Someone asked if I could make sure to let everyone know how the change in insulin is going since the blood-sugar debacle last weekend. Well, it's hard to say what the cause was, whether it was just the change to Humalog from Apidra or if it was because the bottle was expired. The reason it's hard to tell is because after all that mess, I just switched to Apidra rather than mess with another vial of Humalog. Plus my last vial of Humalog also expires 03/2010.
Anyway, I still have my theories. My blood sugars have been dramatically better since the switch back. Hugely better. I had been having minor issues with my numbers even before the ridiculousness that was the other night. Just little things, like slightly elevated morning numbers and stubborn sugars after meals. It was stuff that wasn't happening when I was first on the pump and the only two things I could think of that could be related was my period and a cold I was fighting a couple of weeks ago. But then they both came and went and the bad sugars were still hanging on. I was stumped.
Until the other night. It was then, in my troubleshooting haze, that I realized it could all have been related to the insulin. The soft signs up front could have been the first indications that maybe Humalog was not the right insulin for me. And Humalog worked for me for years so I'm not saying that I can just never use it. But I think that it would take some fiddling with my basals and maybe even my sensitivity factor to make it work like the Apidra was working. My body just seems to love that stuff!
So I've thought about it and Google'd it and heard from other T1's moms who have gone through a pregnancy on Apidra without incident . . . and it seems like my Endo may have been overly cautious when she recommended stopping Apidra during pregnancy. And I totally get that. I would even prefer that kind of attitude when it comes to medicine. However, in my case, I think it's obvious that Apidra just works better for me. And maybe 2-3 weeks doesn't prove anything but ultimately the chances of a baby being hurt by the kind of insulin I'm taking are much, much lower than the chances of a baby being hurt by chronically high blood sugars.
So I think I'm going to talk with my Endo at my next appointment and see if she'll give me the okay to use Apidra during pregnancy. I'm hoping she'll be as convinced by the numbers as I am. Until then I'll finish up this bottle and then start back on a fresh batch of Humalog. I'll let you know how it goes.
2 days ago