3. Pre-filled syringes. A typical syringe will hold 3 units with the plunger cap on. Ideal for the odd high BG when I'm out exercising and I don't want my insulin to get fucked up by the elements. Let's face it, here in Canada we get both ends of extreme temperature. 3units is way more than enough. Sometimes I'll carry two syringes if I'm out for the whole day on my bike and I'll be stopping to eat. I can still inject 1 or 2 units at a time and leave the rest for later. I learned this trick from my good friend Missy.
5. Pen cartridges instead of vials. I don't trust the insulin pen. It's still a mechanical injection device and that means it too can fail! I know this because it's given me problems in the past. It's also too big to fit in my case. A typical 10ml vial would last me many months but with a 28-day shelf life it's a waste of money and insulin. So I use the pen cartridges. Bonus? No need to inject air into them! I also feel less bad if I freeze, cook or smash one.
7. The infamous Scully parachute landing! I blogged about this years ago. I just searched my whole blog but couldn't find it so I gave up. I still stand by this method. When I am high, like really high. Like 16+mmol/l (280mg/dl+) high I will take a rage bolus of about 4 units. Back in the insulin pump days that would have read more like 8-10units for the same result! It's too much but I do it on purpose. I knowingly over-dose. In my mind my bg comes down quicker with more insulin on board. If you know me, you know highs are my nemesis and I'd always much rather be low. Whether it actually comes down faster or not, I don't care. So I wait until it starts dropping rapidly and then just when the time is right I'll eat something for a soft gradual landing. Tankage-free. Like the way a skydiver comes down in a parachute.
8. Dex (glucose tablet) container in my car. Seems so common sense but I only just started doing this. I have a convenient cup holder in the door of my car. Glucose tabs are resistant to heat and freezing. Again, Canadaland temperature extremes! I often need glucose when I'm out and about and this means the small container of dex in my purse doesn't get depleted as much. In return it means I don't replace the purse dex as often which is key because I eat the purse dex and forget to replace them. Thus leaving me in a shitty situation way more than I like.
9. Honey. This is by no means a hack or a trick or anything. It's just how I treat the super lows. Or the lows that come with nausea. Or the rapidly falling lows. Honey is easy to swallow and packs a wicked carby punch. The only problem is that it often makes me gag and it's so fucking expensive.
10. Freezies! Like the #9 above, these have a purpose sometimes. Obviously timing has to be accurate as in I have to be not SUPER low. More fun than a juice box but the same amount of carbs. Added bonus: comes with an ice cream headache!
11. Advil and Zofran. Another old topic but an important one for those hellish low hangovers that I get so bad.