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Why doesn't the alt text show up?  What the eff, ketones?!

The infusion set was on the tail-end-of-day-three-just-about-day-four, so maybe it was starting to sour.

Or maybe it was going to the beach/playing in the garden/flying kites that tousled the site too much, causing the tubing to untwist just a little bit from the lock at the top of the insulin cartridge.  (Is that even possible?)

Or maybe it was just a rogue, weird thing that’s never happened before in ten years of insulin pumping but decided to happen yesterday.

Either way, it was the fact that my dinner bolus didn’t actually end up pushing through the tubing and instead pooled up at the top of my pump tube that caused my blood sugar to skyrocket and then for my body to throw out some borderline-moderate ketones for the first time in a long time.

Ketones suck.

It was one of those perfect storm moments, where all the crap that can be unsettled is unsettled:  no Dexcom sensor on (letting my skin rest for a few days as to not aggravate skin irritations – first break in a several weeks … of course), checked the pump site but not the tubing when my blood sugar came ringing in at over 300 mg/dL (had I checked the tubing, I would have seen the huge air bubbles and noticed the jacked up luer lock connection).  And of course the high made me mad because I thought I had calculated my dinner bolus really well, so I went for a “revenge run” in the neighborhood that night, not checking for ketones before I left (stupid).

Going up the hills on my run was a lot harder than usual, and briefly considered grabbing on to drooping branches to drag myself through.  I wasn’t exceptionally thirsty, but when I took a drink from my water bottle at the end of my run, I realized I drank the whole thing in one gulp.   When I got home, I noticed that the skin underneath my eyes wasn’t just dark, it was gray.  And  I realized I had that “high mouth” taste to my teeth, the one where you feel like you’ll breathe out and actual overripe cherries covered in model airplane glue will tumble out from behind your teeth.  I should have known I was throwing ketones.  Peeing on the ketone test strip and seeing the pad change from “beige” to “raspberry” wasn’t a shock.

It took a new pump site, lots of water, a Pedialyte popsicle that I permanently borrowed from the Birdzone’s “just in case” stash, and more patience than I actually had on hand to disengage from the ketone conundrum.  Nice touch, for my body to remind me that I do need to worry about ketones from time to time by making it a six hour mess that ultimately ended in a low blood sugar. (Thank you, 3 am glucose tabs, all running amuck in the very bottom of my dresser drawer. I’m not even sure how old they were.)

You may have won this round, diabetes, but I’ll get you next time.  Next time.

7 Comments Post a comment
  1. Jennifer #

    I so understand where you were at…i had to change out two Omnipod pods last night (one occluded and the other I knew wasnt delivering thanks to blood sugars at 383 and 441). I’ve never had issues with any pump (I used to use Animas) until this one and only recently. I’ve never really had a ketone issue in 5 years – but I did this morning. So yeah – it was a pretty sucky way to start a Monday. And I will be drinking a ton of water to try to get out of my ketone hole today…

    06/3/13; 12:16 pm
  2. Sorry to hear about this. Ketones are awful. I’ve learned the hard way… never trust the tubing. And the rebound never seems to go according to plan either. Hope today’s a bit better.

    06/3/13; 2:13 pm
  3. Amy #

    So sorry to hear about that. My daughter had a similar issue last week that landed us in the ER. There was a cracking in the tubing where it attaches to the cartridge. Insulin pooled all around the cartridge-8 hours worth 🙁

    06/3/13; 2:36 pm
  4. ria #

    I do the “revenge walking” when I am trying to bring the numbers back within range
    I have wondered if my neighbors who know I’m diabetic say things like
    ” That is the third time she has walked past our house today, her glucose must be out of whack again”

    06/3/13; 3:39 pm
  5. Sorry about the ketones! They’re never any fun!
    And the 3am lows, too, because I’ve been dealing with the same thing. The worst part is that nasty taste you wake up with. Hopefully wintergreen lifesavers will help, but I don’t know yet!

    06/3/13; 8:39 pm
  6. Dan #

    Hi Kerri,
    Ketones can be a real hassle. Question: What steps do you take to clear the ketones? Using a blood ketone meter for just such times can help to define the level and how fast we clear them from our bodies. As always have a better day.

    06/3/13; 9:24 pm

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