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Posts Tagged ‘bolus wizard’

First of all, my apologies for not posting for so long! I have had an overwhelmingly busy couple weeks!

My mom called me Friday evening, the 20th of February, and told me that she and my dad had just finished booking an all-inclusive resort in Cancun. My hubby and I went to a resort in Cancun last year and came back telling them how wonderful it was and how they HAD to go! So they did it. My mom asked if we wanted to go with them….which of course we did, but it just wasn’t in the budget. She said she knew that, and thats why they would pay half! They were already getting a screamin deal, so our half for 7 nights in an all inclusive resort in Cancun, with airfare, would be $1000! What an amazing deal. We couldn’t turn it down! So, thanks to my wonderful parents, we are leaving on March 23rd for Cancun! We’re just going to stay in our resort, eat, drink, and lay on the beach or swim in the pool! I am really looking forward to it. This is the first year that we haven’t planned a vacation at all, but things worked out.

I guess that just goes to show that I need to trust things can and do work out. I have been unbelievably discouraged lately because my husband and I have been trying to concieve our first for a year now, with no luck. I don’t know if there is anything more frustrating. I have been living the healthiest lifestyle, and DH has been doing his best as well. But I understand his frustration when he goes 2 – 3 weeks without a drink, and it doesn’t seem to be making a difference anyway. He likes to have a glass of wine or 2 in the evenings, or a bottle or two on the weekends. Honestly, so do I! But we’ve flipped our world upside down trying for this, and still nothing. Meanwhile, I feel like all my friends, even those who weren’t planning or trying for a baby, are getting pregnant. The reason this month is especially discouraging, is because after this cycle, if I’m not pregnant again, I have to start the uncomfortable and expensive medical testing to see if there is something wrong with me.

Don’t I have enough problems? Why is this being added to the mix? I don’t know, but it sure is discouraging.

Enough of that! That has nothing to do with diabetes! I have been working with the bolus wizard for the past 3 weeks. I am still making little tweeks, but over all it’s going well and I like it. I had an appointment to review my progress with my doctor yesterday afternoon. I like my doctor, and type 1 diabetic doctors are hard to find in my area. However, sometimes she seems more stumped by my numbers than I am. She usually has some great advice and great things for me to try, but yesterday she just seemed bothered by the fact that my basal went from 1u, 1u, 1.3u, 1.2u, to .1u, and back to 1.4u. I explained to her that I have lots of lows in the morning and I tend to be high after lunch….but it just bothered her. Maybe it should, but it’s working and I just figured it out and I don’t want to have those terrible morning lows anymore! She wants me to even it out. Also, she is as stumped as I am that my sugars have so many inconsistencies. One day it’s doing one thing, and the next day it’s doing something else. This was the whole reason I originally asked for the CBGM. Since she couldn’t get my insurance to approve it, she wanted to work with me to try and fix my problems manually. Which I am all for, but it is frustrating to me when my doctor seems so confused.

So, now she wants to see me again in 2 weeks, and she wants to have her type 1 diabetic pumping doctor friend come meet with me as well, and hopefully be able to clear some things up.

I am having LESS lows which is great, but I am still having lows and I am so tired of it. I’ve decided to set a weekend “pattern” (I don’t know why I didn’t think of this before) since I ALWAYS have a horrible low if I sleep in…and I sleep in every weekend! I tried that for one weekend day last weekend, because I thought of it Saturday morning after my terrible low. Sunday my blood sugar was just fine and I slept in until almost 11! I changed it so in the early am I am basically taking no basal. It seems to be working.

I don’t understand why it goes so low on the weekends when I am sleeping. Even on the week days I usually don’t have breakfast, and my sugar doesn’t drop low. Of course, this stumped my doctor to. But we have to do what works.

So, thats where I am right now. I am hoping for no lows this weekend, and no highs either! Have a great weekend everyone.

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At my last doctors visit, my doctor told me that there is no way she will be able to get my Regence Blue Cross Blue Shield insurance to approve a CBGM. They say there are no studies showing that it’s helped anyone avoid lows or highs, and until there are, they won’t approve it. It’s ” investigational” for now. Bad news.

So she said she wants to work extra hard with me on avoiding my lows/highs. Right now she is more concerned with my lows, and so am I. I am tired of them! Plus, I’m starting to worry that my body is losing it’s awareness that I am having them, because I have so many. Not good.

So, we went over my last week or so of sugars. Unfortunately I still don’t have the software to just plug my meter in to my computer and have it plug the numbers in, so I had to manually enter the number into a spreadsheet which was very time consuming. I really need to get that software! I’ve just been drowning in medical bills and have a hard time even coming up with the extra $50 for it. I know it will help so much with finding trends and I’m sure I would be able to achieve better control over my sugars if I got it. I really need to get it.

Anyway, after looking over my sugars, she asked if I’m using the bolus wizard. I said no. When I got diabetes, I started with shots so I learned how to count my carbs and figure out how much insulin I needed. I didn’t want to forget how to do that by having a machine do it for me, so I never set it up when I got the pump. That was back when I ALWAYS had a 1 unit to 10 carbs ratio so it wasn’t hard to figure anyway. NOW, my morning is different from my afternoon, and my afternoon and morning are different from my evening!

So we put in all the settings to get the bolus wizard ready to go. I’ve only been using it for a week, but so far I think I like it. I still haven’t perfected it…I still have highs after lunch, and lows after dinner. But I am tweeking it and every day I’m excited to see what my sugar will read 2 hours after a meal. Did I fix the problem with yesterday’s tweeks? I’m getting closer!

So, I would recommend using the bolus wizard if you’re not. At least give it a try. You can always go back! This just takes the human error factor out of it. And I’ve noticed that I’m taking almost 10 units less a days since I’ve started using it. I always like taking less insulin!

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