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Hello and welcome to the DUK support forum it is nice to have a new face to the forum hope you find some interesting stuff if you need help just ask one of us we are all friendly.
 
Hi Tigerella and a warm welcome to our friendly supportive forum ~ glad you have found us. I'm Type2 and confess my knowledge of Type1 insulin and pumps is very limited but there are folk on here who are experienced & more knowledgeable and will drop by when the forum wakes up and see your post 🙂

In the meantime so that we can help you please will you tell us a little about yourself ~ ie are you on any medications ~ keeping your blood glucose levels in range ~ what dietary regime do you follow ~ are you able to to exercise as in walking ~ swimming etc. Lots of questions I'm sorry.

I'm also sorry to see you were very young when you were dx (Diagnosed) I stand to be corrected but 40yrs is a long time to carry T1 on your shoulders ~ how have you managed to cope all these years ~ I expect you could teach us a thing or two! If you have any queries that you would like to address then please do ask ~ there is a wealth of experience & knowledge on this forum and we will endeavour to give you answers. Take care and do please stay in touch x


Dx Type2 April 2016
Diet control and exercise only
 
wirralass said:
Hi Tigerella and a warm welcome to our friendly supportive forum ~ glad you have found us. I'm Type2 and confess my knowledge of Type1 insulin and pumps is very limited but there are folk on here who are experienced & more knowledgeable and will drop by when the forum wakes up and see your post 🙂

In the meantime so that we can help you please will you tell us a little about yourself ~ ie are you on any medications ~ keeping your blood glucose levels in range ~ what dietary regime do you follow ~ are you able to to exercise as in walking ~ swimming etc. Lots of questions I'm sorry.

I'm also sorry to see you were very young when you were dx (Diagnosed) I stand to be corrected but 40yrs is a long time to carry T1 on your shoulders ~ how have you managed to cope all these years ~ I expect you could teach us a thing or two! If you have any queries that you would like to address then please do ask ~ there is a wealth of experience & knowledge on this forum and we will endeavour to give you answers. Take care and do please stay in touch x


Dx Type2 April 2016
Diet control and exercise only
Click to expand...

hi thanks for your reply. I am on novarapid pump cartridges. I am on lisinipril, thyroxine and venlafaxine. I follow pump guidelines whereby basal rates are worked out for you before starting a pump (based on previous insulin requrements, ie daphne) and boluses which are given as top ups on a carb to insulin ration eg 10g to 1unit. I don't really have a dietery regime I tend to try and eat healthy watching sugar and fat content. I don't take any meds for cholesterol , last one was 4.2 and my HBA1C was 64. I can do any type of exercise as long as I monitor the effects on my bg( blood glucose) and adjust insulin and eat extra as needed. Swimming is possible as you can take the pump of for up to an hour. I was young when diagnosed, I don't know how I have managed to cope over the years but I suppose I just had to get on with it and do the best I could!
 
Good grief - Tigs !

Your basal requirement actually match Roche's algorithm? You're the first person I've 'met' that does!

I didn't actually know the Insight pump was waterproof - I thought it was only splashproof in small quantities?

(Not that it would help me if it is fully waterproof seeing as I don't wear anything if I swim LOL)
 
Why good grief? What do you mean by algorithm? ive not heard that term before. Pump not waterproof. Advice given by DSN and advisors remove before swimming ! Are u on the insight pump?
 
Hi Tigerella

WElcome to the forum.

Have you done fasting tests on your Basal rates to see if there are any tweaks from the standard delivery. That is one of the biggest advantages of having a pump as you can get a different rate hour by hour to suit your needs. I was amazed at the difference this made to HbA1c.
 
Hello Tigerella, welcome to the forum.
 
I completely misread what you said about swimming Tiggerella sorry! - and yes I'm using an Insight same as you.

Algorithms are the computer progs they use to calculate stuff (like when the hansdet works out what bolus we need from our current BG and amount of carbs we tell it.)

The Roche software supplied to the clinics has a section on it where they enter the patient details, and it calculates the suggested hour by hour base rate of insulin. If the clinician and you the patient agree they look sensible they then connect the handset to the puter, and it copies the rates on the screen onto the pump. I assumed that was what you meant when you said your basal rates 'were worked out for me' - if it isn't and it was done manually like they always had to be originally by you and your DSN (like when I had my Combo before the Insight) they might have a better chance of being about right, cos you already know to some extent what happens to your BG when - but the rates never stay completely unaltered for all that long, in any case.

But anyway when you very first get your pump, after a fortnight with it my clinic ask you to do at least one full 24 hours of basal testing and expect us to do that anyway at intervals or as and when required so any adjustments we haven't already tried ourselves can be spotted and implemented. Dunno if every clinic's the same though. I hardly ever check back with my clinic anyway - just change things myself as necessary. Hospital pick the changes up at the next visit whenever that happens cos the software automatically updates it when they download it.
 
trophywench said:
I completely misread what you said about swimming Tiggerella sorry! - and yes I'm using an Insight same as you.

Algorithms are the computer progs they use to calculate stuff (like when the hansdet works out what bolus we need from our current BG and amount of carbs we tell it.)

The Roche software supplied to the clinics has a section on it where they enter the patient details, and it calculates the suggested hour by hour base rate of insulin. If the clinician and you the patient agree they look sensible they then connect the handset to the puter, and it copies the rates on the screen onto the pump. I assumed that was what you meant when you said your basal rates 'were worked out for me' - if it isn't and it was done manually like they always had to be originally by you and your DSN (like when I had my Combo before the Insight) they might have a better chance of being about right, cos you already know to some extent what happens to your BG when - but the rates never stay completely unaltered for all that long, in any case.

But anyway when you very first get your pump, after a fortnight with it my clinic ask you to do at least one full 24 hours of basal testing and expect us to do that anyway at intervals or as and when required so any adjustments we haven't already tried ourselves can be spotted and implemented. Dunno if every clinic's the same though. I hardly ever check back with my clinic anyway - just change things myself as necessary. Hospital pick the changes up at the next visit whenever that happens cos the software automatically updates it when they download it.
Click to expand...
 
thanks for your explanation. I don't check basal rates much even though I know I should, as sometimes it is difficult due to other meds I take and I have to have them with food, as you will know it can make fasting hard. Do you use your tempory basal rate much? I have found this to be helpful but even with lots of experience I still get things wrong but that's part and parcel of diabetes I suppose.🙂
 
Well yes I do use the TBR function a fair bit - I think everyone finds it extremely useful!

If you need to use it like nearly every day - then that shows the basal rates need a permanent change.

You only delay eating at times not miss eating entirely when fasting cos you only do it in short spans at a time so I guess it's more dependent on whether the drug can be taken early/late, than the food?
 
Hello Tigerella and welcome to the forum. 🙂
 
Hi Tigerella, welcome to the forum 🙂
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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