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- Type of diabetes
- Type 1
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A quick google search reveals that this is someone in their 5th year of specialty training to become an endocrinology specialist.ST5 (whatever that means) endocrinology trainee
A quick google search reveals that this is someone in their 5th year of specialty training to become an endocrinology specialist.ST5 (whatever that means) endocrinology trainee
5 yrs is no time at all and I bet the only knowledge gained is through the basal bolus regime using analgue insulins with no experience using the older more predictable action with animal or the other older variations. lA quick google search revealbasal bolus regimet this is someone in their 5th year of specialty training to become an endocrinology specialist.
My point is that if you test at the required amount of times then you will catch any rise in blood sugars that need to be addressed..
If a pump bolus doesn't fix it then you inject as per the manual of pumping.
Not all the time if a pump fails at night.. Despite doing a 3am test but not waking up till 9pm my levels along with waking phenomen sky highed... By the time you first change everything because you don't know its a failure.. And could assume set failure, battery etc and despite a bolus you have gone without insulin for a long while (as its only short acting).. Levels can rise to DKA nigh on 30 very, very quickly...
Same as I was in 5's pre driving as a passenger.....bolused for food before left... No alarms... Set faulty but didn't know it...Was on a motorway..tested and due to eating was at 28 by time I tested two hours later....no where to pull over and get needle out back of my car...only had sweets actually in handbag. Car was jam packed and could not get to injection....got set out and repositioned it and slammed through high bolus's until could pull over at services which- when you want them seem miles!!!
You cannot define when you are going to have problems... I had another one in a cafe... After I had bolussd it alarmed... I had 6 layers of clothes on due to working outside... And you never know when these things will happen.
Fortunately for me as I was such a prolific tester I caught early) and got levels reduced very quickly and never tested ketones (never have to be honest)...
On MDI I actually value knowing the insulin is in me!! If I don't want to test 2 hourly I don't have to..
Maybe my pump training on DKA was ****. We didn't have anything like the aggressive protocol shown here. Go to pens / syringes in one hour if BG does not fall and immediately if ketones are positive? That is incredibly aggressive (or conservative, depending how you look at it). Yes if I had been taught that protocol I would probably never had DKA on a pump.The advice from Medtronic is here, it's more or less what I was told at the start..http://www.medtronicdiabetes.co.in/highbloodglucoselevels
It's penny wise, pound foolish. Thousands of pounds worth of pump and many many millions of pounds of R and D, all undermined by poor quality assurance on 50p worth of plastic.It's extremely frustrating to have a clever little pump sabotaged by the variables of infusion sets.
Ah I am with omi pod if the pump gas any problems you can ring 24/7 to talk to someone about it. Medtronic were similar but I must omi pod also have nurses that can ring you back