Need help from pump users

By correctionsnurse1 Latest Reply 2015-02-07 12:47:10 -0600
Started 2015-02-07 09:44:53 -0600

Hey everyone… As most of you know I am a "newbie" to the pump. I started pumping the 8th of January and have been doing great until the last 2 days. I was surprised that I even lost 6lbs in that time frame, I know that's not much, but hey, lol! I will be meeting with the educator next week, but I'm not going to deal with BG of 179 fasting on a pump,that's just insane! 2 weeks ago I had a injection of Depomedrol and was put on antibiotics for 10 days, but I kept my BG down even with the steroids, which usually I run around 300. Any suggestions/thoughts would be appreciated.

4 replies

Type1Lou 2015-02-07 10:14:13 -0600 Report

It could be Dawn Phenomenon which would require changing your basal insulin delivery during the hours before you wake up. I struggle with Dawn Phenomenon and my basal rate from midnight to 3 am is .125 units (the lowest of the day) while from 3am to 7 am it is .625 units (the highest of the day). It took several months of BG data and input to my doctor to refine my initial pump settings. They tend to program them initially very conservatively. My experience with Dawn Phenomenon spikes is not consistent which makes it difficult to deal with. Sometimes, when I check my BG at 3 or 4 am and it is higher than it should be, I will use the temporary basal function and increase insulin delivery for an hour or 2 by anywhere from 50% to 100% which gets me back in range. I wish Medicare covered CGM's as that would provide even more data about early morning BG's and trends. Have you considered a CGM?

correctionsnurse1 2015-02-07 11:54:25 -0600 Report

Type1Lou…I just changed my infusion set and confirmed my suspicion. Did not want to jump the gun, but when I removed my cannula it was bent sideways! I had a gut feeling it was the infusion set. So off to watch my BG today and hopefully this will resolve the issue. One question though, what might cause the cannula to do that? I figured if something went wrong, I would feel discomfort, also, I would expect outrageous BG.

correctionsnurse1 2015-02-07 10:21:35 -0600 Report

I do have 2 basal rates set. My regular is set to 1.75 and the one for the hours of 5-8am is set at 1.90. I do not upload my data again till the 25th. Thanks so much for your input, I'm just a little aggravated, but I need to be more patient :-) I have wanted a CGM, but my insurance does not cover it

Type1Lou 2015-02-07 12:47:10 -0600 Report

Likewise, I have no CGM coverage otherwise I would use one, at least temporarily to figure out Dawn Phenomenon effects. Every so often, I'll get a bent cannula or one that gets some blood in it and have to change it out earlier because of poor absorption. Sometimes, you feel it and other times you don't. If you've hit a blood vessel and caused a hematoma, you'll see that. Sometimes, the only indication is several consecutively higher BG readings.You haven't been infusing long enough to have developed some tougher tissues that could cause the cannula to bend. If you don't have enough "fat" it might be caused by hitting muscle or bone?…ask your MD or pump rep about it next time (I think you have a Medtronic pump? You can call their 24-hour helpline and ask and they will try to give you pointers…I've always found them caring and helpful.)

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