{"id":19390,"date":"2011-08-31T12:02:00","date_gmt":"2011-08-31T16:02:00","guid":{"rendered":"http:\/\/asweetlife.org\/?p=19390"},"modified":"2015-12-27T15:41:52","modified_gmt":"2015-12-27T20:41:52","slug":"the-accidental-bolus","status":"publish","type":"post","link":"https:\/\/asweetlife.org\/?p=19390","title":{"rendered":"The Accidental Bolus"},"content":{"rendered":"

I celebrated my 42nd<\/sup> birthday yesterday. I don\u2019t usually like birthdays, at least not my own, but this one was low key and quite pleasant. Celebrations started the night before, when Jessica and I went out to dinner for the first time since her birthday eight months ago. \u00a0My birthday morning started a little later than most running days. I let myself sleep in until 5:00am and went running with a friend at 6:00am. We ran eight miles at a comfortable pace and I was back home by 7:30am.<\/p>\n

The rest of the day was uneventful except for a few birthday emails, texts and phone calls. I don\u2019t know why but I wasn\u2019t reflective or depressed this year as I usually am on my birthdays.<\/p>\n

\"Pizza\"<\/a>When it came time to decide about dinner Jessica suggested I give myself a break \u201cLet\u2019s order pizza,” she said. \u00a0\u00a0“It\u2019s been so long.\u201d<\/p>\n

I hesitated. It has been more than a year since I went paleo, and gave up dairy, grains and potatoes.\u00a0 And much longer since I’d eaten pizza or any carb based meal.<\/p>\n

“I won’t try to talk you into it,” Jessica said, “but I think you deserve it.”<\/p>\n

It didn\u2019t take much convincing.\u00a0 We ordered pizza from a good place which makes very thin crust brick oven pizza. Shortly before the pizza arrived my mother came over with a very good bottle of wine to make the evening perfect. When the pizza arrived I checked my blood sugar (97). Before bolusing, I tried to estimate how many grams of carbs I was going to eat. I had no idea. I estimated 100 grams of carb in the few slices I intended to eat. But Jessica said \u201cno way maybe 60.\u201d I compromised and punched 80grams into my bolus wizard. (Thanks Medtronic, I love this feature.)<\/p>\n

I ate the pizza and enjoyed it so much. I had forgotten how much I like it (love it). The whole meal was great – just pizza, salad and a fantastic bottle of wine. It was a perfect birthday dinner and I\u2018m happy Jess suggested it. When it was all over, and hour and a half after I bolused, my blood sugar was 191<\/strong>. I took a correction bolus. \u00a0At 11:30 p.m., my blood sugar was 264. I was a little surprised but decide to correct it again using the bolus wizard and went to sleep.<\/p>\n

When the alarm went off at 4:01 I was dazed. The late night of wine and pizza had taken its toll and I had to drag myself out of bed. I imagine that had I not agreed to meet up with some friends for a serious six mile tempo run, I would have just taken a day off.<\/p>\n

I checked my blood sugar (181<\/strong>), got dressed and had some coffee. At 4:30am my blood sugar was 166<\/strong>. As I always do, I plugged the number into my pump but instead of cancelling the bolus, I accidentally took 1.3 units of insulin. The second I did it, I realized what I’d done.\u00a0\u00a0 But tired as I was, I didn\u2019t even think of disconnecting.\u00a0\u00a0 Instead I just said \u201cshit\u201d out loud and ate a handful of grapes.<\/p>\n

At 5:30am despite the accidental bolus, I was a perfect 140<\/strong>. We started to run at a slow pace. I felt sluggish and tired which I thought was a very normal state to be in after sleeping four-and-a-half hours and eating pizza and drinking wine. But after a mile-and-a-half warm up I checked my blood sugar. It was 61<\/strong>. I took a gel and continued to run, delaying starting the 6 mile tempo run for a few more minutes. A half mile later I tested again.\u00a0 This time I knew I was low. I could feel it.\u00a0 I had no energy and was weak. My blood sugar was 49<\/strong>. I took another gel, said goodbye to my friends and started to walk back towards my car. I tried to run a little more but just couldn\u2019t.<\/p>\n

Walking back I thought to myself, this is why I don\u2019t eat pizza anymore<\/em>.<\/p>\n

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…<\/p>\n","protected":false},"author":129,"featured_media":53098,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1501],"tags":[],"yoast_head":"\nThe Accidental Bolus<\/title>\n<meta name=\"description\" content=\"I plugged the number into my pump but instead of cancelling the bolus, I accidentally took 1.3 units of insulin. I didn\u2019t even think of disconnecting. 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