FLATLINERS CLUB

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FLATLINERS CLUB

A club to share your successful and not so successful trends (graphs) from your CGM or Glucose Meters....

Members: 220
Latest Activity: 17 hours ago

The most elite Diabetes club on the net ;)

Below you will find FIVE different discussions to chose from to post your trends (Please do not post them on the main page)....

 

1. Flatline 12-24 hours (trends that you are proud to share).

 

2. Flatline 1-11 hours (trends that you are proud to share)

 

3. Rocky Mountains (low and high blood sugar peaks).- Days where we have very low blood sugars and the highest of high blood sugar peaks.

 

4. Rollercoaster- "lines that aren't flatlines, but aren't exactly Himalayas/Rocky mountains either" this is the in between area

 

5. What in the World? This is the area for those things that just are'nt right with your CgM trends.

 

Post your trends, don't be bashful. There's not many things better in a diabetics life than discussing glucose trends (good or bad) with other diabetics. Remember, the bottom line is this group is for support, not in anyway a competition.

 

 


Diabetes Forum

12-24 Hour Flatline

Started by Danny. Last reply by onesaint Sep 15. 2184 Replies

The below 24 hr trend is from Nate, a 15 year old type 1 Diabetic... with a little help from his mom Emily, they are achieving some of the most inspiring trends to date. A 15 year old producing 24 hr Flatlines??? wow! Need I say more?"WOW, a little…Continue

1-11 Hour Flatline

Started by Danny. Last reply by Terry May 29. 546 Replies

Kate, AKA Queen of the 1-11 hour Flatline area strikes again. She has managed to pull off a perfectly level 3 hour Flatline this time.... not an easy task to achieve. Good morning Sunshine indeed!Reply by Kate on May 24, 2011 at 4:44am"Good Morning,…Continue

Rocky Mountains (low valleys and HIGH peaks)

Started by Danny. Last reply by Terry May 18. 652 Replies

70-140 Range 11/14/2010 I had friends and family over and went a little crazy. I'm human! Does it look more like the Himalayas or Rocky Mountains? Hmm..  Post your not so flatline (low and high peaks) like photo's within this discussion. I…Continue

Rollercoasters

Started by FHS. Last reply by Terry May 28. 490 Replies

So, there has to be a category for lines that aren't flatlines, but aren't exactly Himalayas either. I thought, maybe, Appalachians, but I'm not sure if I'm even spelling the word correctly. How about just, 'Rollecoasters". Here's my attempt to…Continue

What in the world??

Started by onesaint. Last reply by Terry Jun 5. 153 Replies

This is the area for those things that just are'nt right. For instance from yesterday to today my Dexcom sensor has been off. If I fingerstick 100 the Dex says 180, if Im 150 the Dex says 260! So, the PG expression is "what in the world?" Normally,…Continue

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Comment by Terry on May 25, 2014 at 1:12pm

@AR - Great 24-hour line, especially with 75 miles of bicycling thrown into the mix. Your low @ 40 was the only negative. It's like you can do 99 things out of 100 well and the D will exploit that one thing you did wrong or missed! It's downright relentless and evil.

I don't know how your body can handle the alcohol. I find that I often get a crazy low at 3 in the morning if I drink, when the one-thing-at-a-time liver stops releasing glucose to metabolize the alcohol.

Your robust exercise combined with great BG control are much to your credit. You need to watch out, however, for those sneaky 40s ;-). In retrospect, I'm usually amazed at how competent I feel when I live through a low like that. It's part of why it fools me.

Good luck on the fund-raising tour. I expect to see a complete post here!

Comment by Terry on May 25, 2014 at 12:54pm

@hobbit - I'm surprised that Tandem chose to place their lower basal limit at 0.1 units/hour. Animas and I believe Medtronic both use 0.025 units/hour as their minimum basal rate. You've developed a sophisticate work-around with your dilution system. Are you ever afraid of miscalculating/mismatching the pump and dilution combination?

Hard and sustained exercise is really a specialty when it comes to dosing insulin. It seems like you have a great understanding about what to do. Acidrock, as you can read below, also knows how to deal with long duration exercise.

Your staircase routine at work reminds me of when I did the same thing at work before I retired. Timing that kind of routine with peak insulin action is really effective.

I'm glad to read some good reports, like yours, on the t:slim. I was tempted to buy that pump in December of 2012 but they had a no trial/no money back policy that prevented me from taking that risk.

Using temp rates like you do is one of the big advantages of a pump over MDI. I adjust my basal profile regularly to adapt to changing BG trends.

Happy hiking!

Comment by acidrock23 on May 25, 2014 at 10:51am

I had an interesting day yesterday. I have the Tour de Cure in 2 weeks so I had to do a long ride this weekend and, since it was a beautiful day yesterday, I figured I'd get it done! Unfortunately I woke up at 250 and was like $%#& but decided to do a couple of U IV to fix it rather than wait 4 hours for a CB to work. My pump calculated 4.5U to correct that mess so I shot like 2.25-5ish U and made coffee pumped tires and was down in the 90s c. 45 minutes later, had some breakfast and was all set.

More getting ready, some downdrift to around 70 so I had some more snacks, apple and milk, nothing too heavy, and set off. I had 2x bottles, one w/ 30G of Gatorade and one with 40, figuring if I blew through the 30, I'd want to be sure I had enough carbs. I also had 2 bags of Smartie Beans and a spare bag of some leftover Skittles from when I'd run out. I brought lunch, a peanut butter sandwich on Ezekiel bread, about 30G too.

The ride was fun, no BG adventures, a few navigation adventures. I wanted to ride out 37.5 miles and then back to get 75. about 32 miles, I popped out of the woods and saw the town my friend's bike store is in, the friend whose team I'm riding the TdC with, so I figured "well, it's just over there, I'll just mozy over, but some navigation adventures followed. After I found my way there, I ran into her, her husband and the race director, who was getting her new bike for the ride today, "Bike the Drive" in Chicago so I was glad I found my way there. Then, like the hobbit, I was back again. The return trip was up and down, some cramps in my thighs so maybe need to hydrate more next time. I kept to 13-14 mph average which was where I wanted to but then, perhaps as I brought my HR monitor along, my Garmin ran out of juice at 64 miles, still with a ways to go! I think I ran my BG down as I was concerned (for no reason...) about running out of carbs...) and I was 40 by the time I got home, no wonder that last hill was rough.

Last night, we rode over to our friends' house for a grown-up game night, with Cards Against Humanity and boozed it up, wine, beer and Wild Turkey and a fun bike ride home. I was glad to see the tasty BG this AM. I should probably try to do that every weekend?

Comment by 2hobbit1 on May 25, 2014 at 9:41am

Terry,
Envy your PC trail experience. Have done several sections on the AT over the years, a lot of weekend segments, and 1-2 week sections, some solo with pup for company. All at that point was done BC - before child - have done lots of day hikes/weekend trips AC with multiple summer's in the White Mountains. Now starting to revisit the old haunts with grown kids. Lots of fun memories revisited for all involved. Now trying to work in the now D with pump piece.
One of the reasons I've gone to the U-50, and may try U-10 on hiking trips, is my low insulin requirements and the tslim quirk of needing a minimal 0.1 basal rate. It can do .005 increments but needs the 0.1 minimal rate. That tidbit did not register when I was making pump choices since my basal on MDI was not that low. I played with stutter pumping, as in on/off rates to get lower averages, but had just started pumping one week before heading off to the Whites for vacation last year, so not a lot of hiking experience on pump. My agreement with pump team at the time was to cover exercise with carbs since I was so new, but it was very hard to do at the start of trip. Was a little better by the end but was using standard U100 at that point. Had a lot of fun with white knuckle driving through the NYC area driving my BG through the roof on trip up and back.

I can see with my day to day on U50 that i will drop/control a post meal spike by climbing the stairs from cafeteria to 5th floor. When hiking I did the equivalent of 100 floors in a 4 hour walk, so will still be a learning curve. If I go to U10 on hiking days will be able to run much lower temp rates that might work for mountain hiking.

For those who are interested/need diluted insulin novonordisk makes a diluent for novolog that you can get your endo to order. It is shipped to endo office only, then you need suplies to make the dilution. I get my endo to write for 5cc syringes and needles so I can make the diluted insulin. U-50, and U-10 are easy to make and fairly standard in the pediatric population. I was fortunate to work with that population so had resources to connect to with questions about what to get my docs to order to get correct diagnosis, and then how to work with my low daily TDD/very kid similar doseing requirements, especially as i tried to get back to my normal exercise/strength training routines. Not something that most adult endos are experienced with.

From what I have seen in the year if been using the tslim I do not regret my pump choice, have been able to adapt to U-50 pump programs, have my U-10 programmed already set up for summertime hiking vacations. With the tslim micro delivery have had no fears of accidental overdoses due to pump malfunctions. In fact the microdelivey has helped me stay on top of my Dex G4 trends - I get better control by running higher temp rates matched with extra bolus insulin when I splurge/go off track as life happens.

Comment by Terry on May 24, 2014 at 10:00am

hobbit - I was lucky enough to retire with full insurance benefits until Medicare age. I, too, am worried about paying for CGM sensors out of pocket once I reach age 65.

You will benefit for taking aggressive action now with your BGs. More than once I've seen reference to the long-term protective effects of post-diagnosis BG control period, even in cases when a subsequent period exhibits worse control.

With regard to your backpacking lows, have you tried turning the pump basal down to 0.025 units/hour? It's the smallest amount that current pump technology can deliver.

Good luck with your planned summer hikes. Exercise is so important to maintaing good BGs. By the way, I hiked a 150 mile stretch of the Pacific Crest Trail when I was 19. Not sure I could do that again at this age, with a 60 pound pack!

Comment by 2hobbit1 on May 23, 2014 at 7:45pm

Thanks Terry, While my planning for retirement has changed fairly abruptly due to my bday present, I am thankful that I have not needed to deal with it/complications over the long term. I am blessed to work for a pediatric healthcare provider who recognises the importance of preventive medicine, and treating chronic conditions aggressively up front rather than paying out long term for complications. Will probably need to delay my retirement since Medicare does not cover D stuff as well as my employer does especially since Medicare is not currently covering CGMs.
Will need to be stocking the shelves, and do not plan on retiring until I can get a dual channel pump. Want to retire in with my third pump.
My current focus is on how to work in the hard core exercise piece of the puzzle. One of the reasons I went to the U-50 was that when I go hiking/backpacking now I have crash and burn lows that I have trouble keeping on top of, on what was a easy hike in the past. If I suspend basal to help then I get a big time liver dump...still need a trickle of basal. I have been using the climbing effect to help control post meal numbers, but when I'm on the trail will not be as easy.

Will be heading to the Franconia Notch are of NH for this summer's vacation, and have a AT and Pacific Crest through hike on my bucket list - even if I have to do it in pieces.

Comment by Terry on May 23, 2014 at 7:07pm

While diabetes was a rude discovery at age 60, you have been saved the long-term effects of elevated blood glucose. Your low-dose diluted insulin regimen with attendant great control will go a long way to extending your remaining pancreatic function. In short - bad news but it could have been worse. Your aggressive and vigilant response will make your life better in the long run. Good luck! I look forward to many good reports from you on this site.

Comment by 2hobbit1 on May 23, 2014 at 6:38pm

Terry,
I'm fairly new to D compared to some - T1D was my surprise 60th birthday present. Have been using the G4 for 10 months and the tslim for 9 months. Think I have some residual pancreas function still since I do not tend to go below 60 unless I really goof up on my dosing. I'm ICA positive but not GAD, and have a low but not absent c-peptide. Endo codes me as LADA, treated as T1, but I was in DKA, with 480 BG at dx and had totally normal numbers at workplace health screenings just 6months prior. Work with kids so lots of fun viral exposures over the years.
At this point if I splurge on flash carbs(party time/night out), or do not get the timing or carb count right I will be up over 250-300 in a flash, if I do not stay on top of my G4 trends.
The micro delivery from the tslim seems to work very well for me. I don't need a huge amount of.insulin, had to get my team on board for the U-50 novolog and the slower trickle absorbs well for me. I found that the change from MDI to tslim required a 50% drop in insulin when using a slant set, not the 25% I was initially set up for. The first day was an adventure to say the least. Straight set don't work as well for me- need about a third more that I'm currently using with my comfort shorts.

Comment by Terry on May 23, 2014 at 6:17pm

hobbit - You have great control! With 92% in a 70-130 target range and only 1% low, that's quite an accomplishment. Have you had diabetes very long?

Comment by 2hobbit1 on May 23, 2014 at 5:34pm

Yes!!!

 

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