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Janis

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Reply with quote  #1 
Here, by special request, (drum roll......) is a new thread for those who have pumps or want to learn more about them.  Enjoy!
 
Below is a post that I placed elsewhere, but was asked to put in the new pumper section.  I hope it helps you all.
Janis

To test your basal rate, you need to see what your insulin need is without any food present.  Here is how to test it if you are a pump user (from Smart Pumping by Howard Wolpert:
 
To Check your Overnight Bolus:  Eat an early dinner (don't forget your meal bolus!). Eat no foods afterwards.  Begin evaluation at bedtime.  Check your blood 4-5 hours after your dinner bolus, at bedtime, midnight, 2-3 AM, and when you wake up.
 
How to evalute your results:  Your basal rates are correct if your BS does not increase or decrease more than 30-40 mg/dl during the evaluation period.
If your BS increases, you will need to increase your basal rate for this time period.  if your BS decreases, your rate needs to be lowered for this time period.  Make small changes - increase or decrease by 0.05 - 0.10 units/hour (or as instructed by your educator).
 
To Check Your Breakfast-time Bolus:  Check your BS when you wake up and begin evalution if your BS is between 100-150 mg/dl.  Skip breakfast.  Eat no food until lunch.
Test every 1-2 hours upon waking until lunch.  Evaluate as described in overnight section above.
 
To Check Your Lunch-time Bolus:  Check your BS level before lunch time and begin evaluation if your BS level is between 100-150 mg/dl.  Skip lunch.  Eat no food until dinner.  Check 4 hours after breakfast and every 1-2 hours until dinner.  Evaluate as described above.
 
To Check Your Dinner-time Bolus:  Check your BS level before dinner time and begin evaluation if your BS level is between 100-150 mg/dl.  Skip dinner.  Eat a bedtime snack or a late dinner and end the evaluation at that time.  Check 4 hours after lunch and every 1-2 hours until dinner time.  Evaluate as above.

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Red

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Reply with quote  #2 
 Thanks Janis! Regarding on the other thread. . .the Endo had changed my basal rate lowering it from the trainer and even taking two or three off.  I am bringing this to his attention.  I will call tomorrow and see if I can get in sooner.  He is great at calling back, regarding whatever question I had. The
first visit I think I told you, how he intimated me . . .second visit he was a stricked teddy bear!  I am testing the above you wrote and will do that Wed. for sure. Thanks again!  Have a good evening!

Terry, did you have any problems when you had your colonoscopy?  I had to reschedule mine for later, not thinking that I OK'ed if for  11a.  Now I have to be at the hospital at 5:30A!  This hospital you must be there two hours prior . . . at least Glenn is on vacation again that week too!  Close by his moms, so I suggested that he go there for breakfast.  Have a good evening too!

Things to do before "Hell's Kitchen" comes on!  Boy Chef gets my bp up!  CLINK TO YOU BOTH!  -  Paula

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Red

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Janis!  BJ brought up a very interesting point with the heat.  I was somewhat thinking of that something was wacky, because Glenn kept telling me my basal was high, but not thinking like BJ though. Could you explain too please?  I do agree with BJ, it does make a lot of sense.  Have a good day sweetie!  Clink! - Paula  YEAH, the weather folks are getting a prediction right....finally!  I love storms....well, not the tragic ones.


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Janis

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Reply with quote  #4 
Here's the scoop about pumping in the heat:
 
The body absorbs insulin more quickly when the weather is hot. This is why you may need to adjust your basal rate during the summer months. 
Janis

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richard157

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Reply with quote  #5 
I have made very little improvement in my overall control by pumping.  I had such good control while injecting my insulin, with an A1c below 6.0 for several years.  When I started pumping everything went haywire.  I had terrible highs and a few lows with hypos.  I abandoned my endo's settings on my pump and started my own program.  After two weeks I had decent BGL's.  Now I have pumped for 50 days and I am finally doing as well as when I was injecting.  As far as the BGL's are concerned the only improvement over injections I see is that there are fewer lows and highs but the average BGL is about the same so my A1c will eventually be the same too.  My range now for a typical day is 70-150.  I want to be 80-130 but I cannot seem to get that range yet.  My activities are very varied and things will settle down after September.  My 14 day average is 105.  I enjoy the freedom that pumping provides.

Richard

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Type 1 for 68 years. Using MM 523 pump. A1c = 5.8.
Red

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Reply with quote  #6 

 Thanks Janis!  It truly makes sense.  Since I started in Sept., the weather was fine, no questions with the heat.  My 7 day average is 109/14 being 119!  SO much better, and like Richard, I love pumping and agree adjustments need to be made. Like I said, first thing the Endo did was check what my basal set up was and said that was to high and changed them. NOW I know I am not  . . .  watch it! I am just uncomfortable adjusting it lower my self.  Making calls today!  Thanks for this Janis!  CLINK! - Paula


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Janis

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Reply with quote  #7 
Richard,
I know that you've been through a lot, but you are probably using less insulin with the pump, which is important.  It is healthier for your body to get the exact amount of insulin that it needs at the right time.
Janis

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Janis

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Quote:
Originally Posted by Red

 Thanks Janis!  It truly makes sense.  Since I started in Sept., the weather was fine, no questions with the heat.  My 7 day average is 109/14 being 119!  SO much better, and like Richard, I love pumping and agree adjustments need to be made. Like I said, first thing the Endo did was check what my basal set up was and said that was to high and changed them. NOW I know I am not  . . .  watch it! I am just uncomfortable adjusting it lower my self.  Making calls today!  Thanks for this Janis!  CLINK! - Paula


Good luck, Paula!  Keep us posted!
Janis

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Reply with quote  #9 
I haven't been able to get on here in awhile and I am thrilled to see this thread. I would like to see one like this one on dLife.

Right now my BG#s are not too good. I don't know if it is from the stress I have been under this month or the heat, or a combination. Hubby and I went to Beanblossom IN this weekend and did a lot of driving (5hrs) on Saturday and then was out side in the heat the rest of the day. I did not eat very much because it was so HOT! and I did not have much of an appetite. I checked my BG and it was 349!! I very rarely have #s that high! I did a correction bolus and it did come down ( I don't remember how much) and yes I drank lots of water. I don't like those highs ever for any reason!
My average BG right now is 150. I don't like that. I think I better do some basal testing and maybe give my endo a call too. I think I Will start the testing on Thursday or Friday. Janis when you do the testings, should you do all three in a roll on three consecutive days? ei:Thursday, Fri., sat.?

Thanks

 Terry Lee


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Reply with quote  #10 
Paula, I did not have any problem with the endoscopy itself. The preparation for the procedure the day before is the hardest part. Be sure to tell your Endo before you have it done and he can tell you how much to, or, not to bolus while on the liquid diet. Mine told me not to worry about bolus-sing unless my BG was high and do a correction bolus for that. My basal was kept the same.
I had absolutely no problem with the procedure itself. However I had three polyps removed and 10 days later I started bleeding from the bowels and was in the hospital for 24 hours and given 2 units of blood. No big deal. Really. The bleeding stopped on its own and I have not had any problem since. The doc. said it rarely happens. So don't be concerned. You probably don't have any polyps to worry about. But it is good to check it out and get it taken care of now. Polyps are easy to take of and left untreated they can develop into cancer. I am glad it has been taken of. I feel better having had it done.

 Terry Lee
Red

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Reply with quote  #11 

  Thanks TerryLee!  Yes, he said to have my basal at 0.20 and the nurse said I could put crystal light in the drink and jug in fridge with crystal light in individual glass when I drink it.   I have heard a few people say it is nasty.  Glad things went well with you, sorry about the latter. Does it make sense to you now about not wanting to eat and numbers dropping?  WOW....that was a high number.  I am going to do mine Wed. night. Take Care!  CLINK!- Paula


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Janis

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Reply with quote  #12 

Quote:
Originally Posted by Terrylee
I haven't been able to get on here in awhile and I am thrilled to see this thread. I would like to see one like this one on dLife.

Right now my BG#s are not too good. I don't know if it is from the stress I have been under this month or the heat, or a combination. Hubby and I went to Beanblossom IN this weekend and did a lot of driving (5hrs) on Saturday and then was out side in the heat the rest of the day. I did not eat very much because it was so HOT! and I did not have much of an appetite. I checked my BG and it was 349!! I very rarely have #s that high! I did a correction bolus and it did come down ( I don't remember how much) and yes I drank lots of water. I don't like those highs ever for any reason!
My average BG right now is 150. I don't like that. I think I better do some basal testing and maybe give my endo a call too. I think I Will start the testing on Thursday or Friday. Janis when you do the testings, should you do all three in a roll on three consecutive days? ei:Thursday, Fri., sat.?

Thanks

 Terry Lee


Hi Terry Lee,
I would wait several days in between each test.  Some people become stressed when they skip meals.  It is best to run the basal tests when your life is as typical as possible.
 
Stress can cause BS spikes to occur.  You said that you were extremely hot and had lost your appetite.  It is possible that your body was feeling flu-like and that caused your BS level to climb.  I don't believe that the pump was at fault because your blood sugar level came down as soon as you gave yourself a correction dose.  These problems don't usually happen often.  If you start to have more frequent spikes then you should re-adjust your pump settings.  If all seems fine now, all is probably well.
Janis


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JellyBeans

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Reply with quote  #13 
Hi, Love the new pumpers area!!!

I have a few questions that maybe someone in here can help me with. Julia has had 2 pump occlusion in 3 days. The canula has been bent at the tip when she has pulled the site to do a new one. She has just gone through a growth spurt upwards, but not out. It looks like she actually thined out more. She always pulls bottom, and leg sites, and I am not confident her arms are big enough. We use the inset which is a 90 angel, we've tried the comfort shorts before which are 45 degree angle. Julia kept getting minor infections with the comfort shorts, so her CDE changed her to the insets. She thought it might be the extra long canula. Changing sets worked for that.
Anyone have any advise?

Also, Janis I am aware that you do training for Animas. Tonight when we went to rewind our pump the pump gave us a code, and told us to call for service. What was explained to me is that the motor didn't respond, and that this code is not a problem, just a bother. If we have more codes like this then we need to call Animas, but they will not replace the pump unless we have had 3 in a month. Now if the motor did not respond, does that only happen during rewind? Will the pump alert me each time the motor decides not to work?


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Janis

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Reply with quote  #14 
Hi jellybeans,
I'm going to contact Animas to see what this is all about.  I'll get back to you.
Janis

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Red

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Reply with quote  #15 

JellyBean!  I too have the Animas (1250), and love it, then it again this is the one I started with too and checked into the information here when Animas was a sponsor for Janis and received the video too....anyway...I use the small canal ones, pink to be exact, and put it in any direction.  I only use them in the stomach area, including the side, and have never had a problem...well once I didn't take the tube off the needle!   I purchased the "clip on" /carry on bag for travaeling, a couple weeks ago and I truly love it due to the fact getting in and out of the car and the clip sliding on me.  It is VERY SECURE TOO!  I know Janis will get a response for her.  Good luck!  CLINK! - Paula


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