Replies to This Discussion

Permalink Reply by MegaMinxX on November 5, 2011 at 8:57pm

I typically only use syringe when I suspect there is a problem with absorption at the infusion site (or it's been 3+ days), and I have BG above 200 or plan to eat > 30 carbs. (For me, 1 unit can bring down 100 points)

It's also somewhat 'intuition' and just feeling that insulin via the pump is a bit sluggish to respond. It helps that I have CGMS, and can watch to see how long it takes from bolus to a change on CGMS.

I also find if I bolus a dual wave correction, it helps too. For example, if I need a correction of 1.0 (and my infusion site is 'good'), then I might add .5 in addition over 1 hour, because high BG increases insulin resistance. But I can watch the CGMS, and if it starts dropping too quick, I can cancel the wave. So I tend to favor correction via the pump whenever possible. Or I guess one could do a combination.

Permalink Reply by lisa c on November 6, 2011 at 3:18am

if I do not come down after 1-2 hours of a correction bolus, I assume its a pump/ absorption problem, and inject with syringe. remember to chug tons of water with correction always as it helps with the reception of the insulin. once we get deydrated, the insulin is not easy to receive.

Permalink Reply by Jennifer on November 6, 2011 at 6:28am

I have never given myself syringe on a high.. just use the wizard and bolus and if it is more then the 25 units that the pump can give in one bolus, manual bolus whatever more you need...No sense in giving a shot..

Permalink Reply by MelissaBL on November 6, 2011 at 1:43pm

I use a syringe, like others, when I think the pump or site isn't working for me, such as a couple hours after a correction bolus that should have brought me down.

Permalink Reply by packrat on November 6, 2011 at 3:55pm

if your pump goes bad or your infusion site is bad, your BG can go very high fast, so that is why you us a syringe to get some
insulin in you. now you can fix the problem be it your pump or infusion site. I would not let BG go over 300....

Permalink Reply by Hope on November 7, 2011 at 5:47am

I never have in almost 7 years on the pump. If I am high and suspect a site is bad, i just do a new site and then bolus. I suppose if that did not work I would use a syringe, but it has always worked.

Permalink Reply by MossDog on November 22, 2011 at 12:11am

Technically not the textbook way to do it but it has always worked for me too I hate to admit :-)

Permalink Reply by fairypink8 on November 7, 2011 at 6:26am

Great question.

Lor

Permalink Reply by Richard P Cosgrove on November 19, 2011 at 6:50am

anytime my bg stays above 250 mgl. Change the site and take a shot.

Permalink Reply by fairypink8 on November 22, 2011 at 12:08pm

Permalink Reply by fairypink8 on November 22, 2011 at 12:10pm

Sometimes you have a hight blood sugar let's say from eating badly or misjudging carbs would a shot bring it down quicker? I am not talking about like 200 but 300 or more?? I have often wondered this myself.

Lori

Permalink Reply by packrat on November 22, 2011 at 2:52pm

no..{taking a shot} putting in a correction on the pump will bring you back down just as fast..