Thanks to the wonders of my pre-wedding disorganization, I managed to misplace a Dexcom sensor. Luckily, I found it in the linen closet on Monday night and slapped it on. Just in time to see some weirdo numbers, apparently.
Since I've been back from my honeymoon, I've had some trouble getting my numbers back under control. Seems like all the basals and ratios I was using as "Kerri Morrone" don't seem to work for "Kerri Sparling." ;) Thanks to the CGM big picture, I'm trying to isolate what's causing me to go high and low at different times. Like the morning highs.
Part of the reason for these highs has to be my morning shower routine. I have a tendency to wake up, test my blood sugar, disconnect my pump, and then hop into the shower. After the shower, I need to blow-dry my hair. Then find something to wear. (Notice I haven't mentioned reconnecting yet. Whoops.) Suddenly, I realize that over 35 minutes have passed and I haven't been tethered.
This wouldn't be such a big deal were it not for the fact that my morning basal rate is cranked up to 1.0u (vs. my normal 0.4u) between the hours of 6:30 am and 10:00 am. Therefore, I'm losing over half a unit while I'm showering and getting dressed. This insulin-skip causes my blood sugars to leap up around 9:00 am on some days, leaving me mucking around with a high until almost 11 am.
Armed - literally - with the Dexcom, I was able to view this phenomenon first-hand yesterday. Holy spike. Today, I tried bolusing 0.3u before I disconnected for my shower, then taking another 0.7u once I reconnected. The results were much better, and I'm hoping to see even better results tomorrow. (Has anyone else worn a Dex sensor on their arm? How did it work for you? Getting it on there was a hassle, I'll admit. Thank goodness for Chris's patience!)
Last night I was able to see my overnight patterns. Dex woke me up at 3:00 am, hollering that I was 49 mg/dl. I didn't feel low at all, so I tested to confirm the result. My meter claimed I was 64 mg/dl. Fourteen point spread, but close enough that the wake-up BEEEEEP! was timed early enough for me to catch the low before I hit the trenches. I grabbed a swig of juice and checked the graph on Dex - sure enough, I had been falling for over an hour.
It's very enlightening to have access to these patterns. When before I thought my mornings were decent, baesd on a test at 7 am, 9:30 am, and 11 am, I'm now seeing that there is a significant amount of fluctuation between these snapshots. I'm curious to see what the graphs show me tomorrow, when I tweak a bit further.
And THANK YOU to everyone who offered their insurance battle feedback. I'm in the 30-day waiting period now, compiling data and trying to follow everyone's suggestions to present my second appeal. Thanks to Manny for his compelling video, and to everyone who is fighting this same fight. The technology exists, and we should all be able to access it.