Started on the pump today
This morning I switched from MDI to a MM722 pump. I had a 9 o'clock appointment at my Endo's office with my PA and pump trainer. I did a lot of pre-pump start research and calculated my own basal rate. I calculate a lower rate. Basically, It's 50% of the amount of the Lantus I was taking before. I have in the past few weeks tightened up on my carb counting and kept religious records. My bg was 159 at 9. When I got home I checked it because I hadn't actually eaten breakfast except for a nutrigran bar before I went to the training. When I got home my bg was 113. I ate chow mein dish w/70 carbs for a late lunch and bolused for it. Two hours later bg was 65. I treated for the and I then began to eat dinner. I just checked it and it is 101. I will monitor it until I go to bed. I am supposed to check my bg at midnight, 3 am and 6 am and report the readings tomorrow. I bet my basals may be set to high. More to follow. If anyone has anything to share I would appreciate it. Thanks.
Replies to This Discussion
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Permalink Reply by Mark Gombrich on -
You may not know it, but your giving me some needed encouragement. I start using my pump (Ping) this coming monday. I've been counting carbs for years, but I will let my CDE set my basal rate. At this point in life I'm not going to get rid my of Chicken feathers (lol).
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Permalink Reply by Richard P Cosgrove on -
I'll leave it up to the experts but I just wanted to know how things are figured like most things new to me. Good luck on your pump start Mark.
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Permalink Reply by Richard P Cosgrove on
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Just an update. I took another reading at 10. 91 and holding. So far so good. Now I got get up in the middle of the night to check.
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Permalink Reply by Dave _ on -
Welcome to the club! Pumping has been a lifesaver for me, these past 13 years, following 18 years of MDI h*ll.
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Permalink Reply by Richard P Cosgrove on
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Thanks for the encouragement and the welcome.
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Permalink Reply by Karen Doering on -
I have been Type 1 for 42 years and pumping for 7 of those years I am on my second pump the 722 as well.
I am not quite sure that I can offer much advise as each and everyone of us is so different.
I just had my latest A1C and it was 6.5, so my endo did not have much to say to me, but I am a bit odd as I use 11 different basal settings throughout the day. Recently I have changed my target number from 100 to 120 as I was having a lot of lows and that has helped a lot.
Another odd thing is that I have a 0.0 basal from 2-4 pm as I was having a lot of lows in the afternoon.
One more thing just when you think you have it all figured out you need to tweak again. :)
With diabetes every day is different and it is not an exact science, but oooooo the freedom the pump offers and no shots is huge.
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Permalink Reply by Cheri on -
Hi Richard -
Like Mark, you're giving me some encouragement! I have an appt tomorrow to talk to the Endo about getting a pump - I am in fairly good control - except for that darn Dawn Phenomenon. Waking up in a sweat every morning is enough to push me to the pump.
Good luck and keep us informed how you're doing.
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Permalink Reply by MelissaBL on -
Remember that your body is dealing with absorbing insulin at a different rate now, too. Lows aren't uncommon during the transition.
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Permalink Reply by Richard P Cosgrove on
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Update and thanks for all the encouragement. I got up at 12:00am and tested, bg 52. Treated and retested. 89 then 101. Went back, 3:00 am 89 and 6:00 82. Called my Endo this morning and she instructed me to add another basal - .50 from 9 to 5a. Change my sensitivity by +5 and carb ration by +1. Been checking and so far it's ok but I have to return next Friday for a review.
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Permalink Reply by Saya on -
way to go richard :]
i am waiting for my pump.i am not a pumper yet
but i know how it improves your numbers dramatically
so good luck
and keep us on how you doing :)
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Permalink Reply by Richard P Cosgrove on
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Update: Yesterday after making the changes to my basals, carb ratios and sensitivity ratio I have yet so far to have had any bad lows or extreme highs. I went to bed last night with a bg of 125. I got up at 2:00 am last night and my bg reading was 136. At wake up with a 161 but an hour and half later with my main basal setting kicking in, a 136. The rest of the day went just fine. I had a high of 198 at 9:30 but that was after eating coffee cake and by lunchtime it was 128. I just made my first site change today. One thing however was I noticed a little blood on the adhesive so when I got home I removed it, cleaned the site and changed my site and reservoir to the opposite side of my belly. Ready to go for another 2 to 3 days.
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Permalink Reply by Karen Doering on
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You sound like a pro!!
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