The other day I made a rookie diabetes mistake. I woke up in the morning, checked my pump and realized I had 22 units left to last me until I got home from work. My daytime basal rates vary from 1.0 to 1.275, so quick, just awake math…8 hours = 10ish units. And, there’s no way I’ll bolus more than 8 units for lunch, since my average lunchtime bolus is about 5.5 – 6.0 units. Breakfast is usually about 3-4 units, so, I’ll be just fine until I get home from work!
Mistake number one: A wise diabetic would’ve thrown a vial of insulin in her purse, along with a new cartridge and inset. I never claimed to be wise.
Off to work I go, excited for the D-girls gathering that evening and I notice that my morning numbers are running a little higher than normal. I try to limit my rage boluses to when I’m 200+, instead I rock a temp basal. So I set my temp basal at +50% for 90 minutes. Mistake number two. (Although, D-friends, it’s never a mistake to try to lower your blood sugar, amiright?)
Lunch time rolls around and I have my standard I’m-too-lazy-to-make-lunch Lean Cuisine. Attempting to be healthy-ish, I had grabbed a banana to have along with it, rather than the Sunchips I have in my desk drawer. My Ping tells me to bolus 7.55 units so I do because it is way better at math than me.
Literally as my bolus is being administered at warp-Animas-Speed, I remember that I’m low on insulin. However, the Ping delivers it’s bolus in like, 0.00004 seconds so by the time I realized, it was too late. Mistake number three – should have checked the amount of insulin I had in my pump before bolusing and deciding to eat that banana!
At this point I had 3 units left. I thought about setting a temp basal of 60-70% so that even though I’d probably run a little high, it was better than getting no insulin at all. However, I decided that this wasn’t that dire of a situation. I work 20 minutes from home and I have a decent amount of sick time. So, I figured I’d leave when I got down to 1 unit (to spare my coworkers the annoying “You’re out of Insulin!” song) and take a couple of hours of sick time. I told my supervisor that I miscalculated my insulin in my pump and she, I think, thought death was imminent. “Ohmygod, LEAVE!” was her reaction. I told her I still had a couple hour’s worth of insulin in my pump and I’d leave when needed, which was about 2 hours later.
Rookie mistake(s). Lessons learned – if you are borderline making it through the day, bring your supplies to work. Better safe than sorry. Check the amount of remaining units in your pump before deciding to eat the banana/bolus/set an increased temp basal.
And most importantly, don’t attempt to do math before having your coffee.