You are champions, those with Type 1. I need some advice. (Sorry this is long....)
For the past three days:
7a 258 correction
12a 90 Unfortunately, it was a burger big bite from 7-11, only ate 1/2 the bread, but it was an unknown food substance, so a guess....
130p 279 correction
230p 284 continues to rise, so correct again (I know, BOB, but I also know that when my glucose is above 200, it takes a LOT more insulin to bring it down)
5 p 197 small correction
6 p 156 dinner, left BOB to do its job
9 p 118 finally a good number
Friday and Saturday were a mirror image of Thursday.
7am 134 correction + food with a small breakfast (13 carbs)
11a 167 correction + food (something I eat all the time and know how to bolus for)
12p 297 correction
2 p 227 correction
3p 187, new site, new bottle of insulin, additional correction.
I did have a hard low on Wednesday night, so I can chalk Thursday up to its aftermath. But no lows, obviously, since then. I have changed sites twice, changed to a new bottle of insulin (just recently) and am running out of ideas. Even tried a brand new site, never used before, which is hard after 10 years of pumping! What worries me is that this is becoming a very unhealthy trend, one I am not used to (average glucose is 80 to 110)
Now, this was a road trip with the grandchildren and their parents. We ate in the condo every night, so there were not secret restaurant carbs to accuse. Great cool mountain weather, not sick, no idea what is making this happen. Oh, no ketones.
So the Question for my Champions is HUH?!?!?! Ideas? Just looked at the CGM numbers and glucose had fall en to 175, but has risen to 175 in 30 minutes.
Hi Spock. Might be nothing more than some changes in your basal rates need to be made. I mean you've done all the logical things, changed sites, changed insulin, and if that is not making much difference maybe its more just a tweak in your basals need to be made for whatever reason. Good luck, I know I hate when my numbers get screwy for no apparant reason.
Not sure what time it is for you, but I'll be interested to see what happens the rest of today. It sure screamed "site problem" to me. I also had a spate of "absorption problems" awhile back where the site wasn't exactly "bad" because with enough correcting it would eventually get down, but then it popped back up again. Have you tried switching to another location on your body?
I thought about basal, and have adjusted some. Afraid of comittment for the long haul...
I truly suffer with site absobtion issues, after ten years of pump and four of CGM, I am running out of real estate. My husband always says it is the equipment. I have gone through three infusion sets in 3 days.
Another question: I have tried to site the pump insert on my thigh, but could not sleep. Hard to reach the behind, and the CGM goes on the abdomen. Where do you use?
I rotate between thigh, abdomen and hips. I like my hips the best because they seem out of the way, but there isn't as much space there.I don't have a CGM but can't the pump infusion set be on one side of the abdomen and the cgm on the other? I think the abdomen has the best absorption. Just curious, why would the infusion set being on your thigh keep you from sleeping? I never feel the infusion site (unless it's bad and gets painful). it's only the pump itself I have to arrange for sleep. I use the 43 inch tubing so I can really put the pump wherever I want regardless of infusion site. Since I sleep on my stomach or sides I just swing the pump around to my back and it doesn't bother me at all.
Stomach, lower back, thighs, upper butt. I find the thighs can be unreliable. I stopped using CGM partially because I'm concerned about scar tissue.
Looks like maybe your I:C ratios at lunch could be tweaked up some. and maybe upping basal rates (I'm not on a pump so i'm not sure how thats done lol)
Not a champion :) , however will this question fit into your picture : road trip sitting in the car longer than usual and less movement ??? I use the temp basal and up it by 165 percent , starting one hour approx prior, when inactive .
I use my thighs, outer arms ...
I also use a 1/2 cc needle when to correct at over 10 ( 180), and no insulin on board ; comes down faster for me .I disconnect , correct and let the insulin flow on 'where ever " ...so I have a record of the correcion in the pump .
If it keeps up, you might try to correct with a shot or even switch to shots for a few days to see what happens if you eliminate pump/absorbtion issues.
Hi Spock, You have used a term that I like "Champions". There are some true Champions here. I'm not one of them so I will leave your question to the Champions.
Anyone with diabetes is a CHAMPION, be they T1, T2, T1.5...... It does not matter. We all struggle every day. You are most definately a champion.
These readings are from finger sticks, not CGM correct?
I know others may disagree, but I am very wary of changing basal levels or IC ration throughout the day without specific reasons. I would seriously consider increasing your overall basal a little, though. Maybe decreased insulin sensitivity. You could've lost or gained a little weight. Hormones?
See if the fresh insulin helps first. I had a similar pattern, once, with a bad bottle of Apidra. Good luck and let us know how it turns out.
All were blood monitor readings, not CGM. The CGM really helps me, but it is often inaccurate, so I never trust it for dosing.