Tag Archives: temp basal

21Apr / 2013

Good Things X

img-thing

These are pure evil—they even wear evil clown wrappers—but they could save a life. (EVIL + VILE = LIVE.) <—anagrams!

Godis ChokladrÅn

Argyle circus wrapper Ikea wafer cookie (7.5g CHO) rocket BG +100 points.

Dexy vibrate LOW UNDER 85 w. arrow down before dinner. Test 79. Administer Godis ChokladrÅn because who know when this disgusting chicken reach internal temperature 160F. (YDCMV.) Ten minutes later Dex show UP-UP. Test 180. Hear cookie packet yell from pantry that’s right bitchez. Not medical advice: tape one Godis ChokladrÅn atop glucagon kit.

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L to R: Witness the Ikea cookie spike; the elegant -90% temp basal move

It Works

Bigfoot orchestrate something functional. Notice BG straight arrow 150 bed time. Within 30 minutes, 125. Hour later, 92. All straight arrow so no buzz. Although Bigfoot brain double arrow-down into sleep, thought occur: this is what they mean about noticing something before it happens, i.e. the actual point of this thing and ask Joe get up set -90% temp basal one hour, Joe back in bed, use last scrap consciousness confirm I said negative 90, right? before fall asleep hope avoid buzzer. And avoid buzzer! Maybe illusion? Maybe success? This how world work?

photo(1)Mine

Some reason Dexcom tend blank out when placed Joe’s side of bed, even though Joe’s side closer to Bubs’s room. Maybe because phone charging? This conveniently allow Bigfoot hog Dexcom; if wake up 4:27AM, easily check, no need fumble around slumber areas. Also gives warm feeling like new puppy prefer one person’s lap.

Low Paradise

My thugs went to visit their oldest friends from baby-times

My thugs went to visit their oldest friends from baby-times

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Extreme sports

Visit super-fun adventure friends. One hour stream-jumping before dinner = tenacious low.

Oldest Friend-Parents had just baked giant bread. Eat with jam before dinner. All kids dig in together. No off-to-side Smarties snarf.

The jam was Saint Dalfour raspberry

Happy ending w. Saint Dalfour raspberry jam

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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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15Oct / 2012

Small Effort for Hot Mess

Dump it.

Zakary inspire Bigfoot self-improvement. Champion homemaker conquer specific hot mess for thirty-one straight days. Every day Bigfoot witness achievement—make continue exist seem manageable.

I put these treasures into my giant purse, which I will clear out another day.

Therefore dump out diabetes creel, find all kinds crap: used test strip galore (of course), boiled wool phone case, loose Mento, deck cards, Wet Ones wrapper, Rootbeer Float Extra Dessert Delights chewing gum (reviled flavor), burrito stump.

This family is over-doing it on kachunkers, glucagon, hand wipes, lithium batteries, and lip balm

Next dump containers within container. Find more useless item: THREE glucagon, stack of Uni-solve adhesive dissolving pad, expired control solution, $80 in lithium battery…So much room for streamline, very pleasant eviscerate. Think one good thing add, but not add yet: twenty dollar bill for emergency. Could put in baggie, place on creel floor.

Now this everyday thing much nicer use. Smart/practical not lug excessive junk all over town. Also easier find needed item, obvsly.

Meanwhile, Bubs 89 before bed, but usually bedtime BG begin rise so no snack. 11PM, 111. Right on, Maude. Bigfoot call it a night. Then accidentally wake up 3AM. Check BG just for heck of. Bubs wake up little bit, hear Bigfoot crinkle-slosh through Lego on floor. No! No new site. (It’s okay, I just need a finger): 71. CGM in imagination show one arrow diagonal down. Program temp basal -50% x 90 min.

Hmmph. Seem unfair check BG on whim, now required follow through make sure BG go up. Any way justify slink back sleep, trust liver/organic glucagon mechanism work, pretend never happen? Probably right thing is wake Bubs up enough drink juice but also think dawn phenomenon gearing up.

The writing on this photo makes it look less tidy than it is. Trust me—it’s like clean water flowing over smooth river stones

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08Oct / 2012

Soulcrushingly un-fun

Eye Cookies! Also available for vasectomies and hedgehog christenings.

Why this not more fun? Sorry too heavy. Bigfoot crushing feeling on heart and brain—should be more fun. It life. Last night up all night for BG>300, not go down. Bigfoot, Bigfoot Spouse watch Bill O’Reilly/Jon Stewart debate 3AM-4:30AM. It not fun. Even plus side of use blood ketone meter not lift spirit.

Think Bubs sleep through traumatic night but recall everything: Daddy came and gave me a shot with a syringe and it HURT! Then you came in to change my site. Then Daddy came and changed it again! Then I could hear you watching something on your computer and I couldn’t fall asleep. Then you wouldn’t get up to make oatmeal.

Only fun part: pick up Eye Cookies for friend drop knife though foot. Bigfoot and Jack go to deliver Eye Cookies platter, no one home, leave on milk box, come back because afraid squirrels bust into package/ruin effect. Knife victim neighbor smoking cigar front lawn did you have the wrong house?

BIGFOOT: No, I just got anxious about squirrels breaking into the package (imagining Eye Cookies of squirrels on a cookie platter)

CIGAR MAN: Yeah, they’re rough

BIGFOOT: You wouldn’t be willing to keep these cookies in your house until they get home, would you?

CIGAR: Oh, no. I don’t think so. I’ve been trying to get a petition going to get your friends kicked out of the neighborhood

BIGFOOT: …(not sure he’s kidding)…

CIGAR: With all of their parties…bunch of swingers…and those three beautiful children—that should be a crime

BIGFOOT: (confident he’s kidding, walks toward him with the cookie platter)

CIGAR: No, no (waving with non-cigar hand) I can’t. My wife’s inside. With hospice care. I can’t imagine bringing cookies in there

BIGFOOT: (trying to imagine a hospice Eye Cookie) I am so sorry

CIGAR: Don’t be! It was nice talking to you

Lately Bubs low. So try -10% temp basal. Seem pretty good. Decrease basals for real. Seem right. Until last night persistent high. But maybe because bad site. Now low again. Low again w 30g CHO freebie snack incl. apple cider. Uneasy. Picture this phase in Eye Cookies: meter display “49,” apple cider w/ striped straw, bloody finger, syringe.

After Ryan S. die, even though not know Schuhmachers for real, begin little bit obsession. Imagine how same situation unfold for Bigfoot. Begin fear lose health insurance. Decide need find legit job for back-up health insurance in case spouse die. Then seem not even illegit job remain. Then imagine run out money. Then low BG. Then realize impossible find/start legit job when so tired, when need special school hours + freedom leave work for fix pump/sites/bubbles/batteries. Then apply money-save strategy of purchase $18 toilet paper BJ’s, get 4 free box Puffs sans lotion, even though everyone prefer lotion type. Then high BG. Then Bill O’Reilly/Jon Stewart debate. Nothing bring imaginary dead husband back—even w living spouse beside Bigfoot, feel afraid for health insurance. Then try look up rules and laws pension/death benefits. Find nothing nice.

Don’t we have fun?

So, so tired. Know only sleep restore sanity/brain function/optimism/possibility fun. Maybe sleep during school tomorrow? That not really fit in with idea of find legit job. Ideally would have job 15+ years, able nap under desk, no one notice.

Very feeble attempt fun: candy corn for low BG.

BUBS: I don’t even like candy corn

JACK: I like it! Can I put some in my lunch?

Meanwhile, read this sentence somewhere: when you see me, be sure to compliment me on my sweater; that will give me the momentum to continue to exist.

 

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24Jun / 2012

Jam up the pump little more

Sachuest was a daughter of Metacomet, famous for destroying pilgrims’ muskets with sand that she secretly gathered in a hollow gourd from this place, originally known as 2nd beach

Middletown, Rhode Island Bigfoot favorite beach: 2nd Beach. Go every day if not too hot, not raining, not have camp, not at FFL conference. 2nd Beach (AKA Sachuest Beach) perfect boogie board, kadima, pickle, jackpot, taps, soccer. Broad. Flat. Right size waves. Always comfortable temperature air/water. May even need jacket 2nd beach when disgusting hot day other part Rhode Island. Showers. Toilets. Snack bar. Plenty life guards.

Persons who enjoy rolling in sand and/or digging holes using only their buns may be especially susceptible to pump jams

Perfect sand for digging giant hole. Brown sugar sand. Tiny grain, dense. This sand also perfect for clog infusion site. So much that on 2nd trip as insulin pumper, Bigfoot bring four spare ka-chunkers. 2nd beach = pump jam.

Another feature of 2nd beach: The Kindest, Most Agreeable, Fun Boy is almost always there, just to the right of lifeguard #5

Wish followed advice from last time express shock re grit in site. Recap: can of compressed air. Or advice from comments on Gritty Little Infusion Sets. Recap: Opsite Flexifix, IV3000, Tegaderm, Matisol, “skintac, tegaderm, skintac, sensor, skintac, tegaderm in layers;” some of advice may be only re Dexcom. Bigfoot not yet gather energy figure out where buy* specialty adhesives; fear will be medical supply shoppe w bedside commode, flesh-tone compression socks.

Main thing about beach: Bubs so happy. Also notice learned trust Bubs come in from water if feel low. Today trot over, dry hand on towel, test, 68, eat 3 Starbursts (all independent w brief consultation re Starburst location) run back in. This probably not 100% correct procedure, but Bigfoot not check again. Trust will come in if feel low again, notice strange sensation: relaxation, put nose right back in New York Times crossword, fill in G R E E N H O U S E G A S E S. Holla.

Issue now: decide new normal pump program. Summer days very active, more than school. Except for over-hot/rainy summer day sit still with Lego, barely move, much less active than school. Today so active, probably good day for temp basal. Never think of for daytime. Ever temp basal ++some%? Need look into decrease normal basal for summer, then do ++temp basal for lazy summer day. Think now if too much basal, eventually person grow fat from life-saving Starbursts/Gogo Squeeze. Better –temp basal. If only little bit easier. Hard imagine Bubs become fat.

Other issue: rent car for FFL even though hate driving? Will feel trapped at hotel if no car? Not plan on leave much—only LEGOland—but once at conference will Bigfoot want drive to A-list burrito, five miles down road? This not seem appropriate question FFL ListServ. ListServ population very keen on Disney road trips, teenage dress code. Bigfoot more keen on hotel pool, LEGOland, maybe burrito if excellent/not too far away/not Chipotle.

*(Actually, it not so hard, can order here. $38-ish for 4″ x 11 yds—>maybe enough for 200 on/offs or approx. 40 trips beach?)

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14Jun / 2012

90-90-90 Plan seeks Ninja Warrior

It was disappointing when Paula Poundstone performed a Herman Cain schtick after that part of the race had peaked and passed, but somehow when I do it myself, it’s still fun and not at all stale.

Last night temp basal dreams not come true. 70 —>65—>1/2c milk (7g carbs)—>258. (Melancholy game show noise for loser mwahn-mwahn-mwahhhhhn.)

Tonight try again. 10PM: 90. (Perfect for temp basal playtime!) -90% temp basal/no wake up for snack. Duration: 90 minutes. 90 90 90.

See what # at 11:30. Oh boy, oh boy, oh boy! If 110, very tempting sleep. If <110, continue temp basal? Pretty sure won’t be high. Liver not that ballsy. Who Bigfoot kidding. Impossible predict.

As far as I know, this is not Diabetic Contestant Kyle Cochran. But this is what the show is like. Muscular men in their twenties climbing on impossible things.

Night time internet project: Bigfoot seeking Kyle Cochran from unknown TV program American Ninja Warrior. Hear tell this contestant wear insulin pump—or at least site visible—while run super-macho obstacle course popularized Japan. Holla. Maybe iTunes sell episode tomorrow. Not find clips Kyle Cochran, but Bubs, Jack, Bigfoot watch several clips from American Ninja Warrior website. Very boy show, especially for tattoo/parkour/rock gym/gymnast types. Only find diabetes Kyle Cochran somehow connect to Jewish blog post about shiva etiquette (FACT: enter house, put food in fridge, don’t stand around like asshole holding food wait for mourner notice + thank.)

Always give peculiar feeling when diabetes blog include earnest warning message along lines of this is not medical advice. Funny because, serious? You think I think this might be medical advice? But serious: this—what go on here—so very not medical advice. Bigfoot no idea what doing. Also, as much as scoff at this is not medical advice disclaimers, Bigfoot totally take medical advice internet strangers all of the time. Not medical advice is best medical advice in world. Except for what happen here.

UPDATE: 115 at 11:30…120 at 3AM…105 at 7AM!

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13Jun / 2012

Doing it

Look! I’m doing it! Isn’t it nice how right on the front screen it says what’s happening instead of being all vague and useless?

10PM: 80, few slurps milk. 11PM: 188, think whoa that milk potent! 2AM: 77. Bigfoot Spouse give slurp milk. 3AM: 70. Fern. Check notebook–spouse not indicate how much milk, but Bigfoot pretty sure heard kitchen noise hour ago. Think whoa, milk not working.

So Bigfoot doing it. Temp basal! First program -50%. Leave. Then think why so tentative? Then go back program -100%. Leave. Then think isn’t there something about the site becoming occluded if it’s set to zero? Then go back, program -90%. For one hour. -95% not possible. Was so drowsy, now so eager see what happen. What # Santa bring me?

Have you been so, so good? Santa’s got a sack full of prunes, or turds.

Meanwhile, in comment on different post, kind person address exactly this issue! Temp basal alone wrong—carb snack required. Can’t expect temp basal alone fix if already dwindling down toward 60. Temp basal not lift BG for 1.5 hours, approx. Retest: 65. Always pay take advice reasonable-seeming internet person.

7g carbs. Hard know if pouring milk into storage box inside Bubs’s head or Bubs actually drink. Glass empty. Bubs say thank you, Mama. Should we brush my teeth? Hug? Goodnight. Sort of awake. Extend temp basal -90% full hour. Now until 5AM. Try again, Santa.

4AM: Hey! Leighann up too. (Bigfoot not wish brag, but many famous facebook D-friends.) Q 72 at 3AM! Too bad not obsessively chronicle strategy, would like try copy.

4:30AM: 97. Thank Cow. Temp basal -90% til 5AM. Bigfoot call that permission—>sleep.

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13Jun / 2012

Hang of

Getting hang of temp basal by act out in mind what could do.

However much I want to vilify milk…oh, shit. Just drink it.

Bed: 80. Could decrease basal 50% for few hours? Could do. Think about. Almost ready learn this important skill. Animas manual folded open that section. Instead wake boy up, make drink few glugs milk. (Milk of cow! Too late now—cow give Bubs more diabetes? Analogous dying friend/cancer decide on whim visit tanning bed at artificial eyelash-eyebrow salon.) Next time try decrease basal.

Imagine each one turning back into a dollar bill—you’d be so glad you didn’t vacuum.

Getting hang of used strip management: ignore.

Jack notice lately often find used strip on floor What should I do when I see one? Should I hand it to you? <—Jack think used strip = valuable. Aww! Answer: Just leave it there. We’ll eventually vacuum it up. If not learn ignore strip scatter, never do anything but pick up strip.

Getting hang of WAG-ing

Tonight 3rd grade graduation, hopeful-eyed Bubs approach w/ plate of sailboat-theme dessert: sailboat cookie, wedge sailboat-shape doughnut cake, semaphore flag-topped cupcake. Ask Spouse whaddaya say, 120? Spouse: sounds good. Nearby is Dream Babysitter’s mom. What do you think for this plate? 120? DBM take inventory. Point to cupcake. Bigfoot say that’s 40, right? 

DBM: Yeah, I was going to say 40. And the doughnut cake is kind of small, but Allie’s frosting is really sugary. And that cookie’s pretty big. Yeah, I’d guess 40 for each of them

BFOOT + BFOOT SPOUSE: Woohoooo!

Getting hang of see child flat out on ground not mean coma.

Main problem this posture is lyme disease tick.

 Back into the arena: Katniss!

It’s part of the game. They fling each other to the ground, then stay down for a while. The game is called HUNGER GAMES. I’m not sure what the staying down indicates.

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Bigfoot say other thing

Bigfoot sure this not right placement Pinterest button

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