Ninja Insulin #dblogcheck

You would think after close to 15 years on the pump I would know all the tricks of the trade, all the quirks of the pump, all of the sneakiness of insulin absorption…..but, nope.

I’ve come up with some blood sugar savers that really do work for me, though….like, when I change out an infusion set site, I used to ALWAYS have high blood sugars for hours afterwards. Thanks to a comment by Katy, I was encouraged to “ka-chunk” in a new site without removing the old one for a few hours, let it settle in & calm down, and then connect up the pump to the new site. Bells ringing, fireworks going off, and a ticker-tape parade later, I rarely have any post-site-change highs anymore, and when I do, they are due to other variables of life.

Sneaky, sneaky....

But lately, I’ve discovered a new brand of insulin….the Ninja Insulin. I swear, I take a bolus for a meal or correction, and go about my business, but my blood sugar remains slightly high. Then, I drink some water, or sometimes, even eat a couple grams of a carb, and whoa! Here comes that insulin out of nowhere, and suddenly I’m on a downward trend of blood sugar. It’s really weird. It’s like it’s been hanging out in the shadows of my bloodstream, just waiting for the right time to take effect. It’s a most puissant ninja.

Don’t forget to #dblogcheck today!!!!

Insulin 101 – did I miss that class?

I swear I know how insulin works. Really, I do! I’ve always been told that NovoLog in my pump has an active life of about 3 hours, with it’s highest time of effect being within 1-2 hours of taking it.  (Of course, I just bulled my way through the ho-hum boring patient information leaflet and it says it sticks around and is active for 3-5 hours. Learn something new every day!)

Blue skies.....reminds me of a songSo WHY then, after I did a site change before lunch, do I end up crashing and staying low all evening (after micro-bolusing for a high carb dinner even), which was like, close to 8 hours after last taking a rage-bolus of insulin?

Seriously, it drives me nuts. The hanging out in the 200s for several hours after a pump infusion set site change is bad enough. But then, add insult to injury when suddenly, all those attempts at correction boluses come avalanching (is that a word? It is now!)  into effect 8 hours later? It makes no sense!! Are the cells around the new infusion set site area just holding onto the insulin for a while until it calms down from some sort of site trauma? Do I really not understand Insulin 101 and how long it works in your body/ what it’s time-frame of effect is?

Whatever the issue with me and my insulin education, I am happy to have my Dexcom CGM clue me in when the sugars-tumbling-down begins. Guess it’s time for some more learnin’, ya’ll.