RETURNING TO MDI AFTER ALMOST 25 YRS OF PUMPING:
Well, after a very LONG talk with our beloved and wise Eric, I began my Levemir/NovoLog experiment this morning. We discussed it at length last night. He is, as almost EVERYONE knows, the most kindhearted, patient, and knowledgable (I could continue adding acclamations, but I’ll spare you for the time being ) I know for all things related to D, and then many other “life” things as well. This is the very first time I am doing this the “old fashioned way” since pumping, and, I havent a clue what I am doing. But Eric set out a plan for me that seemed reasonable and appropriate and manageable.
He encouraged me to begin switching over to the MDI BEFORE the day of my surgery as a kind of “Fire Drill” (You dont wait until your home is on fire to figure out what to do to be safe.) Makes all the sense in the world to me!
So I will b doing split doses of the Levemir; 6 units at 8am and 6 units at 8pm. Then I will bolus with a NovoLog Pen based upon my (detached) pumps WIZARD suggestions. So far so good, but am trending low so I just popped a Gtab to stay above 100. I truly dont know what to expect. And I am frightened. But I figure it will be just like when I began swimming; I didnt know what to do then when I began, and I just kept plugging away at it till I found a decent solution. One day at a time, one hour at a time with carefully finger stick monitoring.
I woke up with a BG of 100, I detached my pump at 8am and gave myself the 6 units basal. By 10:30, my BG had risen to 144. I bolused for breakfast, and now, at 1pm, my BG has come down to 88. I actually took a Gtab (which I would otherwise never consider doing at such a wonderful BG) But I was concerned of going low in the middle of a hectic day with errands to run.
I am treating myself to my famous food love of a double decker grilled cheese sandwich for a late lunch/early dinner at around 4pm-ish. This has always required a dual bolus of a 40/60 split over 2.5 hours, giving me 6.5 hours of active insulin. How I will manage this without my pump is an “I dont have a hell of a clue what I am doing” experiment. Eric suggested letting my pump show me how much insulin to bolus for upfront, and then wait about an hour to give myself a second bolus of the remainder of my insulin. (Do others have experience with this that has worked for them???) I would appreciate ALL suggestions, trials and errors, etc
I am thinking of trying out giving myself just a little insulin up front, followed by the remainder about 1- 1.5 hours later. I was considering doing a 50/50% split just bc its easier on my very ignorant math skills, but I am afraid of going low from too much upfront bolus. Any suggestions here? I will be bolusing at around 4pm, so if anyone is reading this beforehand, and wants to shoot me a quick suggestion, I would be extraordinarily grateful!!!
And of course, as usual, I will keep you posted and let you know how all of this plays out. And, one last thing I just remembered: Eric and some of the other wonderful people here have told me (more than once) Dont worry, bc if I dont get it just right today, I will still b D tomorrow and can try it all over again
signing out,
DM