Samson has been using 10 units of insulin a day, on average, for a while.
Today, he has used about 12 units of insulin so far, was stubbornly been stuck at 400 for over an hour despite many rage boluses and it’s barely 2pm. He’s starting to go down (371 as of right now, but minus 5 each 5 minutes) negative for ketones, but Zane woke up with a case of stomach bug yesterday, so there’s a confounder.
We noticed that his site was bloody but not leaking insulin at all. We primed and saw it delivered a reasonable amount of insulin. I guess I use the fact that it’s bloody as an indication that it’s no longer working and it needs to be changed. (and besides, even if you can’t see the reason a site doesn’t work, it should just be part of an automatic routine to do so once you’ve been stuck above 250 or 300 for a while, right?)
We’re changing it out, but my husband says he doesn’t think just having a bloody site itself causes absorption issues, and that he doesn’t smell insulin or see any visible insulin leakage, so all that insulin should be in his system and start working eventually. Does anyone have a technical explanation for why it could? Or is he right as long as it’s anchored in place that the blood itself is not an indication that the site is working less well? I guess not what we should do (to me, changing the site is a no brainer), but rather why we should do that? And I guess, where did all that extra insulin go if it’s not leaking out.