Hypothetical question re hcl

[Tdm]

Just a thought..

Whn i have a bath my blood sugars go up quicky about 3 m/mol, then go back down again qickly after.
Can a hcl pump deal with his? Or would it put more insulin into you to get rid if the fake high and crah you fown? Is there a way you can tell it to ignore the rise temporarily?

 

[helli]

Do you BG rise or does the heat cause your CGM to falsely report a high which returns to “normal” when it cools?

 

[Tdm]

Good question. No idea. Never checked with a finger stick

 

[everydayupsanddowns]

I disconnect my pump when in the shower (it’s allegedly waterproof, but I wouldn’t want to risk it!)

My pump trainer for my new pump said it was wise to ‘suspend all insulin delivery’ when disconnected, so that any HCL shenanigans if my BG wobbles are ignored and insulin isn’t squirted into the air, but then tracked as if it had been delivered.

I’ve mostly remembered!

 

[helli]

Good question. No idea. Never checked with a finger stick

I always assumed it was a CGM reaction to the heat because my BG returns to normal even when I have no pump attached to give me insulin.

 

[SB2015]

Like @everydayupsanddowns I remove my pump for a bath.

I tend to linger in the bath so I put my pump in suspend all delivery whilst in the bath so it does not think I have received insulin that has gone into my dressing gown pocket. I vaguely try to keep my sensor out of the hot water but it survives the dipping when my arm holding the book gets tired. I reconnect and resume delivery (except when I have forgotten that but!! -it soon reminds me) anfterwards, and the HCl deals with any minor wobbles after.

For a shower I don’t bother to suspend as it is usually pretty quick and after breakfast when the HCL will have done a ‘super bolus’ for my food so not be delivering anything for that short time.

 

[rebrascora]

Do you BG rise or does the heat cause your CGM to falsely report a high which returns to “normal” when it cools?

Even if it is just the sensor, an HCL works off the sensor, not off BG, so the pump may respond to the alleged rise.

@Tdm if you were to get a patch pump and eventually go onto HCL then you might have to consider having a small snack perhaps an hour after a bath if this became an obvious problem. Diabetes is all about finding work arounds to problems, but you can spend a lot of time and worry thinking about all the possible things which might go wrong but might not.

The great thing is that we now have sensors to warn us that we might be going low and take action before it becomes a problem.