I hate site-change days. It's not often that I use that word, but really, I hate days like today.

I was rushed this morning. I had planned to get up earlier than I did anticipating that I'd need to do a complete site and reservoir change. Didn't happen -- the getting up early part. As I sat at the table watching the kids eat breakfast, I felt myself rushing through the site-change ritual, even getting the infusion set tape stuck to the side of the QuickSerter. That's never good.

Take deep breaths, Michelle, I told myself. Slow down, I said. You're going to wind up with a bad site if you don't. So I did. Sort of. Well, enough to get my infusion set inserted.

It seems that no matter what I try, my results are never the same, I can never quite put my finger on the best thing to do. Not long ago, I started leaving the old set in for several hours -- sometimes forgetting about it for the whole work day -- to ensure that any insulin right at that spot would be absorbed and not affect my post-breakfast readings. Around the same time, I also doubled my fixed prime from 0.5 to 1.

Sometimes these things seem to make a difference, and I am totally willing to accept a slightly higher post-prandial than normal on a site-change morning. But when I eat a similar breakfast to that of the rest of the week and wind up with a 239 after breakfast this morning, I tend to get discouraged. Even moreso when Toohey says I only need a 0.7 correction bolus.

I know there are a zillion things that could have contributed to this morning's high -- where my new site is, the stress of a one-hour commute and freaking rubber neckers, not getting enough sleep last night, the fact that I was rushing this morning, all the crap I have on my mind lately that kept me from falling asleep last night...

I guess I'll have to resolve that this may be one of those diabetes idiosyncrasies that I may never fully understand.