I deliberately chose a "normal" day, where I went to work as usual and ate only the foods that I cooked myself and eat regularly. Since T1 isn't predictable, the day I picked was wildly out of control, largely due to a bad CGM sensor. To give you comparison on how insane Monday was, I tracked a second day that I hadn't planned. This is 2 days in the life of my Type 1. To the people I might have asked to receive those texts all day...you're welcome!
- 4:02 AM: High alarm showing 157. Finger poke showed 185, and I gave a 5 unit insulin dose.
- 5:41 AM: Low alarm showing 58. Finger poke 82, so I recalibrated in the Dexcom app to correct the reading.
- 5:56 AM: Low alarm of 56. Based on the alarm 15 minutes earlier I did something I've never done before: I closed the Dexcom app so I could go back to sleep, and took off my Pebble watch so I could avoid the vibrations telling me there wasn't a Dex signal.
- 6:50 AM: Wake up and reopen the Dex app. Finger poke showed 54, so I ate 2 glucose tabs to correct.
- 6:58 AM: Respond to check in text from first line of defense Dex-watching friend.
- 7:16 AM: Respond to check in text from second line of defense Dex-watching friend. Dex shows sugar is 69 and climbing.
- 7:46 AM: Pack D supplies in purse and check watch to see 97 before leaving the house.
- 8:26 AM; Unpack D into my desk. Finger poke shows 118 vs. CGM 10. Recalibrate Dexcom, give 1 unit insulin to correct and 2 for breakfast.
- 8:50 AM: Log breakfast in MySugr app.
- 10:42 AM: Check Dex trend, currently 100.
- 11:16 AM: Watch shows 122, finger poke 159. Recalibrate again and take 3 units.
- 12:02 PM: Dex has 125, finger poke is 112. No recalibration, dose 3 units for lunch...ugly bleeder for this one!
- 12:33 PM: Log lunch in the MySugr app.
- 1:46 PM: Dexcom shows 104. No finger poke.
- 1:59 PM: Before leaving my building to drive to a presentation in another building, Dexcom shows 104, finger pokes are 86 and 91. Recalibrate to be safe before long meeting.
- 4:56 PM: Unpack purse at home and move insulin back to the fridge. Dex shows 66, finger pokes are 86 and 82. Recalibrate.
- 5:10 PM: Insert new Dexcom sensor replacing 8 day old sensor gone bad.
- 7:12 PM: Calibrate new sensor with tests of 123 and 126. Dose 2 units correction and 3 to cover dinner.
- 7:29 PM: Log dinner in MySugr app (pork rind breaded chicken tenders!).
- 8:46 PM: Urgent low glucose alarm 54, finger pokes 83 and 76. Recalibrate.
- 9:21 PM: Urgent low glucose alarm 51, finger pokes 72 and 75. Recalibrate.
- 9:25 PM: Give nightly basal dose of Toujeo.
- 9:55 PM: Urgent low glucose alarm of 49, finger shows 80. Recalibrate.
- 10:57 PM: Dexcom shows 121 and rising, finger poke is 91. Recalibrate.
- 11:30 PM: Admit surrender on new sensor and replace with a second new sensor.
- 11:40 PM: Finger poke is 112, dose 1 unit before bed.
- 2:33 AM: Calibrate new Dexcom sensor with results of 95 and 98.
- 6:08 AM: Dexcom shows 206, finger poke is 118. Recalibrate and dose 1 unit.
- 7:00 AM: Pack D gear for work.
- 7:33 AM: CGM shows 106, finger poke 110. Dose 2 units for breakfast and 1 correction.
- 7:51 AM: Log breakfast in MySugr.
- 9:20 AM: Dex shows 93.
- 9:54 AM: Dex is 89, finger poke 91 before heading into a 2 hour meeting. Glucose tabs into my pocket.
- 12:11 PM: Dex is 90, finger poke 89. Dose 3 units for lunch.
- 12:30 PM: Log lunch in MySugr.
- 3:01 PM: Phone died during 2:00 meeting showing 119. Finger poke 119, dose 1 unit.
- 3:15 PM: Afternoon snack, log in MySugr.
- 4:40 PM: Check before yard work shows 73, eat 3 peanut butter M&Ms to prevent a sugar drop.
- 6:31 PM: Dex requests 12 hour calibration. CGM 108, finger poke 130. Dose 2 units.
- 6:55 PM: Dose 3 units before dinner.
- 7:14 PM: Log dinner in MySugr.
- 8:15 PM: Nightly basal dose of Toujeo.
- 9:06 PM: glance at watch, shows 104. Recalibrate after finger poke of 94.
- 11:22 PM: Finger poke 96, Dex 93 before bed.
That's a rough snapshot of what T1 looked like for me over 48 hours. I'll admit that I check my sugar either on my wrist or on my phone a ton, but I didn't write it down most of the time because it felt ridiculous. I ate the same meals both days, but you can see I had different results in terms of insulin needs and glucose readings, plus I checked my sugar with finger pokes far more times on Monday due to maddening technology failures. This is what makes T1 so frustrating at times...same behavior, different result. Even on a much calmer day like Tuesday, taking care of things is never far from my mind.
FYI: when I check my watch, I'm still checking the Dexcom. The sensor on my arm transmits to my phone and that transmits to the watch. It's just another way to see where I am and is far more subtle than checking my phone. Every time I do a finger poke, take insulin, or eat anything...I log that activity in an app called MySugr so I have history available on how many units I took for different meals and what happened after that meal. Data!
The picture is what I use to insert a new Dex sensor. I accidentally set this one off one day making it useless as anything other than an example. I'd never seen the needle itself before and didn't realize it was so long.