Favorite Things Friday: My Very-Precise Pod Change Procedure

One Friday per month, I’ll write about my favorite things that make life with diabetes a little easier for me.

Not too long ago, it occurred to me that I am very, very, very, very, very strict about following a specific protocol every three days when I change my pod. In fact, it rarely deviates, but when it does (due to circumstances beyond my control), it throws me off track, like, a lot…which is why the way I do it is my favorite way.

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Detritus from a typical set of site changes.

What’s so precise about my pod change procedure? Let me walk you through it…

Step 1) The numero uno thing I do, a half hour before I start my procedure for real, is remove a vial of insulin from the refrigerator. I’ve always been told that it’s important to let the insulin reach room temperature for at least 30 minutes before I start the pod change process. My mother was the one who told me that this step is crucial, because years ago, she’d heard from a representative at Insulet that room temperature insulin works best with pods for whatever reason.

Step 2) Once my insulin has reached room temperature, I set myself up at the island in the kitchen to go through the rest of the process. I make sure I have a totally clear area and ample lighting before I start on step #2.

Step 3) Next, I take an alcohol swab and wipe the top of the insulin vial that I’m drawing insulin from, and then I wipe my new site.

Step 4) Before even touching my PDM, I grab my syringe, stick it into the vial, and suck up the amount of insulin I’ll need for the next three days. This is usually somewhere between 100 and 150 units.

Step 5) This is where I deactivate my old pod, and jab at the buttons on my PDM to start the new pod activation process. The only reason why I get insulin into the syringe first is to minimize the amount of time I spend without a pod on my body. You might be surprised to learn that a short period of time without insulin can make a difference on blood sugar levels, but that’s just the way it is.

Step 6) I fill the new pod with insulin and hit a button to get it to start priming. During the priming period, I use an adhesive wipe around the new pod’s site to help it stick better to my skin.

Step 7) I finish up the process of removing the pod’s needle cap, then the adhesive stickers. I apply it with care to the new site and put pressure on it as I wait for the cannula to inject itself under my skin’s surface. And then I’m good to go!

Of course, I can’t always follow these steps as I’ve outlined them above. And while it messes me up a bit, and I usually have to take a little longer to change it, I roll with the punches and get it done. For instance, when I last visited Disney World, I had to change my pod in one of the park’s dimly-lit family restrooms with my mom using her outstretched hands as my mini work surface…far from ideal, but it was what it was.

Like all things associated with diabetes, I guess that I take comfort in keeping a routine, even with something as minor as a pod change.

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Favorite Things Friday: My Fave Carb Counting App

One Friday per month, I’ll write about my favorite things that make life with diabetes a little easier for me.

I’ve written about my favorite diabetes-specific apps in the past, but I’ve also got a couple others that aren’t directly related to T1D that are mainstays on my iPhone. But there’s one in particular that 1) on the surface, has nothing to do with diabetes and 2) has been exceedingly helpful at giving me guidance when it comes to carb counting in certain situations. So without further ado, let me share the name and what I like so much about the app itself.

MyFitnessPal is my carb-counting app of choice. As the name implies, it’s an app that revolves around, well, fitness. It’s designed to provide users with a comprehensive log that tracks activity levels, food/water intake, nutrition information, and so much more. Initially, I downloaded it to keep a record of my daily calorie consumption and quickly discovered that it wouldn’t only help me figure out what dietary changes I needed to make, but it would also improve my carb counting.

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An example of MyFitnessPal in action – if I wanted to know the carb count in a cup of veggie soup from Panera, I can find it by simply searching for it within the app. 

How? The app contains a comprehensive food library – sort of like the one that’s built into the OmniPod PDM, except this one is much, MUCH more substantial. It includes foods from fast food restaurants, regular dining establishments, grocery stores, and just about any other place you could order food from. It’s been an absolute godsend in situations in which I’m really struggling to figure out how many carbs are in a dish that I’d like to order/buy. It’s not an end-all, be-all source of information – just like anything else in life, the food library isn’t flawless – but it’s a solid starting point when it comes to foods I’m less familiar with.

In addition to showing me how many carbs I consume in a day, the app has also taught me how logging simple information related to diabetes can go a long way in establishing trends, such as how different foods affect my blood sugar. The act of logging or writing something down can sound like a pain, but really, the few minutes it takes each day is worth the knowledge it ultimately imparts.

Readers, what about you? Do you use carb-counting apps? If so, which ones and why? I’m especially curious in hearing feedback from anyone who uses Figwee – I’ve heard nothing but praise for that one. Drop a comment here, tweet at me, or leave a note on my Instagram page about your favorite carb-counting app!

Favorite Things Friday: My Myabetic Backpack

One Friday per month, I’ll write about my favorite things that make life with diabetes a little easier for me.

It’s no secret that I love Myabetic products. In fact, I wrote a whole #FavoriteThingsFriday post on the brand last year. So why am I revisiting it now?

Because I recently purchased a Myabetic backpack, and it didn’t take long for it to become my all-time favorite Myabetic item that I own.

There’s lots to love about the Brandy backpack. For starters, it comes in this gorgeous frosty pink shade that reminds me of ballet slippers and bows and bubblegum and peonies and tons of other similarly hued, lovely things. But it’s so much more than pretty, it’s also extremely practical. I was sick of lugging around a giant handbag with me everywhere I went. It would weigh my shoulders down and it took up too much space.

The Brandy backpack, though, makes use of the space it takes up with tons of built-in compartments specially designed for various diabetes devices, on top of lifestyle items. I can fit my entire test kit in the front pouch, leaving the main area open for my wallet, keys, cell phone charger, and other items. I can also keep a vial of insulin in the insulated back pocket stitched in the interior of the backpack, which is super handy for when I’m traveling.

Plus, there’s even a large opening in the back of the backpack – the part that lies securely against my back when I’m wearing it – for me to store my phone and a few other lifestyle-y items. It’s actually pretty amazing how much the cute little bag can fit.

Proof that diabetes style can be without shame, indeed.

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Favorite Things Friday: My SPIBelt

One Friday per month, I’ll write about my favorite things that make life with diabetes a little easier for me.

For most people with diabetes, there’s no such thing as traveling light.

It doesn’t matter if we’re packing for a vacation or taking a brisk afternoon stroll – we’ve got to have a certain amount of supplies on hand in order to be prepared for any number of scenarios that could occur while we’re “away”.

As you can imagine, this can be pretty annoying, especially when it comes to simple matters like leaving the house for 20-30 minutes. It’s not like we can go out empty-handed. We need to stash our purses/backpacks/bags with the appropriate diabetes supplies, and it can get pretty bulky. I used to find it especially cumbersome if I was just trying to go for a walk in the neighborhood and had no choice but to carry a purse with me the entire way, which slowed me down and frustrated me.

Then I got my SPIBelt.

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My Dexcom SPIBelt

This miniature fanny pack changed everything for me! It looks small, but stretches to hold all of my essentials for when I head out on runs or longer walks. I can fit my cell phone, glucose tablets, and OmniPod PDM in the tiny pouch. There’s even enough room leftover for my dog’s treats and poo bags, leaving my arms and hands free to hold his leash when we go on walks together.

Other features of my SPIBelt include a slit in the pouch for earbuds, a secure clip in the back, and adjustable waistband so it can fit snug to the body, no matter how many layers of clothing I’m wearing. And unlike other armbands, pouches, and drawstring bags I’ve used in the past, my SPIBelt is actually comfortable. It stays in one place, so I’m not distracted by constant movement around my waist. I was definitely impressed by it the first time I took it on a run and didn’t have to keep on adjusting it as I moved. It’s much more discreet and doesn’t look quite as “old-school” as fanny packs or other similar bags.

This particular SPIBelt was given to me by Dexcom as a thank you for participating in their G6 ad campaign, but as I’ve come to find out, SPIBelts are widely available online and in stores.

Favorite Things Friday: My OmniPod

One Friday per month, I’ll write about my favorite things that make life with diabetes a little easier for me.

This month’s favorite thing is so damn obvious that it’s kind of shocking I haven’t written about it yet on the blog: my OmniPod insulin pump.

I love the friggen’ thing.

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My OmniPod PDM.

I don’t know if it’s because pumping works better for me in general over multiple daily injections (MDIs), or if it’s because the OmniPod is simply the perfect pump for me. Honestly, it’s probably a combination of the two. I love how convenient it is – I can deliver insulin any time, any place, I don’t have to worry about tubing getting caught on random objects, and it lasts me for three full days (of course, only if it’s working properly…I’d estimate that it does about 90% of the time). And I love that my dosages are so much more precise compared to how they used to be when I was doing MDIs. It gives me more control, knowing that I can dose in .05 increments according to my current blood sugar levels and carbohydrate intakes.

However, it is merely another piece of diabetes technology, meaning that it does have some flaws. Sometimes pods fail for the silliest reasons, such as coming into contact with static electricity. And other times pods don’t work for no damn good reason at all, without giving the user proper notice (in the case of bent cannulas, something I recently encountered).

But for the vast majority of the time, I love my OmniPod. I’m still surprised to how quickly I adjusted to the system – the first week or two was tough, but then it was relatively smooth sailing after that period. I think it was easy for me to get used to another wearable device, because I’d already been wearing my Dexcom for a couple years by the time I got my OmniPod.

Will I wear my OmniPod for many years to come? Or will I want to switch things up and give another pump a try? Only time will tell, but for now, I think I’ll stick with what I know best in the world of insulin pumping.

Favorite Things Friday: My Secret Snack Stash at Work

One Friday per month, I’ll write about my favorite things that make life with diabetes a little easier for me.

So, I’m going to cross my fingers and hope that none of my coworkers read my blog…because then my secret snack stash at work will become not-so-secret, and that could mean trouble for me when dealing with future low blood sugars. That being said, if you’re reading this and you work with me…stay away from the stash!!!

As I was saying…

I love having a snack stash stored away in one of the drawers at my cubicle. I like to stock it with snacks that have varying carbohydrate counts: more carbs for lower lows, and fewer carbs for the not-urgent lows. The items may vary from time to time, but usually, I keep the drawer filled with the following snacks:

  • Mini Lara bars (10 carbs)
  • Mini boxes of raisins (11 carbs)
  • Fruit snacks (all kinds, ranging from 10 carbs to 21 carbs)
  • Peanut butter crackers (15 carbs)

Sometimes, I’ll even add a jar of glucose tablets (which contains 50-60 tabs) to the lot. Glucose tablets are far less tempting to munch on then, say, a cracker pack, so when I’m dealing with a raging-hunger kind of low, it helps to have the tabs within reach because they prevent me from over-treating.

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In order to throw off coworkers (who are most definitely, probably not reading this post), I’ll share an image of my old snack CORNER. I’ve upgraded to a drawer now.

And when all else fails and my snack stash is depleted, at least I’ve got access to a fully-stocked Coca-Cola machine in my office suite, as well as a vending machine filled with all sorts of confections in the building’s basement.

But let’s be real here…who can possibly exercise enough self-control to stop eating a package of Skittles when low blood sugar comes ’round?

Favorite Things Friday: Lavender Sleep Balm

One Friday per month, I’ll write about my favorite things that make life with diabetes a little easier for me.

Diabetes and sleep can be mortal enemies. Some nights, I can sleep soundly for a full eight hours. Other nights, my sleep is interrupted three or four times by my CGM, buzzing and beeping to alert me to low or high blood sugar. It’s just as annoying as it sounds, and it’s even worse when I can’t fall back asleep after correcting accordingly. And even though I only experience interrupted sleep like this on a sporadic basis, that doesn’t make getting a sound night of sleep any less important to me.

And luckily, I’ve found something that helps me accomplish just that: lavender sleep balm.

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I stumbled across it in a Target store a few months ago. I’d always known about aromatherapy and its alleged benefits, but I was definitely skeptical about it. How was I supposed to believe that sniffing essence of, well, anything would boost my mood, erase stress, or lull me to sleep?

I brushed my doubts aside and decided to give the balm a try. The instructions were simple: Massage a bit of it onto my pulse points, jump into bed, and let the soothing scents of lavender and bergamot calm me down into a blissful sleep.

The first time I tried it, I applied it to each side of my neck and on my wrists, dabbing it into my skin like a perfume. I breathed it in deeply – even if this stuff didn’t do what it promised, at least it smelled really nice. I’ve always liked the smell of lavender.

And then I don’t remember what happened next, because soon after I got into bed, I fell asleep. It…worked? And it has seemingly continued to work every night that I’ve remembered to apply it…

Don’t get me wrong here – I don’t think this balm is equivalent to a magical sleeping tonic or anything like that. But I do think that it’s a nice, relaxing thing to incorporate into my bedtime routine. I strongly suspect that the self-care aspect of it is what truly calms my mind and body down. Who knows, though? Maybe I should do a little more research into aromatherapy and learn the science behind it.

In addition to helping me sleep peacefully in spite of my diabetes, maybe it could even help me deal with the stress that it can sometimes inflict on me, as well.