But even with eating, it’s not just carbs, haha, nooo, not that easy. Let’s add in a few more steps.
When I’m hungry, it’s mealtime, or I want a snack, dessert, or whatever — any time there will be food — here’s what I currently do using pump and continuous glucose monitor (cgm) therapies.
With the Dexcom cgm I can usually get an accurate idea of what my blood glucose levels are. This can affect my food choices (or I might not care, or I might have very limited or no other options).
Once the food is decided and carbs figured out, by measuring, looking up online, checking the nutrition label, or flat out guessing, at mealtime I need a finger check — nice way of saying my insulin pump requires a blood sacrifice. (And I better make sure my hands are washed clean or disinfected clean with sanitizer first. I don’t want a false reading from sugary or just dirty fingers.)
First juggling pump, finger poker (more officially given the horrid name of lancing device), test strips bottle, individual test strip I need to use, and often my Dexcom receiver (either the app on my phone or the little special receiver that looks like an mp3 player) to make sure its still accurate. Then I’ll poke my finger, the blood drop goes in the test strip, and the pump will give me my blood glucose number. Once it has that it kindly asks me if I’m going to eat and if so how many carbs. Based on that, my current insulin-to-carb ratio settings, and how much insulin is active in my body (insulin on board or iob), it will suggest an insulin dose, which I usually accept as is….
And then I get to eat.
After I put everything back away, that is.
If I’m going to have a snack or dessert and I’m confident my Dexcom is accurate, I’m medically permitted to use it to manually inform my pump of my blood glucose number, thus saving my poor fingers (and a text strip, the really expensive part of DeTickles, ha), and then follow the steps to dose from the pump and nom.
It’s a lot written out, and sometimes it feels like a big interruption when I’m hungry or want to get to eating and watching a show or chatting with friends. It’s usually quick steps (if I’ve already figured out my carb count…and if nothing goes wrong) but it’s still adding about five more things between me and my food and fun times.
And when I was using insulin pens instead of pump therapy…whooo boy. For now I’ll just say I admire those who use pens. For me it was too many needles. But, you do what you gotta do when the choice is needle poke or get sick and ruin your health and slowly starve to death. Yaaay, the lighthearted fun of DeTickles. Anyway, some folks aren’t as bothered by them as I was (or they’re waiting for insurance coverage for a pump). I tip my hat to those diabadasses and remain ever grateful for my insulin pump and cgm.