I have no idea why I am so irritable. I've been in this state ever since the wind storm exploded my allergies. Additionally, I'm making a huge number of typographical errors--consistently leaving letters out of words. I'm so totally over it! I'm also wondering if it's because I've been taking vastly more insulin.
But this post is not about the horrid, irritable mood I'm in. This post is about my recent implementation of the Medtronic Paradigm Real-Time Continuous Glucose Monitoring System with my MiniMed insulin pump.
I tried it for a whole week. I'm over it. I stopped using it today.
My objective was to have continuous information about my BG (blood glucose) level, test my BG less but be better informed. The continuous glucose monitor (CGM) did not accomplish that for me.
Things I liked:
- The sensor's transmitter looked cute and had a cleverly designed charger.
- The sensor provided a graph, with trend information, about my BG.
Things I hated:
- I had to test my BG far more often than I had been testing it.
- The new sensor that communicated wirelessly with the pump seemed to require constant attention: asking me to calibrate the sensor with another finger stick, notifying me my BG was out of range, telling me the sensor signal was weak, that there was a calibration error, that I would need to calibrate in 30 minutes, that my BG was high, that my BG was low, et. al.
- The sensor seemed to require attention at the most inconvenient times possible: test your BG for calibration now. But you're not supposed to test during or immediately after eating, exercising, or while your BG is changing significantly. Well, hell, it seemed to always know when that was or at 2:00AM when I'm sleeping, waking me up. This would have become a nightmare when I'm working.
- It requires a finger stick. No other testing location is acceptable. I stopped using my fingers years ago because it turns them black and blue and hurts like hell. I use my arm or thigh for BG monitoring. Those areas produce error readings when calibrating the sensor.
- The needle that inserts the wires into your body that read the BG level from the passing electrical charge in the interstitial tissue appears enormous. The nurse who trained me suggested I deaden the area before inserting it. And yes. Even after a cold compress, it was a very, very significant stick, dare I say "stab."
- Inserting the wire into my body for the sensor seemed very cumbersome and unnatural to me. Maybe I would have gotten better at it in time, but I felt as though I was fumbling with it every time.
- The transmitter had to be taped on for it to stay and not get pulled. I have a hairy stomach. This was problematic when I replaced the sensor.
- The damn sensor pulled out from the skin before it needed to be replaced. This happened with two sensors. They are ludicrously expensive to have them pull out and therefore need early replacement! One pulled out on the first day, even after being completely taped down. This is actually what served as the straw that broke the camel's back! The tape on the backside of the sensor itself did not hold it down to my skin. I didn't want an infection at the area where the wires went into my body.
The extra information that I learned from using the sensor: my BG skyrockets when I eat anything! It would go from 120 to 260 and be rising by 4 every 5 minutes. So, what would I do? I would take extra insulin. In this week, I gained 2 pounds! Gaining 2 pounds in one week is astounding to me! I already feel fat. Now I feel like a cow!
And worse yet, the insulin works so slowly, I would have to take about 80 units to achieve a result. Often, once the insulin began to work, within 30 minutes, my BG was low. Yet my body seemed to require such an absurd amount to even begin to impact the BG levels. This seemed very odd to me.
So, I gained weight. I'm not sure I really impacted my BG levels in any meaningful, sustained way and actually think I did not. I turned my fingers black and blue. I spent $130 out of pocket for medical supplies (the cost of the transmitter and one month's sensors).
The concept is good. I really like it. But... The application needs significant improvements before it will work for my life style. I want my diabetes management to be less intrusive and more effective, not, as was the case with the sensors, more intrusive with no improvement in outcomes for me.
Maybe this will work for others. Regrettably, it didn't work for me. I would have continued to work with it, but I am unwilling to have to stab myself more often with that large needle and waste sensors because they do not remain affixed to my body the way they should.
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