It got off to a good start yesterday and was out hospital and home after 5 hours. I've literally tested every 30 mins since 9am yesterday! My nerves completely settled once I got to the hospital. I was lucky to go live with 2 others so this was reassuring.
I've been using temp basal increase/decrease to keep my bg in target while I've had bolus insulin on board as my ratios are also not right yet, but it went well and I felt in control of what was going on. Driving the pump like a car - accelerating and slowing down
As my doses aren't set up yet and there was likely to be a residue of lantus in my system still I was to keep my bg between 10-12 when going to sleep and was to do this by having a snack. I had my first snack at 10pm and by 11pm there wasn't a huge increase so I had another snack BIG MISTAKE. I then tested at midnight I was at 9.4 which I was happy with and I fell asleep but woke up in a pool of sweat by 1.30am
BG was at 15 and I had 0.6 ketones. Has anyone ever found this as a symptom when experiencing a quick rise in ketones?
No one should underestimate how quickly you can develop ketones when you don't have a long acting insulin in you!! I couldn't believe an extra snack could cause so much damage.
When on MDI a bg of 15 was normal at some point of the day for me and the thought of developing ketones within 1-2 hours would never have crossed my mind! Also having a snack before bed and having a slightly higher bg wouldn't matter as my lantus would always bring me back down in time for waking up.
I'm glad it happened on my first night and now I know to be careful with snacking and never to ignore a high bg when using the pump. This is my advise to all new pumpers especially if a bg of slightly over 13.9 never usually phased you on MDI!
When did your basal rates start to settle and were you lucky to have consistent trends to make changes?