no sleep!

>really worried that you would be so put off by the early struggles that you
>would decide to go back to injections and miss out on the wonders of pumping!

Janet, you might still be right…I’m waffling back and forth. Last
night was the Night From Hell, requiring a 3am site change which took 45
minutes (by day it takes 10). And I realized that out of the past seven
nights, I’ve had 3am site changes during two plus insufficient sleep all
seven…and it looks like there’s no end in sight.

What I’m thinking is (and PLEASE somebody tell me if I’m wrong!) is:

If I don’t check my sugars at least once each night, I’m risking
ketoacidosis which is horribly dangerous.

So it looks like I have a choice of living without enough sleep (for some

reason I’ve never been able to fall right back to sleep after getting up)
OR courting death. (Admittedly, I get more melodramatic after a
Night From Hell.) But given that choice, the old system of shots is
looking better and better.

The other problems, like taking forever to do a site change and realizing
the insertion process still hurts and being impatient with carb counting,
have all improved over time…but I don’t see how the above dilemma CAN
improve.

Anybody?

Laurie, who absolutely SWORE to keep pumping for a month before making
any decisions one way or another

13 Responses to “no sleep!”

  1. Carlos Kiara Says:

    Laurie,
    Why are having to change sites at 3 AM? Are the alarms going off or do you
    awaken with a high BG?
    Gail

  2. nada600 Says:

    Laurie-

    I’m a little confused as to why you’re doing site changes at 3 a.m. I do get
    up occasionally (fairly regularly at first, so I think it’s good you’re doing
    it), but I have never had reason to change the site. Are you getting highs
    that you consider "unexplained"? If I have a high at 3 a.m., I dose as usual
    per my sliding scale and go back to sleep. Granted, if it’s hard for you to
    fall back to sleep, this is a nuisance, but it really should be just
    temporary. I think I used to spend about 20 minutes doing site changes at
    first, but last night when I ran out unexpectedly right at bedtime, I had a
    new set in and toddled off to bed no more than 6 minutes later. I’ve been
    pumping for almost 2 years, so I’ve had lots of practice. The hardest thing
    for me at first was inserting the catheter with the bigger needle, but once I
    stopped trying to push it in slowly and carefully and just started popping it
    in like I used to do with syringes, it really doesn’t hurt enough to even

    think twice about. I saw some suggestions about using ice and some sort of
    numbing stuff go by that may help you, but for me it was just a matter of
    deciding this was what I wanted to do and doing it. It’s easy for me to say
    that since that’s how I view every part of life and may not be easy for you
    to do since you’re not me! I also went through years of denial over the
    entire need to take care of myself until I was so sickly and miserable I just
    wanted to die. Since dying SLOWLY wasn’t an attractive proposition, I
    decided I’d try doing things right for a little while to see if it made any
    real difference. I felt so great in such a short time that I began to see
    just how much the diabetes routine could actually help me live better and
    enjoy it more. Okay, it sounds a little Pollyanna-ish, but I really don’t
    mind being diabetic because I’m probably the healthiest person I know since
    it forces me to take better care than most "normal" people do of themselves.

    Okay, long, long, LONG story to make a pretty short point–DON’T GIVE UP
    YET!!! I’d be glad to offer opinions, as I know all of the folks on this
    list will, on things to try to make it work for you. I still would be
    willing to bet that if you stick with it, you’ll be glad you did, but again,
    it’s what works for you, not me. Good luck and keep us up to date on what’s
    going on - you’ve got a whole slew of people rooting for you out here!!

    Janet

  3. colin_140 Says:

    << The other problems, like taking forever to do a site change and realizing
    the insertion process still hurts and being impatient with carb counting,
    have all improved over time…but I don’t see how the above dilemma CAN
    improve.

    Anybody?

    Laurie, who absolutely SWORE to keep pumping for a month before making
    any decisions one way or another
    >>
    Ok Laurie: pull up a chair and listen…….it can take some people more
    than a month to get the hang of finding the right places to use as a
    potential site, and you should try some of the other infusion sets. The
    problem with the plastic cannulas in the
    Silhouettes/Comforts/Tenders/Softsets ( and don’t everybody start yelling!!)

    is that they all have the potential to kink no matter how perfectly you put
    the thing in or how well secured they are with tape. Since they are so thin,
    that is the potential. Next: because they are somewhat thicker than the
    needle sets, they can be more irritating and so, fail sooner. That’s one of
    the reasons that I found the Rapids work for me. I use the 6 mm in the less
    fatty areas (which for me are "very" limited, and the 8 mm for all the rest.
    the 10 mm are just to long for me and hit paydirt with a major kick! "They
    said "HELLO" I’m here!
    I would suggest that you use your abdomen for right now. Remember the Lilly
    diagram (man front and back) where the appropriate injection sites for
    insulin are??? Run a straight line from your chin down, horizontal at your
    belly button and another horizontal at the tip of your breast bone, and
    another just above your pubic area. Wherever you can "pinch up an inch of
    skin" is a good site to pick. Stay away from areas with too thin a layer of
    fat. Try alternating sites, but stay at least 2 inches from the last one all
    the way round. That will allow enough time to heal. I did 8-10 bgs when I
    first started….most of us will tell you that they did about the same until
    we fine tuned our basal rates. They will vary depending on stress, heat,
    fatigue, and your general hormone rhythmns, and whether you hit the Haagen
    Daz or Ben & Jerrys Ice cream.
    You aren’t going to go into DKA that fast. You do have to remember that if
    you are using Humalog, there is no prolonged effect like regular or NPH.
    Yes, some of us wake up if the site fails, other’s don’t. Me, my heartrate
    picks up and that wakes me. It took about 2 weeks to actually get used to
    having our pump buddy with us 24/7, after that, it will settle and you’ll
    sleep like a log. First time my bgs stayed below 120, I slept so hard I was
    tired from just sleeping. Used to snore once the bgs got over 150 and didn’t
    sleep well.
    You need to educate yourself as much as possible. Once you do that, your
    anxiety level will go down, you’ll have more confidence in yourself and your
    pump and you’ll find out that there’s a whole new world out there. Go to
    www.diabeteswell.com and check out the site. It’s geared for on-line patient
    management and is written for the layperson. Dr. Pendergast and his team are
    all in there to inform, and believe me, they INFORM!!!
    Give yourself a chance, you’re doing a lot better than you expected, you want
    to stay on the pump, otherwise you would have quit already. Keep your chin up
    and have faith in yourself….Sweet Dreams, Joan:))

  4. patience_15 Says:

    << but I really don’t
    mind being diabetic because I’m probably the healthiest person I know >>

    I gotta give you a hand….I could never say this. :) Not trying to be a
    downer but I HATE BEING A DIABETIC!!!! But….I’m very thankful I was born
    after insulin was invented and am able to be on the pump. It makes life much
    easier.
    chrissy

  5. Josiah Randee Says:

    Amen, dittos, and etc. to Chrissy!!
    Jan

  6. Krystal Jesica Says:

    Chrissy, just think of all the worse diseases ya could have, like the big
    "C" for example and you’ll be grateful you have a disease that’s at least
    livable and treatable. Nobody likes being a diabetic, but……..
    fp

  7. nada600 Says:

    It just works best for me to think of everything I have to "put up with" as
    having some kind of wonderful, hidden fringe-benefit like better health or
    whatever. I’m almost always in a good mood since I figure I’m doing
    exceptionally well (in my opinion) with a situation that might strike another
    person as a handicap or "bad luck". If you never wish for anything you can’t
    have, you’re always happy because you have everything you want. That one got
    me through a childhood of being at the bottom of the hand-me-down list and
    served me well until I slipped up and started wishing to be rich, famous,
    beautiful, Mel Gibson’s wife and started feeling dissatisfied with my life.
    No more of that stuff–Mel’s already got a wife and 7 kids–I think I’ll
    stick with my wonderful husband that makes me FEEL like I have all those
    things I wished for!

    Janet

  8. patience_15 Says:

    << Chrissy, just think of all the worse diseases ya could have, like the big
    "C" for example and you’ll be grateful you have a disease that’s at least
    livable and treatable. Nobody likes being a diabetic, but……..
    >>

    Yes this is true and sorry to say you hit a nerve because thats what my
    mother always said to me growing up…..It still doesnt make it any easier.
    I used to know every hospital in town. Didnt want to be around anyone who
    was sick becuae I could end up in the hospital w/an IV getting something as
    simple as the flu. I hated when everyone in high school always would say
    eeww how can you take shots???? After awhile I would just say well its
    either that or die. I could go on and on w/how this terrible disease has
    messed up my life but…..I am still alive I have to wonderful adopted
    children because of my diabetes/that is the good thing. Im not in a total
    depression or anything but there could always be something worse that could

    happen. It just doesnt make me feel any better. Chrissy

  9. patience_15 Says:

    << Mel Gibson’s wife and started feeling dissatisfied with my life.
    No more of that stuff–Mel’s already got a wife and 7 kids–I think I’ll
    >>

    AR AR Im a Mel Gibson fan also, :) But I’ll keep my loving husband too.
    Chrissy

  10. Krystal Jesica Says:

    You gonna need a printer?
    fp

  11. Josiah Randee Says:

    You offering free services????

  12. Krystal Jesica Says:

    Free?? U must be jokin…..LOL
    fp

  13. Scott Kattie Says:

    <Step-Mom> How can you be so calm about all this?
    <Me> Well, it’s not AIDS, it’s not Cancer, it’s not
    Paralysis, I’ll live. I’ll keep going because I have
    to and because I’m not done driving my family insane
    yet.

    Meanwhile, this is only the second time I can ever
    recall seeing my birth mother cry. The first time
    being in the middle of her divorce from my father when
    I dropped the lid to the toilet through the bottom of
    the tank. (Hey… I was a curious little tyke) She’d
    had a lot of stressful stuff going on and the sight of
    all that water covering the bathroom and hallway floor
    must have pushed her to the breaking point.


    o/~ Don’t know where I’m goin’ but I’ll tell ya commin’
    back… o/~

    -Sara

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