Arm Site Review

I’ve been wanting to try using the backs of my arms for a CGM site for quite some time now.  My High Risk OB told me that once I get pregnant (I’m not yet!) I shouldn’t wear my sensor on my thighs for some reason or other.  I forget what the reason was as it was an information-overload type of appointment, but anyway, I remembered she said that!  So when I got a mild rash from my last site, I decided it’d be time to give my thighs a break and try the back of my arms.  Sadly, I don’t have Cameron Diaz guns, so there is a lot of fleshy area to choose from.

I wanted to have my husband insert it (hehe, see what I did there?) but he seemed a little apprehensive, so I took matters into my own hands.  (You could go so dirty with that last sentence, but I’m going to assume that the kind readers of my blog will be keeping their minds out of the gutter.)  So, using a mirror, I put a sensor in the back of my left arm.  It wasn’t easy, but it was do-able.  I’ve been wearing this sensor for almost 2 weeks and had my husband reinforce it with some OpSite FlexiFix for me a few days in.  So far, it’s been sticking like a champ.  Probably better than it sticks to my thighs.

A few things I don’t like about the arm site – I seem to meet so many more door frames.  I swear, I’m constantly bumping it. Visibly, it is definitely more noticeable than thigh sites.  Also, I’ve noticed that overnight it doesn’t seem as accurate.  Maybe because I am a side sleeper and my sensor doesn’t have clear access to my receiver?  Regardless, I’ve woken up a few times with it pretty far off.  This morning I tested at 168 and my Dexcom said 102.  On Thanksgiving morning, it said I was 144 and I was 222.  I haven’t yanked it due to this inaccuracy just yet, as it only seems to happen over night.

Also, it’s really nice to not have to remember to be careful of my sensor every time I go to the bathroom.  I think the arm is definitely the way to go as far as out-of-way-ness, (as long as I miss those door frames!), but accuracy-wise, my thighs seem to work a little bit better.  But, it is great to know that my arms may be a good Dexcom spot for a future pregnancy!

 

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Happy Monday!

Usually I curse Mondays.  I mean, really, weekends should be five days, work weeks two.  AmIright?

The husband has been out-of-town on a men’s fishing trip, and it’s kind of a running joke with us that whenever he’s out-of-town, I always get overnight lows (which is kind of scary, but we won’t go there) and I don’t really miss him until the lows start kicking in.  Of course they have the past three nights every night since he’s been away.  Duh.  I’ve been over-treating and then spending the following morning chasing down elevated BGs.

Until last night.  I OWNED my overnight low.  I was 60 on my meter, 53 on my Dexcom.  Drank 6 oz of OJ, spoonful of PB and woke up to a nice steady-ish line this morning.  Definitely perked me up for a Monday!

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I also have changed my high alert from 170 to 160.  Hopefully I don’t annoy my coworkers too much with the awesome tunes the Dexcom plays.  I really wish the high alerts were in increments of 5 so I could take even smaller “baby” steps (pun intended) towards better control.  Endo appointment is on Wednesday – my first a1c since I’ve rejoined the land of pumping and started on a CGM!  I’m excited and crossing everything that I’m 7.0 or lower!!!

Friday Fives – July 19.

5 average blood sugars, according to my Dexcom:

1.  90 day average = 168

2.  60 day average = 163

3.  30 day average = 150

2.  10 day average = 144

1.  3 day average =128!!!!!

I think I’m moving in the right direction!  I am so, so happy I bit the bullet and got this tool.   It has made me understand my diabetes and my body so much better.  I am actually excited to get my A1c result next month!!

Happy Friday!

 

 

Wordless Wednesday – Perspective

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A day with my current settings of 75/170. I don’t like that yellow!

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Changing my high setting back to the default (200) makes me feel much better about my day. 🙂

 

I currently have my Dexcom settings on 75/170 but sometimes, if I go over the 170 high threshold, I change the threshold back to the default (200) to see if the day was really that bad.  Sometimes, it makes me feel much better about my sugars, which may be needed after a particularly mentally challenging Diabetes Day.  A little mental boost goes a long way.

 

(Don’t worry, I always change it back to 170.)

My CDE is my BFF.

I had an appointment with my CDE on Friday and let me just say she is quickly becoming my new BFF of my Diabetes Team.  Like, I want to make her a friendship bracelet, ’90s summer camp style.

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I was never able to master the swirly ones!
Image from the Google.

Her awesomeness does not only stem from her coming to my Endo/PA appointment last week and giving me a hug, but she has been instrumental with determining my pump rates over the past 2 months since I’ve resumed cyborg living.  I’ve emailed her reports almost weekly and we make tweeks as needed to get me where I need to be to grow a human.  She is also totally relate-able and “gets it” as a PWD.  She makes me laugh and is super supportive when I’m annoyed with myself for not being a perfect diabetic.  I know I totally sound like I have a girl crush (my girl crushes are Megan Hilty and Jessica Simpson, TYVM), but I’d say it’s safe to say I have a definite favorite on my Diabetes Team.  Don’t tell my PA or Endo.  I know I’m supposed to love them all equally, and they can believe that I do, lest I’ll be subject to more finger pricks when I’m in the office.  (Seriously, am I the only one who hates when other people prick my finger?)

So, the appointment.  My graphs look goooood.  She pulled up some of my old graphs and the change in just a couple of months is remarkable.  Definitely happy that I’m back on the pump even after having the pump-cation blues.  For the first time since starting this “get body ready for baby” journey, I feel like I can actually do this.  It’s a good feeling friends.  And it’s motivating me to keep on trying my best to get myself in the best D-shape possible before growing our future little one.

We She noticed some patterns that we are working to correct.  I tend to go higher and stay higher with meals that are more than 60 grams of carbs.  So that means that I will try to limit my meals to less than that amount of carbs.  Easy peasy, mostly.  But if I do have the weekly occasional bowl of spaghetti, I’ll bolus as usual but try a temp basal of +20-40ish%, (depending on pre-meal BG) for 60-120 miutes post meal.  Trial and error.

Another trend is that I tend to stay higher throughout the morning if I eat breakfast earlier in the day.  So we changed my I:C ratio from 1:10 to 1:9 before 9 am and 1:10 after 9am (weekends).  I would’ve never noticed this – so happy for her trained eyes to see!

I do awesome overnight.  I average 147 from 11pm – 7am.  Good-ish number.  Would like it to be a smidge lower, but the thing I am most pleased with is that my overnight lines are typically pretty steady.  No real drops or jumps.  Sweet dreams for me.  This means naptime at work, no?  I have been pretty pro-active with setting temp basals at night when I go to bed on the higher end.  And I swear, it has nothing to do with me not wanting to hear my Dexcom all night.  It has everything to do with wanting to be all I can be with the D.  Or something.

We also changed my I:C ratio for dinner from 1:9 to 1:8.  My CDE was a little reluctant to do this because sometimes after dinner my numbers are great, however, I want them to be great most, if not all, of the time.  So I figure it’s worth a shot.

The best part of the appointment however was when she said that by looking at my graphs, she thinks my A1c is/will be very close to 7 if I keep this up.  This certainly motivates me to keep fighting the good fight.  High Five!

I kinda want to take her out for a beer.

She’s got legs, she may as well use them…

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I really need to start doing some sit-ups. Yikes.

Man, two weeks in to pumping and CGM-ing and I already feel like I’m running out of real-estate.   I’ve been sticking to my belly for both, with the exception of using my upper right side of my tooshie for one pump cycle.  Since my boobs get in the way during insertion arms aren’t long enough to reach around to my left side, the upper bum area is limited to the right side.  Until I either become ambidextrous (“I’m not an ambi-inserter!” Name the movie), get really good at yoga, or lose some pounds, it seems the pump will have to be inserted on my belly, right butt cheek, or legs, which I’ve never tried.  I’ve never worn it on my arm either and for me it just doesn’t seem particularly comfortable with the tubing.

However, I decided to be a big girl and try wearing my CGM sensor on my leg.  Even though Dexcom says it should be in the belly only (because this is where they did their testing when getting FDA approval), I’ve read on the interwebs that you can really put it anywhere you feel comfortable.  I’ve heard from a lot of people who wear it on their thighs and love it.  So I’m giving it a whirl!

Insertion was a little weird as I’ve never done it before (that sounds like something a high schooler would say after prom night if you know what I’m sayin’), but other than feeling the needle a little more than I do in my tummy, it was fine.  I have it on my upper right thigh, towards the outside but not so far on the side that I will feel it when I sleep (I’m a side sleeper).  I haven’t noticed it much and it’s nice to not be rubbing against my desk at work.  I’m conscious of it when I use the bathroom as I don’t want to rip it out and be annoyed that I just wasted a sensor.  I used tons of Opsite FlexiFix per my usual and I can see that I will probably need to reinforce my tape in the next few days, simply due to pulling my pants up and down every time I use the ladies’.  There is a little bump under my pants but I think it’s one of those things that unless you know it’s there and know to look for it, you wouldn’t notice.  I’ll be attending my boxing class tonight, but I don’t anticipate it being annoying.