When a friend by the name of a utensil texted me and said "Is there anything I can do?" My response was, "Slap me upside the head and ask me if I've learned my lesson."
We both agreed.
*SMACK*... ouch. Did I learn my lesson?
I knew my reservoir in my pump was low. I checked it this morning before I left for work. I had JUST turned around to lock the front door when *beep... BEEP... beep* 20-unit Low Reservoir alarm. I paused for a few seconds with my hand not moving from my key that was in the lock. I looked back and forth (as one often does while pondering something). I hesitated, locked the door and went to my car. 20 units of insulin should be enough to get me home on empty after the gym after work. I clearly hadn't had my watered down decaf yet otherwise upon further calculations I would have known better. I just kept thinking that by the time work finishes I will have set a low temp basal for the gym anyway.
Post lunch BG check left me with a serious high. This unfortunately and (unplanned) left me with a big correction bolus. Which in turn left me with - nada drop in my pump. I don't know when the river ran dry but I noticed it at 4:00pm. One more hour of work and then an hour home. 2-3 hours without insulin.
Never mind the gym, I said to myself. I'm likely going to be battling some blood wars tonight. I did think about zipping out to the gym after I did a site change but after really thinking about it, I decided it would be better to baby my diabetes than cause unknown factors that might further fluctuate rampant blood sugars. I was pissed off at myself for being so irresponsible but at the same time my legs are still sore from the previous night's weekly stair episode.
Did I learn my lesson? Um... to be honest, probably not. I don't carry spare parts with me and I don't really intend to. I often store an extra set at work especially when I commute an hour but I haven't been at this job long and well, I haven't really thought of doing that yet. I'm not new to letting my pump run almost totally dry either I will admit. I regularly wait till I've already got the 10 unit low reservoir alarm. I am a baaaahd diabetic. I don't run my sites the regular 3 days, I run them 'till the reservoir is cooked. Sometimes up to 5 or 6 days depending on how much insulin I'm using. Go ahead, ream me a new one. I can't say I'll listen.
Did I learn ANYTHING? well yeah, next time I hesitate before leaving the house I'm going to do the math before jumping to conclusions. THEN I'm going to go back in and either grab things for a site change or do one right there. So what if I'm 5 minutes late for work. It's better than trucking home on empty.
My actions after inserting a new site were justified. I was aggressive and rage bolused down the high I was already at and then set a TBR of %150 for the following 5 hours. That caught me up to speed with barely a blimp in the radar. Yeah I just said blimp instead of blip because when it comes to diabetes, a blimp in the radar makes so much sense, don't you think? So I refrained from carby food and tried to be patient. All was well. I woke up rather high this morning but if I expected perfection, I wouldn't be a diabetic.
The biggest bummer? I was looking forward to the gym (even though my legs were relieved).