The Five Stages to an unplanned set change.

1) Surprise

Oh.  Look.  A 530.  Where did that come from?  I better bolus him for it.  La La Laaaa.

2) Hope

Oh.  Look.  He’s 513 a half hour later.  Maybe it’s working.  La Dee Dah Daaaa.

3) Denial

Oh.  Still 513.  He probably has ketones and needs more insulin.  Ta dah!

4) Rage bolus

CRAP!!!!!  Throw all the insulin at him!  BLARGH!

5) Tentative rip off

Oh.  He is back up to 530, (like he ever left there?) and nothing is working.  I will slowly, carefully peel off his set and hope there is evidence of some kind that the set is kinked, or blocked.  (Hint: There rarely is evidence.)  Pfftt.

Eventually, after all the stages, the set is changed.

It is always the right thing. 

I don’t know why I make it so hard.