Punted to the doctor
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2009-03-11

Am I being difficult? No, I don't think so. But my diabetes educator decided to bring in another diabetes educator who has been doing pumps for a long time now and she decided that she didn't know what to do with me and is going to hand me over to a doctor.

So let me try and explain to you the conversation I just had... yesterday my BGL was high after eating food. It remained high, going down slightly each time I gave myself a correction dosage.

Their interpretation of this: My basal rate is too low.

My interpretation of this: My meal bolus was too low, which caused the high. My correction bolus was too low, which meant I didn't drop down to a normal range fast enough.

My interpretation of their interpretation: They seem to think that my basal insulin should be lowering my BGL.

This is clearly a fundamental difference in understanding - my understand is the basal rate should keep my BGL steady throughout the day. Not going up, not going down (at least, not by any significant deviation). I'm pretty sure I'm right.

So now I'm slightly more stressed than I was before. I have 15 more minutes to go until I take another measurement, which for me, will prove that the bolus is too low.

Oh and one more thing - the educators seem to think that figuring this stuff out correctly could take weeks to months. Since when? Since you started changing all the values at once instead of doing them one by one?