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Time Warp.

I carry this around all day, hot-glued to my wrist.  What?My basal rates remain steady, throughout the day, except for a few hours in the morning when they're cranked up to almost triple the normal amount to take a bite out of the dawn phenomenon that I've experienced for years.  That pesky "wake up at 80 mg/dL but then go up to 200 mg/dL for no effing reason" phenomenon.  That midnight - 5 am at 0.45u, then all the way up to 0.85u at 5 am until 9.30 am, when it goes back down to 0.45u mess. 

It's something like a phenomenon

And it's definitely part of the reason an insulin pump works for me, because without the ability to tweak that morning basal rate, I'd be dealing with highs that frustrate me endlessly since they aren't the product of breakfast or stress.  They just are.  

I forget, though, how important that basal crank is for me.  I take basal bump from the pump (two points for rhyming, or for honesty) for granted sometimes, because once it's programmed, it's a done deal.  It's not until I travel outside of my timezone that I have to start juggling the dosing details again, making me run low at strange times of the day until my body clock adjusts to whatever timezone I'm in.

This happened last week when I was in Hawaii, which is six hours behind Rhode Island.  So noon here in New England is six in the am in Hawaii.  For me, that means my body wants the basal rate jacked up at the wrong time, and it results in blood sugars that are tough to track and attack.

Usually, I change the time on my pump as soon as the plane reaches cruising altitude, and I try to adjust to the local time zone as soon as possible.  This time, for the first time ever, I forgot to change my pump on the ride home.  And then neglected to change it until ... um, yesterday morning, when I looked at my pump at 11 am and saw it boasting a 5 am time.  Which explained the weird, ill-timed highs this week in the morning hours and the strange double-down arrows at lunchtime.

And the whole reason I didn't notice the time difference between the clocks at home and the clocks on my pump?  What caused this time-insulin conundrum?  What eliminated the need to peek at my pump to tell me what time it is?

It's almost too simple.  Too ridiculous. 

I bought a watch.

Comments

I'll add to my list of magic diabetes device features the ability to pull the local time from the cell phone and adjust the basal rates accordingly. I mean since it is magical and all.

LOL!!! Totally agreed! Since switching to the Omnipod and not having a pump clipped to me now, I'm totally lost. I haven't had the need for a watch in years.. until now.

I have SO done this! Took me days to figure out the clock on my pump didn't match the one on the wall! The highs and lows for NO REASON didn't even clue me in. Diabetes doofus! ~Mousie

When I was traveling across time zones I'd change my pump clock gradually - a few hours a day (time difference was usually a minimum of 8 hours. But - I was also living in the new location - not just visiting. :)

That is CLASSIC! Love it!

Ha! That is too funny. I never thought to do this, and I always end up all over the place when I travel, so thanks for the advice. I will have to set a reminder on my phone to change it back. Otherwise will never remember.

Now on shots, I get up first thing in the morning (for 6:30 am) and half hour into the morning I give what I call a booster dose of Apidra (seems to work better than Humalog) of 1/2 unit. and another at 7:30. It's a pain but beat the phenomenon issue.

Awesome!

Thanks for the reminder! I just looked down at mine after coming home from vacation two days ago, still on Vegas time. I figured my sugars were re-adjusting after living in stupor for three days!

I never thought of this. Luckily according to my dexcom unit it appears that I do not have a dawn phenomena so maybe I won't have to worry too much about time zone changes.

Yeah is it quite confussing, especially if you travel a lot like for work.

I do the EXACT same thing on my pump! It's so nice to have the extra basal so that I wake up with a good number (instead of a 2am low and 7am sky high BG with Lantus)! Just took a pump break for a couple weeks and I am SO happy to have mine back on...even if I am heading into california swimsuit wearing beach season :)

I need a crazy jump at 4 am. Mine goes from 12am of .70 and at 4am it's 2.55

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