tracey w
Well-Known Member
- Relationship to Diabetes
- Type 1
Tracey: Will the pump give you corrections during a dual wave? Ours never will, so we have to override. Do you? Does look like more up front needed, certainly, but how confident of the carb counting were you? If you are high throughout and STILL high in morning, then makes me think that the real carb count was higher? Because reducing the dual wave time may have taken care of a spike at 4 hours (eg more insulin in over that time), but not the one later and later still -- the whole wave needs more insulin?
It does look a bit though as if at around 6 or 8 hours you were going down again, otherwise you would have woken higher? So maybe the wave isn't far off, but the carb counting was off? I guess too that if the carb counting was a little off, then the up front bolus would be off too, thus maybe meaning that you don't need more proportionally up front, necessarily? It is clear though that the up front bolus is too low in this instance, for whatever reason...?
Re basals, can you set up different rates for yourself? If you are pretty sure you are rising at certain times, why not set up different rates for those times, to come in each instance about an hour before the time when you know you are rising...? Upping it all the way through the night seems like you are not using the increments and finesse of the pump -- might as well use all it can do!
And again re dual waves: the reason we know 2 hours really never works with E, and actually 3 hour ones don't either, is because he inevitably hypos just after the end of them... This used to confuse us...But we finally figured out that if we carb count correctly and stretch out the dual wave on him, we can usually get him even throughout, with no great dip at the end when the insulin hits hard. We only realised we needed to stretch it out when, after the hypo, he would wake high. We came to the conclusion that this was not a normal 'swing' or 'rebound', but something actually associated with the carb. So far this seems to be right for him.
Patricia, thanks so much for the help, yes i can correct during a dual wave, my understanding is that the pump takes into account any correction you did with the meal, (which would count as insulin on board, or active), meal rise time, (2hrs for me), acting time (4hrs for me), it does not count the acting insulin of the amount given for carbs because they are covered, even if dual wave. Thats how i understand it, so if you are out of range after 2 hours you need to correct.? Please let me know if this is wrong, im trusting the pump if it tells me to correct I do.
I did wonder on the cho count, the battery has gone in my scales and i usually weigh everything, I think i must have been out somewhat.
Yes I can set basal increments hourly, the reason i set througout the night is because after testing I felt I rose albeit slowly from 1pm onwards. In pumping insulin it says better to increase by tiny amounts throughout the night rather than more for just one or two hours, so that is why i tried that. When i add it up its not even 1 extra unit i have upped it all by throughout the night. To be honest i havent seen a real difference yet, however there was the fish and chip thing and also I am pre menstrual and I am a bit higher generally and havent begun to sort that one out yet!!
I have also upped from tonight from 9pm until midnight as im sure im rising there too, i really need to test this period, but i tend to snack alot in the evening so its difficult to tell.
thanks again
It does look a bit though as if at around 6 or 8 hours you were going down again, otherwise you would have woken higher? So maybe the wave isn't far off, but the carb counting was off? I guess too that if the carb counting was a little off, then the up front bolus would be off too, thus maybe meaning that you don't need more proportionally up front, necessarily? It is clear though that the up front bolus is too low in this instance, for whatever reason...?
Re basals, can you set up different rates for yourself? If you are pretty sure you are rising at certain times, why not set up different rates for those times, to come in each instance about an hour before the time when you know you are rising...? Upping it all the way through the night seems like you are not using the increments and finesse of the pump -- might as well use all it can do!
And again re dual waves: the reason we know 2 hours really never works with E, and actually 3 hour ones don't either, is because he inevitably hypos just after the end of them... This used to confuse us...But we finally figured out that if we carb count correctly and stretch out the dual wave on him, we can usually get him even throughout, with no great dip at the end when the insulin hits hard. We only realised we needed to stretch it out when, after the hypo, he would wake high. We came to the conclusion that this was not a normal 'swing' or 'rebound', but something actually associated with the carb. So far this seems to be right for him.
Patricia, thanks so much for the help, yes i can correct during a dual wave, my understanding is that the pump takes into account any correction you did with the meal, (which would count as insulin on board, or active), meal rise time, (2hrs for me), acting time (4hrs for me), it does not count the acting insulin of the amount given for carbs because they are covered, even if dual wave. Thats how i understand it, so if you are out of range after 2 hours you need to correct.? Please let me know if this is wrong, im trusting the pump if it tells me to correct I do.
I did wonder on the cho count, the battery has gone in my scales and i usually weigh everything, I think i must have been out somewhat.
Yes I can set basal increments hourly, the reason i set througout the night is because after testing I felt I rose albeit slowly from 1pm onwards. In pumping insulin it says better to increase by tiny amounts throughout the night rather than more for just one or two hours, so that is why i tried that. When i add it up its not even 1 extra unit i have upped it all by throughout the night. To be honest i havent seen a real difference yet, however there was the fish and chip thing and also I am pre menstrual and I am a bit higher generally and havent begun to sort that one out yet!!
I have also upped from tonight from 9pm until midnight as im sure im rising there too, i really need to test this period, but i tend to snack alot in the evening so its difficult to tell.
thanks again
Tracey, did you get these in your pack? on the side of the box it says 10 x (something that looks like steri wipes) but there aren't any in there. Can I still have a go of putting one in straight after a shower so I know I'm defo duper clean.
