Fallen Off Insulin Pump

I woke up early this morning and kind of felt like crap. I went to grab my insulin pump, and realized it was no longer attached to me. Sometime during the night it fell off, most probably after getting wrapped up in blankets.

I got the pump reattached and then did glucose. Sure enough, I was super high. I didn't have to be up for another couple of hours, but it's a good thing I caught it when I did; at the rate my glucose was rising, I probably would've been about 30 mmol/L if I waited to get up.

With my glucose being so high, I decided to do an injection. I've long thought that injections work better when I am super high; my rationale is that the pump takes quite awhile in real time to get that insulin into you whereas the injection is immediate. I would use the bolus wizard of my pump to figure out how much insulin needs to be done and then just cancel the bolus in order to do the injection.

My nurse and I have gotten into a few debates about this. She doesn't want me doing injections because then the pump has no record of the insulin going into your system (although she also doesn't buy that an injection brings my glucose level down faster than the pump does). But we came up with a great method so everyone is happy: do the injection, but also have the pump do the required amount of insulin into a sink. That way the pump has a record of it (and can also stop you from doubling up on insulin during the next few hours), and it also gives you the exact amount of insulin you need to do in an injection.

I don't know if my method actually works better or not, but at least in this way I have the peace of mind that an injection gives me when my glucose is high, while at the same time having everything recorded in the pump.