me I was fine.” Disconcert because: not sure how could be different, but this very sad.

Disconcert #2 (short one)

Pick up Rx refill @pharmacy. This trip Rx special. Because for 1st time in forever, pick up syringe refill. Because travel Thanksgiving. Because back up for pump is Lantus pen/pen needles + Humalog (non-pen) + syringes. Co-pay for syringes: $25.72. That weird amount for copay. Thought would be $5. Call Blue Cross. Very helpful. Say Bigfoot responsible entire cost syringes because name brand. Ask is there a generic brand I could get instead? Answer no but: you can get them at no cost from a durable goods supplier. Say what? Blue Cross Rep start rattle off names durable good suppliers.

Disconcert because: Bigfoot consider mail-order diabetes supplies territory of Actual Diabetes Persons. Such as: people meet at Friends for Life (experts), old people, Type 2s, people who can’t drive/no legs/blind, Wilfred Brimley. Today mark day Bigfoot cross over into Actual Diabetes Person.

*Defensive N.B.: Bigfoot not usually so coddle, but Cognitive Behavior Diabetes Therapist teach Bigfoot how bend away conflict this manner when child so insanely unreasonable.

RIDDLE: What works better when you don’t leave it in a bag?

I feel fine. Can we play Minecraft?

Bubs date w friend. Pizza dinner, then swim, then sleepover. In tent. In living room. Mid-swim: 83. 9PM 107. 11PM 104. Bigfoot, Bigfoot Spouse decide OK sleep, convinced more worried delayed pizza high than delayed swimming low. Not vigorous swimming. More just stand in water, shoot hoops. Also creepy if hover around children in tent. Sorry if sound defensive.

7AM. Mom! Can you make Peter and me some pancakes? (Sure. Did you test?) Rumble rumble down stairs. Rumble rumble back up. I’m 322! And I don’t have my pump on and it’s not in the tent!
Possible scenarios:
  • The tent sleepover was so exciting he sort of sleepwalked out of his pump and sleepwalk-placed it somewhere weird
  • The pump IS attached and this is one fucker of a delayed pizza high
  • The friend is not actually a friend but a follower of Abu Nazir, and needed the pump to make a bomb
  • B somehow wiggled out of the Spibelt and it’s at the bottom of his sleeping bag and he just didn’t search very thoroughly

Then realize: pump still in swim bag. Blood drain from head, gather in gut. Bigfoot not give back after swim. No insulin since 7:15PM. 12 hours. Amazing only 322? Consider for moment, maybe would be dangerously low if did wear pump overnight? Then exit Pollyanna town, test ketones.

LARGE.

Call endo answering service. “She will get back to you within the hour.” Meanwhile, BSpouse syringe 3u, water bottle. Bubs feel fine, Minecraft with friend. Endo call back within 5 minutes. Bigfoot explain no pump since about 7PM. Endo prescribe 3u more. Water. Warn, “He’s probably going to start to feel very sick.” Bigfoot ask OK eat normal breakfast? Answer: yes, and don’t worry about covering the carbs with more insulin.  Ask: even if pancakes? “We can deal with his blood sugar later–for now we just want to clear those ketones.” Bigfoot ask: So, no basketball at 10 o’clock? Answer

  • check with the blood ketone meter at 9:30 and call me back
  • Maybe they’ll be clear
  • I’m surprised that he doesn’t feel sick; that shows us that he hasn’t had them in his bloodstream for very long
  • Maybe he’ll be able to play

Check out the gleam of the un-weighed, liberally poured maple syrup remaining on the (also un-weighed) plate.

Okay. Make pancakes, ignore batter label Bigfoot make for self last night: 12g CHO per 5″ cake. Make all sizes, teeny tiny, big as face. Freedom. Any size pancake. Also not weigh syrup. Probably eat 60g CHO. 6u insulin inject for ketone can multi-task also handle carbs? Or insulin power used up on eradicate ketones? Would use >6u for 60g CHO, anyway. Because I:C ratio for breakfast lately 1:8. Really think need more insulin. This crazy.

Call endo back, rambling message high carb breakfast…would need even more than 6 units just to cover the carbs…feel weird not giving more insulin…

Call right back. Turn out insulin work ketone/carb same time (huzzah!) but wait more insulin because risk too fast drop, not want “bottom out.” Also turn out, even though endo hear Bigfoot say pancake breakfast, endo not believe Bubs really eat. Because assume will begin sick. That so nice endo explain why wrong dose. Say “I’ll make a note in his chart that he doesn’t necessarily feel nauseated with large ketones.” If trace or negative, can play basketball. If moderate/large: no. Even if he feels fine? Yeah, no, we don’t like kids running around with moderate to large ketones. Call in one hour w. blood ketone meter result, BG#.

Ho hum.

Meanwhile, Bubs begin feel sick. But sick in way ask for more food. Confuse nausea w hunger? Tell Bubs wait eat until after next endo call. Lie on floor w Lego. Ask: do you think you’ll want to go to basketball? Answer: No.

BIGFOOT: Well, if you’re sure we’re not going, then I’m going to start baking that cake

BUBS: What cake?

BIGFOOT: The applesauce bundt cake

BUBS: (Jumps up, smiling) Because of my ketones?

BIGFOOT: No, because we’re going to the _____  house for dinner and I said I would bring it

BUBS: They have a pellet gun! They let me shoot it at their metal chickens!

Not seem sick.

I can’t believe we go away with our biggest eff up to date. (That title previously held by Joe, for telling the Sunday school teacher to give B. hypo-earmarked Skittles at snack time.)

9:30AM 400. Ketones: LO. Call endo. Instruction: correct for high BG as usual, just keep careful eye on BG rest of day…ketones can make insulin resistant…etc. Endo end instructions with you guys did a great job. You know, with a pump, these things happen; it can get disconnected, and unfortunately that can happen, but you guys were great–you caught it before he got really sick. Consider tell endo: not random disconnect. It Bigfoot leave in swim bag. Decide not confess, because why put endo awkward position absolve parent guilt? That what blog for.

Bubble Puzzle

Why are bubbles still forming in my cartridges?

It not only Bigfoot cartridge—Bigfoot Spouse cartridge same issue. Pertinent bullet point:

  • Current vial insulin room temperature 8 days before fill cartridge
  • Spend Great Deal time flick, press out bubbles, examine by bright light until really, really sure cartridge look pure water, no fizz, no speck
  • Change cartridge every other day. More if Bubs crazy high

Over the course of 45 hours, several problem areas have developed. I included this picture in full size to illustrate the enormity of the bubble issue. Is the knot relevant? There’s not usually a knot.

Promise, promise bubbles not in cartridge when insert freshie into pump. Few hypotheses:

  • Some wrong thing with how Bigfoot attach luer lock? Always feel overly casual–no click. Just tighten as much as desired? Maybe this when air happen. Maybe not tight enough
  • Could be problem of fill 200u cartridge only 100u?
  • Too much back/forth with plunger while try purge air—>could introduce air?

Bubbles! Bigfoot wish eradicate bubbles.

This happy man recommend tap tap tap while load cartridge, tap tap tap while prime tubing AND/OR fill cartridge night before, purge air bubbles next day after bubbles have chance accumulate/merge. Hmmm. Bigfoot will try. Also like this tip from UK bubble discussion board: I just make sure that the pump is always upside down when in use so any air bubbles I’m unaware of float to the opposite end of the cartridge away from the entrance to the tubing <–bravo for clever! Would be good consideration for future Ping clip designer.

Belly Fail

To thank you for inviting us to your beach house, the people of my country ceremonially scatter the entryway with used test strips and dog poo bags (unused). Try to think of them as rose petals, or leis.

2AM check new site: 419.

C’est impossible! Belly site legendary effective insulin entry. Dutiful Bigfoot inject correction syringe. (Arm.) 3u—fuzzy math. ISF 100 or 80? I am so tired. I think I need a calculator for this. It’s so sad that I’m too tired to remember there’s one on my phone. Either way maybe OK. (419-240=179. 419-300=119. Uhhhhh. OK?)

Obvsly, this not medical advice. 400+ require test ketones. Did not. No speck of this medical. Pretty much wish, kiss, wink sub in for science this night.

Begin prepare change site. Arm poke wake Bubs little bit. Belly site still on, but unplug.

BUBS: Hey! There’s a site stuck on my tummy. What’s that doing there?

BIGFOOT: Oh, that’s just the old one. You’re high so I’m changing your site. Sorry I woke you. I guess the old one got stuck there. That’s funny (It could be true. Pretty much true)

BUBS: Aw, I thought I finally got a site on there, but it’s just the sticker?

BFOOT: (…)

BUBS: (points finger straight over head and speaks very forcefully) TELL JACKY TO PUT IT IN THE PEACH TREE

BFOOT: (…) Are you asleep?

BUBS: (normal voice) I wish you’d done the new site in my belly while I was sleeping. Then I’d get ten dollars!

BF: Okay, well, maybe the next time you need a new site, The Belly Fairy will come to visit and leave ten dollars under your pillow

BUBS: Or how about a small Lego set? Like a $13 set

BF: That’ll be up to the Fairy

BUBS: Or one of those Star Wars planet ball sets? They’re $10

BF: Do you even like those?

BUBS: (Shrugs. Falls back to sleep)

I made this guide to insertion angles for reference. Courage!

Subterfuge: got away with whole pie! Dishonesty pay off. Not only Bubs suggest with own brain/mouth same plan Evil Bigfoot hatch w/o permission, also create new imaginary gift-giving character: Belly Fairy. Could also visit for belly button piercing, appendectomy, late-term circumcision, PRN.

Peel off “old site” that “got stuck” tummy. Examine for defect. Forensic study reveal this site fail because Bigfoot too timid w kachunker angle: cannula skim along skin surface. Not penetrate. Dang.

When try again, need bolder angle.

Could be true

Still asleep. Same position. Please wake up proud and happy, in lieu of hating me. And please never read this post.

Strange beach house. Bigfoot/Bubs sleep double bed. Spouse other room. Jack other room. Butter downstairs. No witness here for keep Bigfoot honest.

Low insulin cartridge creep up. Crap. All day forgot take care of. 12u enough get through night but not get through night without beepity-beep warning music. Bubs asleep on side. Hip w/site up. Hip for new site down. Vast acreage naked belly full view. Pinch belly. Bubs not flinch. Wipe 3″ diameter circle belly IV Prep Pad. Bubs not notice. Bigfoot think this is not premeditated. I’m just seeing how asleep he is.

Fill new cartridge, rewind pump 100u while IV Prep Pad juice dry. Prod belly. Bubs not even change breath. Bigfoot feel very calm. Probably could be hit man. Load cartridge. Before think too much, kachunk site on belly. Oh my gah. What have I done? Peel adhesive backers off. Stick on. Smooth down. Pat. Fill cannula. Bubs not move.

Planet Earth = blue vanilla with Oreo pieces and marshmallow swirl. Maine Modern Family = vanilla with peanut butter cups, cookie dough, peanuts, pretzels? and some other stuff. I had vanilla with mini Rolos in it. It had an elaborate name.

From beginning diabetes, Bubs not willing try belly action. At first, endocrinology team think maybe better avoid belly because so skinny. Last checkup Dr. Doughnut palpate belly, pronounce Bubs grow enough “loose skin” (=fat?) for use this real estate. Bubs refuse. Of course Bigfoot respect. Common sense. Small person very little control, not want jab needle ticklish spot against will. Not know what come over Bigfoot, violate child belly while asleep. Sad state affairs.

Briefly convince self I’ll tell him he woke up a little bit when I tried to roll him over to get to his other hip, and that he asked me to put it there. That way he’ll feel like he’s still in control. Could be true. Also could be true It’s only a five minute walk to the ice cream place. More like 30, but five could be true. No one wearing watch. Also could be true the only place with wifi is the Stonewall Kitchen cafe, and I have to work.

Such liar. So easy. Feel terrible. Sorry. Born this way.

Therefore Bubbles

This is a glass of seltzer. To illustrate bubbles.

Bigfoot, Bigfoot Spouse long tradition over confident, think natural finesse, supersmart, even if time/time again wind up bad result. Like Harry Allard The Stupids. 4+ month use pump. Only now understand necessity this instruction: use room temperature insulin.

Bigfoot/Bigfoot Spouse experience, “room temperature” advice phrased in way not penetrate skull. Wrong understanding = it will be easier to avoid air bubbles if you let the insulin come to room temperature before filling the cartridge, but since you are so careful about purging bubbles, you can keep your insulin in the fridge until the very last second—and have fresher, more effective insulin than those who rely on the pathetic crutch of bringing insulin to room temperature for bubble avoidance.

But what room temperature instruction really mean = You must use room temperature insulin. Even if you’re naturally superior in every way, and super-skilled at purging.

Why?

Because air bubbles will form within 24 hours, leaving your insulin looking like 7-Up, and diluting every dose. With air. Contained in bubbles.

OhHhh! (Capital H signify voice rise few notes in middle for realization noise.)

Yesterday third day in row need change insulin/site. Day 1 + 2 Bigfoot blame spouse. Ask, How could you not see this cartridge is all bubbly? It’s almost fizzy. Look at that. Look at that. Look. Day 3: it cartridge Bigfoot make. Bubbly. Bubbly like Prosecco. Like champagne. Dawn on Bigfoot maybe problem cold insulin. Easy forgive self, move on. Pop cork for celebrate! Realize fizz source, anticipate better BG control.

Bigfoot figure out how bring insulin room temperature in few minutes. Armpit. Inspired by mom tuck cold insulin sports bra-bound cleavage. Kudos on balance medical + foxy—very difficult achieve. Bigfoot not have what take for this method, but find armpit have good grip, very toasty. Fill cartridge no air bubble so easy.

MORAL OF STORY: some instructions are worth following.

Bigfoot say other thing

Bigfoot sure this not right placement Pinterest button

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