The first day was yesterday and seemed great, but while sleeping, my blood sugar dropped below 55. Little helped, so I ate too much sugar, and then corrected the defaults for my bolus and correction. That worked, and I woke up with good numbers that lasted until breakfast, and now I’m running a little high. I’m wondering whether I should fix my bolus or my correction. Any suggestions for this and the future?
I would suggest you call your doctor about changing any settings if you are new to pumping or diabetes - you will learn to do it on your own over time. Changes are usually made if you have a pattern that repeats over a few days; and when you make changes - or when you start on a pump - it may be necessary to tweak your manual mode basal rates. After that it can take about 3 days for things to settle in so you’ll know how well they work.
If you are in auto mode it can take a number of days and maybe a few pods for the system to learn your body’s needs: hopefully you won’t have too many lows (or highs) to correct.
If you’re high (or low) after meals it could mean you need to adjust your carb ratio - or sometimes it means you miscalculated.
Let your doctor know what’s going on so he can advise you if and when you need to change anything.
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It’s still going great, with >90% in range, but again, and overnight low, although not as severe. I have adjusted my bolus calculation, and that seemed to help with the daytime numbers, but the overnight problems might be lingering Tresiba or a facet of my pre-bed snack. The carbs in those might have as strong an effect.
Hi @james.j.igoe . I only just saw your reply. Thanks fit writing back. So to clarify, are you using Tresiba along with the insulin in your pump? Pumps are programmed to administer a continuous flow of rapid acting insulin in the background - aka basal insulin. I’ve recently heard of people who do, both with correct settings the pump should suffice.
Basal insulin can be adjusted for different time slots that will work in manual mode but if you’re using auto it sounds like the system needs more time to learn.
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No, Io only mean the Tresiba might be lingering, since it lasts for 2 to 3 days.
I’ve done well, leaving basal as is, but changing my bolus/correction numbers.
My first pod went wonderfully, but my next two likely suffered from poor placement. I did everything correctly, but once I switched to the back of my arm for the pod, things went much better. I have tweaked the bolus and correction settings, and that seems to have worked adequately, although I will likely need to tweak further. I see my endo’s PA today as a follow-up.
Up until I lost weight - I changed my diet and lost about 30 pounds over 6 months - my control was good, but with weight loss, I’ve been struggling getting my numbers under control (see left). The numbers are better now (see the right), but since I had 2 days when the pods weren’t working, the results are subpar. Like most, with experience, I imagine the numbers and graphs will head downward and flatten over time.
Ah James @james.j.igoe , the good old “location, Location, LOCTION!”. I don’t use a pod but I notice differences in results of CGM placement and to a lesser degree with pump infusion sets.
Looking at the chart differences one might ask, is this the same person - I congratulate you on finding the good LOCTION for your pod. The Clarity “Compare” is the chart I use most often and what II look at first is Standard Deviation and the Coefficient of Variation; yours show the best week-over-week improvement I’ve ever seen. Congratulations.
@Dennis - Thank you, it’s nice to hear something looks good. It is getting better, and I aiming to get it back to over 90% within range, as well as under 6.5 HbA1c.
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So far, I am almost hitting the short-term target (6.5 A1c, >80% TIR) but hampered by occasional device issues. Although inserted correctly, two pods had to be tossed because I put them where I had too little fat. A third issue was that when I placed a pod of the back of my arm, my sleeping position prevented communication between pod and sensor. With a delayed peak from dinner, my sugars rocketed over 200, and then took a while to bring down.
Long term, I expect to do better, likely keeping it under 6 A1C and (maybe) > 90% in range.
