Tuesday, July 28, 2015
When I was younger and would visit my grandma, she always would end our time with a trip to the toy store. My sister and I were each allowed to pick out a toy as long as it was $5. I remember going through every aisle of the store over and over again hoping to find the best toy for the best deal. Our trips usually ended up being what felt like hours long because I was so indecisive and would struggle to find exactly what I wanted. I still struggle with this today.
I decided to start looking for a new insulin pump a few weeks ago. I discussed the pumps I was thinking about getting with my doctor, she was a great help in narrowing my options down to two pumps, the Animas Vibe and the Tandem T-Slim. I've been working with the two reps for each company who have been very helpful. But I keep having flashbacks to that little girl in the toy store. I can't just choose one over the other. It's a huge deal, this is something that I will need to live with for the next 5-6 years at least and I want to make sure that I am happy with whatever one I end up choosing.
The funny thing is that one pump is so similar to my Minimed that it feels like the right choice, but then there is this little voice in my head that makes me question the familiarity. Then, there are other things that shouldn't matter in my choice making process, but are. For example one company doesn't refurbish it's broken pumps and all I can think about it all the trash being created by their pump graveyard. I feel like Marshall from How I Met Your Mother when he watches the documentary about garbage island, it just drives me crazy! Then there are the reps. When I first met with the Medtronic rep, the rep was the biggest reason I chose their pump, she was friendly, noncompetitive, and just informational. I felt like I was out to get coffee with a girlfriend. I hate that how I feel about the rep determines how I feel about the company, and I would hate to misjudge the quality of a product because I didn't click with the sales rep.
I wish that I wasn't still that little girl in the toy store and that I could just make the right decision quickly. I meet with the other rep tomorrow to check out the other pump option. Fingers crossed that I can make a decision after that meeting.
Monday, July 27, 2015
Part of my day job is orchestrating camps. It's stressful and a lot of work, but when I get to camp it's always worth it. This year, I was in charge of setting up three different camps ranging from 3rd grade to 12th grade. The closer we got to camp the closer I got to having a mental break down. Thankfully as always, once we got to camp, my nerves calmed down and I remembered why I love this part of my job.
Camp is always a guessing game with diabetes. I have to figure out how to should adjust my basal rates due to the extra level of activity, and elevation change. It's a guessing game for the first few days, but then after a few days I start to get things figured out. I had more lows than I normally do in the beginning and decided to reduce my basal rate. Sadly, that was the wrong choice.
During camp, I hit a 500 for the first time in months. I stared at my CGM screen while the line steadily stayed in a constant straight line in the 500 range. I started the general protocol: gave myself a shot, switched my set out, and stayed away from food even though I was starving. All I could do was wait patiently and stare at my CGM screen. Hours later my numbers went back to normal and I switched my basal rate back to it's regular setting.
For the first time ever I suspended my pump in my sleep. I woke up with that lovely hungover blood sugar feeling. My eyes hurt, I craved water, and felt a little woozy. I grabbed a bottle of water and began chugging it and gave myself a corrections bolus, the nausea went away, and I slowly started to feel better.