(Ew, ew, ew I, too, am a little horrified by the title of this post.  I promise to keep the puke references to a minimum.)

Friday night, I went to bed feeling fine. Blood sugars were excellent – 90 mg/dL and stayed that way straight until around 7 in the morning. But at 2.48 am, I woke up feeling like a tiny raccoon was pawing through my stomach lining like a garbage can.

“Hmm. That feels … wrong,” I said. And then proceeded to toss and turn for several hours, as the tummy raccoon got larger and developed an agenda.

Around 8 am, the raccoon was batting my internal organs with reckless abandon and around 8.08 am, I threw up about a dozen times. And then brushed my teeth and went back to bed.

Ugh, ugh, ugh I was sick – real people sick – and this illness had come to roost and ruin.

Looking at my CGM graph later in the day, I saw that my blood sugars started to rise right after the morning’s belly evacuation. When I checked for ketones at 9.30 am, they were large, which prompted the rehydration process. My blood sugars were wedged between 190 – 230 mg/dL and refusing to budge.

I spent the next 10 hours drinking water, checking for ketones, taking small injections of insulin by syringe, rinse, repeat. Thankfully the throwing up thing lasted only for that one flurry of moments earlier in the morning, and I was also able to keep liquids down without trouble, so that was on my side. Ketones were stubborn, taking several hours to completely flush from my system, and blood sugars took even longer to respond to insulin, despite injections and a temporary basal rate of 250% (it was almost like a rage basal).

I’m not sick that often (the last time I threw up was in my purse a few years ago, and before that was prior to starting college; throwing up is not my thing), but every time an illness rolls through, I’m reminded how diabetes adds a whole new layer to things. Diabetes does not play. It’s a humbling realization.

With flu season upon us and people hosting tummy raccoons of their own, now is a great time to make sure you have the sick day rules memorized, and confirm that you have ketone checking strips and rehydration sources at the ready.

Because the puke emoji is never intended to be the most used one in your repertoire, but some days, it just is.

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