Oh fiddlesticks

[AJLang]

Lunch is always difficult for me because of the gastroparesis but as we went to IKEA for lunch carb wise with my meatballs I had a small amount of chips and 2/3rds roll. I bolused 3 units as it was hot and I would continue to walk round the store. It had been8 before shopping so I'd had a .5 correction

3.30 14.2 much higher than expected but had another 3 units
5.15 19.6 aaaagh 4 units correction
6.40 19.3 STUPID PUMP
Have now changed everything and have reluctantly had another 4 units - just hope it doesn't crash but I feel hyper yucky

Yesterday afternoon was all low BGs and I didn't walk anywhere

 

[Pumper_Sue]

Lunch is always difficult for me because of the gastroparesis but as we went to IKEA for lunch carb wise with my meatballs I had a small amount of chips and 2/3rds roll. I bolused 3 units as it was hot and I would continue to walk round the store. It had been8 before shopping so I'd had a .5 correction

3.30 14.2 much higher than expected but had another 3 units
5.15 19.6 aaaagh 4 units correction
6.40 19.3 STUPID PUMP
Have now changed everything and have reluctantly had another 4 units - just hope it doesn't crash but I feel hyper yucky

Yesterday afternoon was all low BGs and I didn't walk anywhere

Why do you keep changing everything, just because you have a high number?
Chips and meatballs would hit the system a lot later, so a combination bolus would have been a lot better option.
I'm also curious to know why as your tum is slow to empty due to gastroparesis you eat fatty foods? Surely the two would clash big time and cause a major problem.

 

[AJLang]

Hi Sue I change everything when the number stays high because when I've left it before it has stayed high until I've changed it.

Re your comment about fatty food I'm trying to eat what I like when I can in case the day comes when the gastroparesis medication stops working - which is a high chance - and it could mean that I can only have pureed food - not a nice prospect and one that means that I try to enjoy myself now. Some days I'm ok other days I feel nauseous and bloated when I haven't eaten anything - and cant eat anything because I feel nauseous and bloated.

 

[AJLang]

Chips and meatballs would hit the system a lot later, so a combination bolus would have been a lot better option.
Sometimes I only need a standard bolus for lunch other times I need longer insulin it literally does depend on the day and how the gastroparesis is - three days of exactly the same food can have different or the same results. There is no way of telling. The doctors and DSNs think that I am one of the best people that they have seen with regarding controlling the BGs with gastroparesis and that is despite it being classed as severe gastroparesis. I only calm on here to let off steam. I would love for ten blood tests a day, corrections and carb counting to be enough.

 

[Northerner]

Really sorry to hear that thing are proving so tricky today Amanda I hope that things improve very soon.

 

[AJLang]

Thanks Alan🙂 times like this I would love to have "just" diabetes. BG is going down now, 15.4 hooray. It seems that it is only the insulin that I gave after changing the cannula an hour ago that is working.

 

[bev]

Hi Amanda,

Sorry you have had a 'high' afternoon.The sauce on the meatballs in IKEA is full of cream which would have meant it peaked hours later. If Alex has these he has to do a dual wave to cope with the later peak - something like 5 hours or so!😱I also wouldnt necessarily do a set-change for a high level. Only if the first and second correction havent worked would we consider a set-change - especially after eating such a fatty food - its unlikely it is anything to do with the set. Also - I have bought the meatballs to cook at home and didnt like the look of them as they look so fatty so I steamed them and the amount of fat that came out was dreadful - it looked like lard! Might be a treat to avoid if it causes such chaotic levels - unless you find a dual wave that works for it anyway🙂Bev

 

[LeeLee]

It's a shame Ikea don't do the Quorn version... very nice, and very low fat.

 

[AJLang]

Thanks Bev. The meatballs were a very rare treat. My BG started coming down within 40 minutes of the correction that I had following the set change - it was my third correction, I did two corrections before opting for the set change. I think that I have a problem with cannulas sometimes due to scarring after 42 years of diabetes. My DSN and I came to the conclusion that I need to change my cannula every day - and I'm not the only one who has to do this - but I didn't change it this morning so that may be part of the problem.

 

[AJLang]

It's a shame Ikea don't do the Quorn version... very nice, and very low fat.

That would be nice🙂

 

[Redkite]

Sorry to hear that, but sounds like it was the cannula that made things really rocket. I too would have done a whole set change in those circumstances definitely! Sounds a yummy meal, we would have bolused all upfront and possibly set an increased temp basal for a while if I thought it was high fat. Did you get anything nice in ikea?

 

[everydayupsanddowns]

FWIW Amanda, my team have advised me to do a full set change if the first pump correction is not beginning to take effect within an hour or two... So if I'd gone from lunchtime to 6.30-7.00pm and 7u of correction were not seeming to take much effect I would have changed everything too - just to be on the safe side 🙂

 

[AJLang]

thank you Redkite🙂. I got cushions for the kitchen table chairs which fit with the particular shade of red that we have for kitchen accessories so that was a great find. I got a wooden cabinet that is perfect for my pump stuff - I'm going to paint it and then stencil on hearts. We got a load of different candles and seashore shapes that make a great garden candle display - so shopping wise it was a great trip

 

[Redkite]

Sounds fab! How lovely to have a cabinet especially for your pump stuff - ours is in an ugly plastic crate on top of a cabinet in the dining room!

 

[AJLang]

FWIW Amanda, my team have advised me to do a full set change if the first pump correction is not beginning to take effect within an hour or two... So if I'd gone from lunchtime to 6.30-7.00pm and 7u of correction were not seeming to take much effect I would have changed everything too - just to be on the safe side 🙂

Thanks for saying this Mike. This seems to be exactly right for what happened to me. When I did the corrections before the set change it went up to 19.6 - I correected and then just over an hour later was still 19.3. After I did the set change and corrected it went down to 16 within an hour and is now, just over three hours later it is 8.2 which is about what I would expect for the correction that I did when I was 19.

 

[AJLang]

Sounds fab! How lovely to have a cabinet especially for your pump stuff - ours is in an ugly plastic crate on top of a cabinet in the dining room!

Mine is currently in cardboard boxes in the spare room - I was therefore so pleased when i saw this cabinet today🙂

 

[bev]

Thanks Bev. The meatballs were a very rare treat. My BG started coming down within 40 minutes of the correction that I had following the set change - it was my third correction, I did two corrections before opting for the set change. I think that I have a problem with cannulas sometimes due to scarring after 42 years of diabetes. My DSN and I came to the conclusion that I need to change my cannula every day - and I'm not the only one who has to do this - but I didn't change it this morning so that may be part of the problem.

Hi Amanda,

Alex has to change his set every 2 days instead of every 3.Also as a set change can also send levels higher sometimes with Alex it is always a balance between whether the reason for the high is due to food/under carbing/fat or whatever as to whether we would take the chance and do an unscheduled set change! So for us - it is always a question as to why the level is high - if its just down to a fatty food that we havent matched properly then we wouldnt do a set change. And IKEA meatballs are a pain to get right - so its a good job we live far away from an IKEA and Alex has them maybe twice a year at most!🙂Bev

 

[Pumper_Sue]

FWIW Amanda, my team have advised me to do a full set change if the first pump correction is not beginning to take effect within an hour or two... So if I'd gone from lunchtime to 6.30-7.00pm and 7u of correction were not seeming to take much effect I would have changed everything too - just to be on the safe side 🙂

The thing is Mike your tum empties OK Amanda's does not. So no amount of set changes would make any difference until the food starts to move.
Then as she has found out on more than one occasion she over corrects (understandable) then spends the night treating a very long hypo

 

[newbs]

Sorry to hear you had a rough day, hope things settled after that.

 

[AJLang]

The thing is Mike your tum empties OK Amanda's does not. So no amount of set changes would make any difference until the food starts to move.
Then as she has found out on more than one occasion she over corrects (understandable) then spends the night treating a very long hypo

Sue I've never had to spend the night treating a very long hypo because of over correcting. I never had to do this. The long hypos have been when I have had a "normal" or lower amount of insulin and not corrected at all. The improvements in BG yesterday happened within 30 minutes of changing the cannula.