You know, these days I could call myself many things.
...of course! (Where have you been?)
In fact, as painful as it is to say, these days I've been down right ...
Let me show you a glimpse of Ally's BG (Blood Glucose) log from two nights ago...
(and don't be fooled by thinking that if Keith gets up I sleep through it, or vice versa!)
10:30 PM I thought I was going to sleep for the night!...BG 288, Gave correction dose of insulin. Set an alarm for 12:30 AM to make sure the correction was bringing her blood sugar down.
12:25 PM I heard Ally's CGM alarm going off (via the baby monitor on our nightstand). We had inserted a new sensor before bed and it was time for a calibration. I thought I did that at 10:30??? Oh well...BG 130. WOA! Her overnight ISF (Insulin Sensitivity Factor) is 230. ISF is basically how much one unit of rapid-acting insulin will drop the blood sugar. I was surprised that she had dropped that much already. Better set another alarm for 2:00 AM :(
1:50 AM Keith jumps up because he hears Ally's CGM alarm going off...BG 81. Good catch little Miss CGM! (She needs a better name!) 4 oz Juicy Juice...Keith sets his alarm for 2:30 AM to recheck.
2:00 AM My alarm goes off because I had set it earlier remember..ugh!
2:30 AM Keith's alarm goes off....BG 119. Ok, a few hours of sleep are ahead.
3:45 AM Maybe not! The other baby monitor in our room starts alarming...this is not a beeping sound...but an 18 month old crying! Boo!! She is teething and also has had a little tummy virus, but who knows what awoke her at this dreamy hour? I went up, rocked her for a minute and put her back down. Thought I'd better check Ally again since I was up. CGM said BG was 112 and the graph looks like a pretty flat line since the last check so I head back to bed.
5:00 AM Keith wakes up so he checks...BG 126. (We usually just wait until she wakes up at 7, but since she had been low earlier, he thought he'd check.)
5:45 AM Ally comes in, wakes me up and tells me that her pump is alarming LOW. I look at the CGM and it is showing an arrow down. This means that her blood sugar has been falling at a rate of 1-2 mg/dL per minute. (Obviously if her BG was just 126 forty-five minutes ago, right!?!) Finger stick shows BG 109. Ok, not low, but now I'm awake. Is the CGM flaking out on me here? Or is she really dropping? Ally goes back to bed.
7:00 AM Ally wakes up. BG 97.
When you look at all of the numbers 288...130...81...119...112...126...109...97 you might say those look awesome! They do! With the exception of the 288, and the 81 (because overnight I like her to be over 100), those are AWESOME numbers! So, WHY THEN WAS I UP ALL NIGHT???
Well somewhere in between all these hours of sleep (not!) I also got up two more times because I heard the CGM alarming...once it said calibration error :( and another time it said weak signal :( It was just one of those nights!
Not all nights are like that. In fact, last night I slept peacefully from 11:00 PM until 6:45 AM because Keith did the 3 AM check and there were no other surprise interruptions last night! But I certainly think that it is nights like the aforementioned one that have made me Grumpy-like!
(This post has reminded me that I need to do an updated CGM post...obviously we had a few kinks the other night...but there is more to the CGM story! Coming Soon!)