Yesterday, I started on Insulin Pump Therapy. I remember walking to the bus stop on the icy pavement in my Wellington boots. I was so excited & bouncy that just keeping my feet on the ground was a challenge.

I got to the hospital, having decided that a taxi would be wiser than trying to get onto the District Line platform, and the Receptionist told me I was meant to be in on Thursday! We'd changed the appointment to Tuesday, so that I wouldn't be changing from Multiple Daily Injections (MDI) to a Pump 24 hours before the weekend, when the Diabetes team aren't at work. Fortunately, the Sister, and 2 advisors from Ypsomed were aware of the rescheduling & they were ready for the big transition.

We had a chat & a joke as we sipped our coffees & I filled my OmniPod. Drawing up 200 units, bubble-free, is quite tricky. The flicking & tapping isn't quick either.

I enjoyed my lunch & was really excited.

My blood glucose levels were fairly stable, until 8.30pm, after I'd walked to a meeting & back: 3.7mmols. I treated the hypo & went to bed on 7.6mmols. Before the Pump I'd have gone to bed much higher because I am Miss Somogyi! My nocturnal hypos have been so frequent that the Paramedics know me, my local authority have provided alarms, as I live alone etc.

I slept through until 5:15am and woke up with BGs of 2.7mmol. I had a glass of orange juice & retested after 30 mins: 2.4mmols. I called my Mum! I was out of my depth.

I managed to get my blood sugar levels up.

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Comment by acidrock23 on January 24, 2013 at 5:37am

I'm glad you got your levels up. I know how hair-raising those situations can be. At the same time, you have likely obtained some really good data that you can use while you're getting your pump set up. It's *CRITICAL* to consider these phases not that "I messed up" or "I can't do this" but that you are a scientist obtaining data about yourself and your insulin needs. If you are "miss somogyi" perhaps you'd included a "boost" in your basal rate that's been figured into your pump settings. With a pump, you can be more precise about settings, find which part of the nighttime, your BG goes up and put in a gentle boost and get rid of a "boost" that pushed it down when you don't need it would be my suggestion for what to do. A lot of pumpers end up doing that kind of thing. I started out with a rate, noted an AM rise and turned it up, which was probably quite a bit smoother than a freaky low.

It's a drag but it's still saying something you can use. Don't be discouraged. Just make sure to have snacks on hand, glucose or something really effective for you. I found pumped insulin to be *much* more effective than shot insulin so adjusting a total daily dose is very normal.

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