Charting my Diabetes

I’ve worked with the system well as aggressively, and respectfully, as I could to move my insulin pump start date up as much as possible. Given what I’ve had to deal with in simply getting this far, at some point I knew it was best to accept what I could accomplish and go from there. My final timeline looks like this:

  • Basic t:slim training and saline start on 10/1.
  • “Pump Start” class at my diabetes education center on 10/3.
  • Pump saline, and still take my proper insulin injections for 3 (?) days – I’m going to get that clarified at the class.
  • Review pump data (?) at the education center on 10/14.
  • Start insulin that same day…?

There are still a lot of question marks on that list, but dates are locked-in appointments. From there it’ll just be a matter of filling in the gaps and getting as many questions answered as possible. Considering how much of a challenge it was to get to this point, you better believe I’m going to maximize every minute I have with these folks.

One particular aspect of this process that has had a surprising impact on my diabetes, already, is the process of charting. Everything.

The t:slim, and I assume most insulin pumps, have a lot of programmable settings such as basal rates, insulin correction factors, insulin:carb ratios, and so on. In order to get the most accurate settings, I (we) need to have a reliable baseline of data to work with to start things off. I know the settings I put into my pump on Day 1 will not be the same as Day 100, tweaks will likely be made as the process of controlling diabetes is fluid, albeit fickle. But if I’m going to have the best possible experience from the start, there needs to be a lot of data to build a solid foundation for my pumping experience.

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Patient Health Survey

Through a series of unfortunate miscommunications between me, my local Tandem Diabetes representative, my endocrinologist, and a diabetes education center, my journey with an insulin pump has been significantly delayed. Up until this past Monday, I had been assured that the only training I needed prior to pumping insulin would be from my Tandem representative. The morning of my hypothetical appointment with the rep, less than 30 minutes away from beginning to program my basal rates, I received a phone call from my rep saying that my appointment with the diabetes education center had to come first, that their “pump start” class was mandatory for my endocrinologist’s patients that are new to pumping, and I would need to follow up with them on the necessary paperwork.

Heartbreak.

As of this blog post’s publishing, my insulin pump is sitting in its original box, buried in our closet of diabetes supplies behind boxes of insulin pen needles I can’t wait to leave behind.

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A Warm Welcome to Modern Diabetes Care

I met my new endocrinologist and CDE today. The short version goes something like this: I love everything about them. And I’m getting a t:slim. And I feel great about everything.

Tell ‘em Stanley.

via giphy.com

The longer version requires a some fragmented thoughts and sentences.  Continue reading

The Beginning of the End of Lantus

Depending on how tomorrow goes, this could be the last time I completely finish a Lantus pen. Depending on how long it takes to process an order for a new t:slim insulin pump and complete my training, I could be using Humalog as both a basal and bolus insulin. Depending on how long everything takes, I can start saying goodbye to persistent overnight lows followed by extreme cases of dawn phenomenon (which, at this point should just be called dawn certainty).

Tomorrow I meet my new endocrinologist. Tomorrow could be the beginning of a new phase in my diabetes care. I have high hopes.

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