After a delightful day of doing very little yesterday (most of our day centered around our beach-side massage appointment), today was adventure day. We had booked a snorkeling trip that goes to two locations. The first is by the crater Molokini, and the second is colloquially called "Turtle Town." The "luxury catamaran" included post-snorkeling lunch and drinks as well as the requisite equipment.
Boarding the boat involved getting about waist deep in the water, so I removed my insulin pump for boarding. When I went to reattach it once aboard the boat, it was making a god-awful noise and telling me that it was experiencing a critical error. I was on a boat in the Pacific Ocean. Great timing! But, either way I knew it was only a few hours, and I was not about to abandon the trip we'd already paid for. So, I was going to make it work.
Earlier I was lamenting the hassle of dealing with my pump while snorkeling, so I guess the universe has a twisted sense of humor? Thankfully (and oddly) I had cell service as we set out for Molokini. I was able to call Medtronic customer service and cease the horrible alarm noise. But, attempts to reset the pump turned out to be futile, so I had to request a replacement. Of course it's impossible to overnight something to Hawaii without some sort of courier (earliest they could guarantee was Monday), and we return home Saturday. So, it should be waiting for me when I arrive home.
I am very thankful I brought back up insulin pens with me on the trip, though as I write this I am not 100% sure they are both still good. When not on the pump, I need two types of insulin - one long acting and one short acting. I have the short acting in a vial, as that is what goes into my pump. But, I don't have syringes to get it out of the vial (there is a whole thing for getting it into my pump). I also have it in pen form, which involves attaching a little needle that screws on to the top. I have plenty of those, but that requires the insulin to still be viable. I took some insulin upon our return to our room, but it takes a little time to start working. So, I am channeling my anxiety into a post!
I spoke with my doctor's office, and I had CVS here send a request for a prescription to him as an added precaution for the insulin I don't have in a vial. And I was assured by the pharmacist (or whoever I spoke with there) that they could sell me a few syringes if I need them without a prescription as long as I present the vial of insulin as my record there clearly reflects my diabetes. Of course, the CVS is 30 minutes away and only open from 10-6, because island life.
The good news is that it didn't dampen my spirits snorkeling.
I debated whether or not to use the floaty thing offered by the company. At first, I felt all like, "I can swim. Whatever." But, then the crew pointed out that even if you can swim well, you may not be used to 45 minutes doing so in the ocean. So I opted for the floaty thing, since I was already a little anxious. I am kind of afraid of the ocean - I blame my desert upbringing. At Molokini I saw some really cool looking fish of all colors, lots of urchin, and we even saw two reef sharks!
I asked one of the crew how healthy the reef we were on is currently, since I didn't notice a ton of color or much diversity. He said it wasn't too affected by the recent bleaching, but I kept reflecting on some of the snorkeling I had done many years ago. I snorkeled around Oahu in 2001, and I was fortunate enough to snorkel on the Great Barrier Reef in Australia in 1995 or maybe 1996. Both of those experiences were incredible - there was so much life both in terms of the fish and the coral itself.
I have watched many a nature special narrated by Sir David Attenborough, but this experience really cemented that we have a responsibility to preserve our oceans. We can and should do better. Okay, save our oceans PSA over.
The second stop was at Turtle Town, which is along the Makena Coast. This stop involved swimming much further, which made me grateful for my embarrassing floatation device. I saw at least a half dozen turtles - some seemed as big as a two-top table. Others got really close. At one point, I was about 3 feet from one swimming near the surface. Apparently this is a spot where turtles come to get cleaned by the fish in the area.
Swimming back to the boat was a workout, so at least I got some exercise while I was insulin-less for about 4 hours total.
As we boarded the boat, lunch was served, and the bar was open. I ate light and low-carb, save for a couple beers. I figured since I don't bolus (take insulin) for the carbs in beer (doctor's orders, because alcohol actually lowers blood sugar), and it would calm my anxiety (which can spike blood sugar), having a beer or two was not going to be a problem.
The lesson I take from this day is be careful what you wish for. I didn't want to deal with my pump on the boat and beach, and now my pump is a very expensive paperweight until I get my replacement on Saturday! Also, sometimes technology fails, so don't ditch the analog backup.
Boarding the boat involved getting about waist deep in the water, so I removed my insulin pump for boarding. When I went to reattach it once aboard the boat, it was making a god-awful noise and telling me that it was experiencing a critical error. I was on a boat in the Pacific Ocean. Great timing! But, either way I knew it was only a few hours, and I was not about to abandon the trip we'd already paid for. So, I was going to make it work.
Earlier I was lamenting the hassle of dealing with my pump while snorkeling, so I guess the universe has a twisted sense of humor? Thankfully (and oddly) I had cell service as we set out for Molokini. I was able to call Medtronic customer service and cease the horrible alarm noise. But, attempts to reset the pump turned out to be futile, so I had to request a replacement. Of course it's impossible to overnight something to Hawaii without some sort of courier (earliest they could guarantee was Monday), and we return home Saturday. So, it should be waiting for me when I arrive home.
I am very thankful I brought back up insulin pens with me on the trip, though as I write this I am not 100% sure they are both still good. When not on the pump, I need two types of insulin - one long acting and one short acting. I have the short acting in a vial, as that is what goes into my pump. But, I don't have syringes to get it out of the vial (there is a whole thing for getting it into my pump). I also have it in pen form, which involves attaching a little needle that screws on to the top. I have plenty of those, but that requires the insulin to still be viable. I took some insulin upon our return to our room, but it takes a little time to start working. So, I am channeling my anxiety into a post!
I spoke with my doctor's office, and I had CVS here send a request for a prescription to him as an added precaution for the insulin I don't have in a vial. And I was assured by the pharmacist (or whoever I spoke with there) that they could sell me a few syringes if I need them without a prescription as long as I present the vial of insulin as my record there clearly reflects my diabetes. Of course, the CVS is 30 minutes away and only open from 10-6, because island life.
The good news is that it didn't dampen my spirits snorkeling.
I debated whether or not to use the floaty thing offered by the company. At first, I felt all like, "I can swim. Whatever." But, then the crew pointed out that even if you can swim well, you may not be used to 45 minutes doing so in the ocean. So I opted for the floaty thing, since I was already a little anxious. I am kind of afraid of the ocean - I blame my desert upbringing. At Molokini I saw some really cool looking fish of all colors, lots of urchin, and we even saw two reef sharks!
I asked one of the crew how healthy the reef we were on is currently, since I didn't notice a ton of color or much diversity. He said it wasn't too affected by the recent bleaching, but I kept reflecting on some of the snorkeling I had done many years ago. I snorkeled around Oahu in 2001, and I was fortunate enough to snorkel on the Great Barrier Reef in Australia in 1995 or maybe 1996. Both of those experiences were incredible - there was so much life both in terms of the fish and the coral itself.
I have watched many a nature special narrated by Sir David Attenborough, but this experience really cemented that we have a responsibility to preserve our oceans. We can and should do better. Okay, save our oceans PSA over.
The second stop was at Turtle Town, which is along the Makena Coast. This stop involved swimming much further, which made me grateful for my embarrassing floatation device. I saw at least a half dozen turtles - some seemed as big as a two-top table. Others got really close. At one point, I was about 3 feet from one swimming near the surface. Apparently this is a spot where turtles come to get cleaned by the fish in the area.
Swimming back to the boat was a workout, so at least I got some exercise while I was insulin-less for about 4 hours total.
As we boarded the boat, lunch was served, and the bar was open. I ate light and low-carb, save for a couple beers. I figured since I don't bolus (take insulin) for the carbs in beer (doctor's orders, because alcohol actually lowers blood sugar), and it would calm my anxiety (which can spike blood sugar), having a beer or two was not going to be a problem.
The lesson I take from this day is be careful what you wish for. I didn't want to deal with my pump on the boat and beach, and now my pump is a very expensive paperweight until I get my replacement on Saturday! Also, sometimes technology fails, so don't ditch the analog backup.





















