Skip to content

Archive for

Looking Back: Law and Disorder.

Today, I’m looking back today at a post from December 2006, talking about an infusion set that went wonky on me during dinner.  This was all pre-engagement, pre-marriage, pre-Bird (“Play Pre-Bird!”), but not pre-diabetes,  because my blog doesn’t go back far enough. 

*   *   *

*Dun dun (the Law & Order noise)*

Prosecution Attorney:  Ladies and gentlemen of the jury, I present to you the evidence.

Exhibit A:  One young woman, Kerri Law and OrderMorrone, and her recently changed out Minimed infusion set.  As you can see here, the set is placed in her right thigh and was changed at approximately 4:41 pm.  Her blood sugar was steady at 146 mg/dl.

Exhibit B:  Miss Morrone and her boyfriend, out to dinner.  They order their meals and Miss Morrone boluses 4.6 units of Humalog to cover her delicious hamburger.

Defense Attorney:  Objection!  Relevance of the hamburger being delicious?

Judge:  Sustained.  Counsel, may I remind you that the deliciousness of the meal is not what is in question here.  Please don’t make the jury any hungrier for lunch than they already are.

Prosecution Attorney:  Understood, Your  Honor.  Moving back to the evidence, I present Exhibit C, which is the logbook for the night in question.  As clearly seen here, her blood sugars were steadily on the climb, despite Rage Bolusing that took place over the course of the dinner, totaling more than 10 units:

7:48 pm:    265 mg.dl
8:08 pm:    312 mg/dl
8:45 pm:    394 mg/dl
10:12 pm:  445 md/gl

It was at this time that Miss Morrone and her boyfriend decided that the infusion set was crap and …

Defense Attorney:  Objection!  Crap, Your Honor?

Judge:  Overruled.  If the prosecution states that the set was crap, it was crap.  Let’s move on.

Prosecution:  Upon arriving home, Miss Morrone took an injection of Humalog, using a syringe, and stated to her boyfriend, “I’ll do a 2 am testing.  If my blood sugar has come down only as a result of the injection, I’ll rip the site and replace it because obviously it’s crap.”  (Casts a glance towards the Defense Attorney, who rolls his eyes.)  Her bedtime blood sugars were 375 mg/dl at 11:19 pm and 257 md/gl at 11:48, before she went to bed.

The alarm hadn’t gone off yet, but she woke with a start and just started talking out loud.

“Chris, I need to test.  I need help.”  Her voice was deadpan, as though she was merely conveying directions to the market or ways to scramble an egg.

In one swift movement that didn’t even require turning the light on, her boyfriend took her testing kit from the bedside table and unzipped it, handing her the lancing device.  The moments that followed were blurry to my client, but her logbook and her juice-stained mouth reflect what happened:

2:02 am:  47
2:13 am:  37
2:30 am:  66

It was at 2:30 that the alarm finally went off.  My client, feeling much better after some juice, ventured off to the bathroom to rip her site and replace it with a new one.  Upon removing her site, blood came pouring from the site and my client needed to use a bandaid to stop the bleeding.  She replaced the old site, washed her hands, and went back to bed.  Your Honor, her boyfriend spent the rest of the night waking up to check her blood sugar to make sure things were okay.  The results are as follows:

3:53 am:  153
6:46 am:  164
9:37 am:  83

Your Honor, it is our position that the infusion site was indeed not performing its assigned duties and caused unnecessary pain and suffering for my client, also not allowing her to enjoy her cappuccino at the end of the evening because she was so high she felt like she had sweaters on her teeth.  We are requesting that the infusion set be sternly reprimanded and given to the cats to bat around until it is unrecognizable.

Judge:  I see.  We’ll have a short recess, after which time the defense will state their case as to why their client, The Infusion Set, refused to deliver insulin and allow Miss Morrone to enjoy her evening out.  We will reconvene after the recess.  Adjourned.

Defense Attorney and Prosecution Attorney gather up their things, all the while sticking their tongues out at each other.  I smile gently at them from my seat, feeling much better and thankful that the ridiculous ping-ponging from the night before was over.

*Dun dun (Law & Order noise again)*

The People in the Computer.

Who are the people in your computer?  (In your computer … in your com-puuuuuter …)  For me, a whole community of people with diabetes live just a click away.

Spectacular!

Last night, we checked out the Jack O’Lantern Spectacular display here in Rhode Island (we went to a similar one in Norwalk a few years ago – thankfully, the maddening theme music remains the same, and is permanently lodged in my head), and it was awesome.  Birdy was impressed, and a little nervous (though she claimed not to be), but all told, it was the perfect way to get us in the mood for Halloween.

Pile o' pumpkins.

Pile o’ pumpkins.

Poe-mpkin.

Poe-mpkin.

The pumpkin carvers were beyond talented.  I am a little ashamed that the best I can do is this:

Get it?!

Get it?! PUMPkin?!  (Terrible.)

Reduced to Rubble.

Walking down the hill towards the restaurant, I felt the low start to kick in.  The symptoms started their awkward osmosis, triggered once I felt the buzzing of the Dexcom but eventually flooding my body with that tingling confusion, knees that buckled just a little with every step, and eyes that wouldn’t focus but darted around in my head like over-caffeinated birds.

“I’m low and I’m an idiot.”

“Why?” said my husband, Birdy in his arms as we walked down the unfamiliar city street in Montreal.  “Are you okay?”

“Yeah, but we might need to go to a closer restaurant, instead of the one that’s way down that road.  I left all my glucose tabs in the hotel room by accident, and I don’t have anything on me.”

Picking up the pace, despite my increasingly clumsy feet, we reached the a nearby restaurant and were quickly seated.

“Here are your menus, and your waiter will be with you in a moment.”

“Thanks, and could I please have a small orange juice, without ice, as quickly as you can?  Thanks so much,” I said to the host in one breath, hypoglycemia filling up all the space around my head like the Radiohead video for No Surprises.  A minute or two later, a glass of orange juice was on the table.  I drained it in a few gulps.

“Do you want to order, or do you need a few minutes?” Chris asked, reading through the menu while keeping an eye on me.

I picked up my menu and opened it, but the words didn’t make any sense.  Staring hard at the entree section, I tried to make heads or tails of how the letters were arranged, but they didn’t look like English.  The Dexcom wailed again and I checked my blood sugar on my meter – 48 mg/dL.  “Am I so low that I can’t freaking read right now?” I thought.  (And then realized I was holding the menu that was written in French.  After switching menus with Chris and reading through the English menu, things made much more sense.)

“I can’t think right.  I see all the thoughts in my head spinning around and I want to grab one, but they go by like socks in the dryer.  Everything is a blur of laundry right now,”  I admitted.  “I need a minute to figure out what I want to eat because right now, I want to eat everything and then cry.”

Stupid low.  Haven’t had many stupid lows lately (thanks largely in part to better planning and keeping a close eye on the Dexcom graph), so the ones that do creep in seem to hit harder than before since symptoms are felt more strongly.  I don’t mind carrying a bigger bag than normal, or going running with a Spibelt crammed tight with glucose tabs, and I don’t even mind the exceptionally awkward moments of having my pump tubing stuck accidentally through else’s seatbelt on a plane, but I do loathe the way that lows reduce me to rubble, and how the simple matter of forgetting to plan caught me off guard.  Usually quick on my feet and able to think rationally, lows make sentences hard to slap together, and reason nearly impossible to catch.  The friction between ‘thought’ and ‘action’ is grinding and hot, leaving my brain a few seconds behind until the glucose stores refill.

As quickly as it came on, it was over.  The Dexcom showed a gently upward-sloped arrow, and the hypo-fog lifted.  Birdy asked if she could have “just a small sip of your orange juice, Mawm?” and I handed her the glass, happy to not need it.

in rainbows.  man, I love Radiohead.

The Friday Six: Poutine Edition.

I have some very useful, informative links to share today, but before I do, I have to admit:  I don’t like poutine.  It looks like discarded fries that someone fished out of a garbage can.  My husband loves the stuff and is trying to convince me that it’s a delicacy, but I’m not converting.  Being in Montreal this week for the Canadian Diabetes Association conference has shown me that my opinion on poutine goes against the grain, though, and I should keep quiet about my disdain (even if it rhymes).  I wish I liked it, though, because it’s found easily on the menus up here.  What’s not found?  American cheese.  (Carey, Wade, and Sandy:  If you’re reading this, you’ll be happy to know I did not order American cheese on this trip.  I’ve learned my lesson.)

Okay.  Links now.  And this Friday, I finally have an actual “six.”  –>

  1. There’s another TCOYD conference taking place in a few weeks, this time in the ABQ.  If you want to break bad with the TCOYD team, you can sign up here.
  2. The Big Blue Test is taking place now!  All you need to do to participate is check your blood sugar, exercise, check again, and then share the results.  “Each Big Blue Test entry you log between now and November 14th triggers a donation on your behalf to nonprofit groups that are providing life-saving supplies, services and education to people with diabetes in need.”
  3. The mySugr Junior app is ready for downloading, and this kid-friendly version of the Companion application is gorgeous.  I’m looking forward to taking it out for an extending “revisiting my childhood” spin in a week or two, but for now, just wanted to make you aware that it’s available in the US, and looks awesome.
  4. If you’re in the Boston area, you can catch two fantastic writers (and advocates) at the BBF [Boston Book Festival] Unbound: Writing About Health session taking place on October 19th (this Saturday).  “Cheryl Alkon (author of Balancing Pregnancy With Pre-Existing Diabetes) and Laurie Edwards (author of The Kingdom of the Sick) will offer strategies for those looking to begin telling their own medical stories, including: how to combine memoir and personal narrative with research; how to navigate issues of translation and accessibility in medical writing; and insights about the importance of social media, whether to self publish, and what happens after publication.”
  5. Also, there’s a study taking place about diabetes and romantic relationships.  Here are the details: “Announcing the ROAD Study (Relationships of Adults with Diabetes)!!  Researchers at Carnegie Mellon University are studying how young adults with type 1 diabetes navigate romantic relationships.  If you are involved in a romantic relationship (dating, living together, married), are between the ages of 18 and 30, and have type 1 diabetes, you are eligible to participate in this 30 to 40-minute phone interview.  Please email Dr. Vicki Helgeson at vh2e@andrew.cmu.edu for more information.”  I’m not involved with the study, but am helping to pass along the research information.
  6. And this post, I love, simply for the last request that we “be gentle.”  Thanks for sharing this, Meri.  (Almost called you “Merci.”  Which stands, as well.)

 

Follow

Get every new post delivered to your Inbox

Join other followers