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Jet Lagged.

I was on a plane, high above the clouds, looking down onto the world below me where everything looks too small and too distant to be affected by a number.  Cruising altitude.

I felt his hand on my shoulder, shaking me a little bit. 

"Kerri.  Kerri, wake up.  You're really sweaty.  Wake up." 

Was it the captain speaking?  No, it was my fiance.  I was half-draped off the edge of the bed, pulling the long-sleeved blue t-shirt away from my body.  The space above my collarbone was damp.  My hands went to it, blotting it with my sleeve.

"I'm awake."  I could hear my own voice but it sounded like it was coming from the end of a long tube of Christmas wrapping paper.  "I'm going to test." 

I unzipped the meter case, lanced the end of my finger, and watched as "39 mg/dl - do you need a snack?" popped up on the screen.

"Oh,"  Everything was nonchalant and dreamy.  "I'm 39." 

Chris sprang from the bed and returned in just a few seconds with a glass of grape juice.

I drank it down in a few gulps, being careful not to let any spill out.  "I'm pretty low.  I don't feel that low."  The words sounded so matter-of-fact, like we were discussing the thread count of our sheets.

"Did the thing go off?"  He motioned to the CGM as he rescued the empty glass from my unsteady hands.  I reached down for my pump and clicked a few buttons. 

"No.  It says I'm 74 mg/dl.  But it's showing this crazy sharp dip - see, right there? - so it knows I'm dropping."

"Feeling better yet?"

"Not yet.  I changed my site before we went out tonight.  That always happens - I change my site, I end up higher, and the correction bolus crashes me down so hard."  This conversation is happening as my blood sugar hovers around 40 mg/dl.  Aren't people supposed to be on the cusp of a coma or something at this point?   How is my brain busy explaining the mechanics of this crisis?  Where is the SkyMall catalog?  I'm still mid-flight on this low.

I clicked off the lamp and we both settled back into bed.  As my blood sugar rose, I felt increasingly worse, shivering and cloudy-mouthed, my mind racing and my hands clenching against threats Rocketman.unseen.   I felt like I was landing now.  But the closer I came to landing on the safety of the ground, the more terrifying it became until the landing gear in my mind touched down and I was okay.  Safe at 130 mg/dl.

The alarm went off this morning - my blood sugar was 119 mg/dl.  I collected my baggage from the night before and rubbed the sleep from my eyes. 

Today, I'm feeling a bit jet-lagged. 

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Comments

How is it our brains kick in when we are low? So annoying.

Blah, what a rough night. But thank goodness you can handle the lows without being on the verge of a coma. I woke last night at 11:30 having weird dreams and was all sweaty, and was at 44. Blah. Luckily, I can function pretty low too - not 100%, but enough to know I have to eat. (Although I wish it had occurred to me to wake my husband, so he could keep an eye on me). I'm tired today too though. Here's hoping for a more stable night for both of us.

I really hope the CGM helps you figure out these overnight lows. They seem so scary. It's amazing how differently everyone experiences hypoglycemia. When I'm that low overnight it's a breeze compared to what you seem to deal with. Here's to a safe flight to dreamland tonight.

At least you had someone there to help you out! And the CGMS was helping by showing the dip.
I got my system in the mail today! Now I am waiting for the training... I am soooo impatient.
I hope the jet lagged feeling has slipped away. I hate it!

I'm always amazed (and a little frightened) by how well Joseph functions when his bg is in the 40s.

Kerri, this was really a wonderful piece of writing.

It must start young. When Kylee was over to play at Christmas time - she came to me and said Gramma I feel low. We tested - 43.

She drank some juice and went right back to play some more!

Take care Kerri

Donna

I am mom to 3 kids, and my 3 year old son has had diabetes for two years. For some reason it felt important to me to understand what it feels like for him to be low. I have always asked T1 adults & no one has been able to explain it. Your writing is wonderful & helps me to empathize with him. We always wonder, is this a typical 3 year old tantrum, or is his sugar low?!! Of course, I would do anything to take this away from him. We try to maintain a positive outlook & so far he thinks diabetes is "cool". We will see how long that lasts! Your blog helps me to believe that he will live a happy, healthy life. We are fighting the insurance company for CGM, so we love to hear your experiences! Thanks so much!

Ugh, I know the feeling. 'Jet lag' is the perfect way to describe it! For some reason, thank God, my body still responds to whatever silent siren is going off to alert me. I hope I don't lose that ability. Hopefully CGMS technology will advance to become more useful.

Here's to a better tomorrow!

So as I was reading the first few lines of this post I was like, "Wait, she was on a plane looking out the window, as it was flying??? But Kerri doesn't enjoy flying..." then the realization "oh! I see, dreaming, that makes more sense." :)

Its good that you aren't giving up on the CGMS. I like to call it taking time off from CGMS. I take it when I need it, as long as I need it, to stop any frustration from building and to aid in my care MY way.

And of course, those all important things we all want the CGMS for, those horrible lows, are rarely caught by it. :( Someday though, cross our fingers!

Amber

My internal sensor (weak as it may be) is completely gone when I am low. I am kinda glad I don't live with someone because who knows what I might reveal! :D

Surely, you must've been on autopilot when you were talking to Chris.

Damn your nighttime lows scare me.

That last time I was that low, I was at work, and while I was that low I refilled the paper in the copier and held conversations with my bosses before I headed to the kitchen to drink some coffee with sugar in it. I felt so detached, but I was amazed at how well I was functioning! I was out of glucose tabs, and coffee was the fastest route. I even managed to have conversations with the salespeople, in for a meeting, while they drank their coffee with me in the kitchen.

It's crazy how our bodies operate under the worst conditions.

Damn that low. Look at the bright side. Gave you fodder for a beautiful piece of writing.

I have to tell you that I laughed my arse off at "Where is the SkyMall catalog?".

I'm glad you're okay, too. =)

Man, I can so relate to this. Especially the part about your voice sounding like it's coming from the end of a large tube. I'm glad you're okay. Waking from an extreme low is the worst. I'm glad your fiance was there to help. =0 )

Hi Kerri, just started reading this blog about a week ago. Love your writing. I'm on the pod too. Familiar with the night time lows too. Although now being on a pump they are much less than when I was on shots.

Just juice?! How do you resist? When I'm that low I get up, open the fridge and pretty much start eating. Of course then I'm running high by morning. Do you not get the major munchies?

I've experienced that kind of inaccuracy with the sensor, too. My sensor read 140 last night, but my BG was at 220. So frustrating!

I've had highs and then lows happen after site changes, too. Someone suggested to me once that you leave the old cannula in for several hours, and just plug the pump into the new slot. This seems to prevent insulin from leaking out. I've given it a try, and that seems to help me. Just a thought...

This is an example of CGM failing miserably. I had the same problem with the MM sensor, it just didn't react fast enough to dropping BS. Even though it is far from perfect I have had better luck with the Dexcom Seven but it has sometimes failed me as well. Before you quit the CGM thing altogether try the Dex 7, maybe they'll comp you. They should anyway, so many folks read this...

I keep something similar to this next to the bed (but i get the CVS or walgreens brand). it's my new favorite treatment for lows and it doesn't taste too bad: http://www.amazon.com/dp/B0010VN07I?smid=A2HI1160KDZ9NE&tag=nextag-hpc-20&linkCode=asn

I have taken that same flight many times before. Great overview of what it really feels like. It's very hard to communicate what a low is really like.

Hi Kerri - I gave this to my 11 1/2 year old Type 1 daughter to read. I asked her if it sounded familiar - very she said and extremely true!!! Thanks for putting into words a feeling that is hard for us parents to understand.

Those type of lows sure are freaky. I checked my bg at work yesterday even though I was feeling wonderful. Meter says "37. Do you need a snack?". Very strange cause I was carrying on conversations like nothing was wrong. If anyone ever figures out diabetes, make sure to clue me in. LOL.

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