I'm just celebrating that I'm seeing a lot of nice, healthy, double-digit BG's in my meter window since I really buckled down on the carbs (<= 50 gm/day), figured out my insulin doses and started doing more exercise. Whew. It wasn't that long ago that my HMO's so-called "diabetes expert" had me on an I:C ratio that was all wrong (1:30 when my true I:C ratio is 1:4), I was eating WAY too many carbs and injecting insulin seemed like injecting water, for all the good it was doing my BG's.
Every time I see a reading between 75 and 120 I do a little happy dance. Finally all this effort is paying off.
If anyone is NOT having a happy dance day today, I understand. Managing diabetes SUX. But for the moment, I'm luxuriating in my itty-bitty meter readings.
My TDD is 50-80 units depending on my diet and activity. For me, I find absorption is more site dependant and less about amount. I have better absorption on my arms and torso than I do on my legs. Another absorption factor I have observed is how much the pod gets banged around. I have a 5 year old and sometimes she thinks I am her personal trampoline. Door jams can be a killer too if I’m not careful. If the cannula site gets banged around too much it starts to swell and I've notices that can impact the absorption. Many Omnipod users report higher BGL’s for a few hours after a pod change and I suspect this is also due to swelling from the cannula insertion.
Thanks for the info. I'm doing OK on MDI for now.
Hi Jean, just a post script. My experience is with MDI and MM pumps. Even with the small amounts of insulin I take, I have to be concerned with absorption. When on the pump, if I need a large bolus (for me), I take some or all with a syringe, perhaps in more than one place (the pump still giving the basal). In addition, the type of infusion set I use is the Sure-T, which has a metal needle that can be moved to a different spot without changing the whole set, unlike the teflon cannulas. If you ever decide to try a pump, be sure to investigate all the possibilities with a trainer who has experience with all the different types, and consider using the syringe in addition to the pump for large amounts of insulin -- you would still have the advantage of a continual drip of an accurate basal.
I use MDI most of the time now, but I use the method of using more than one spot when I've postponed or forgotten my bolus until after the meal; the more places, the faster the result (for me, anyhow).
Wow,that's a great idea I never would have thought of, Trudy! My biggest remaining problem is dawn phenom and the fact that I could set a variety of basal rates is really why I was interested in a pump in the first place.
I never thought about being able to bolus and correct without using the pump to do it. Very clever. I also never heard of a Sure-T and the ability to tweak the site without changing the set. That rules out the OmniPod, but still.
I also learned this month about giving IM shots to do small fast-acting corrections if needed. TuD is such a wealth of helpful information!
"...the more places, the faster the result..."
That's what I have found. If I'm injecting more than 8 units at a time, I break it into two shots. Now that I'm on a very low carb diet (<= 50 gm) I need smaller bolus injections, but my total daily basal is still 64 IU, which I break up into four sites.