Type 1'stars R Us

[porl69]

G'day all. Woke to a 10.4. Had my usual breakfast and bolus (with a correction dose added) 2 hours later 12.5, so 3 units of Fiasp thinking all is going to be fine.....just checked now and at 12.6!!! GRRRRR! I think it could be the abscess affecting me today BUT was fine the weekend. Oh the joys.

How did yesterdays pod change go @Mel dCP? And how was the hospital visit?

I stopped feeling wobbly a few years ago, thank you hypo unawareness . I start to feel a bit weird at around 2 now. May have to try and find some money for the Miaomiao.
Just emailed my dietitian to ask her to contact the DSN and pump specialist to find out when I am going to be seen as they are now extracting the urine with their appointment system. She is now on the case for me

 

[LooperCat]

G'day all. Woke to a 10.4. Had my usual breakfast and bolus (with a correction dose added) 2 hours later 12.5, so 3 units of Fiasp thinking all is going to be fine.....just checked now and at 12.6!!! GRRRRR! I think it could be the abscess affecting me today BUT was fine the weekend. Oh the joys.

How did yesterdays pod change go @Mel dCP? And how was the hospital visit?

I stopped feeling wobbly a few years ago, thank you hypo unawareness . I start to feel a bit weird at around 2 now. May have to try and find some money for the Miaomiao.
Just emailed my dietitian to ask her to contact the DSN and pump specialist to find out when I am going to be seen as they are now extracting the urine with their appointment system. She is now on the case for me

Pod change went well, I made use of the 8 hour “grace” period after it expires (as long as it still has enough insulin) to shunt the changeover time from 1600 to 1900, as I’m more likely to be home then. Was planning on doing it at 1800, but had to wait for my new sensor to warm up! Teenaged son was most impressed with all the new tech! We took the sticky layer off this morning to have a better look at it out of curiosity, and the other pic was the one I took with my phone to make sure the cannula was in properly, I’m pretty bendy but even I can’t rest my head on my hip to check!

​

Hospital was fine, I was just picking up batteries for the remote, a box to send expired pods back to the manufacturer for recycling, and syringes so that if I need an injection when I’m out I don’t have to carry pens. Seems less wasteful, as I’m carrying a spare pod and bottle of NovoSluggish in my bag anyway, just in case I need to change the pod. If I take a pen out of the fridge and carry it around for a month without using it, it’s a terrible waste. A 10ml vial should last a fortnight if I put 200u in at each pod change. Pump lady said I’d done all the right things with setting up a temporary basal profile for shark week, she’s happy for me to tweak and fiddle to my heart’s content

I always take a reading when I feel as if I am going low.
The reason for me is so I know how much hypo treatment to take.
After having huge rebounds based on the prescribed 4 x dextrose plus 15g slow acting carbs, I decided to treat a number rather than a feeling. So my hypo-treatment depends on how low I am. If I am 3.5 with no insulin on board, I just take one dextrose and carry on. If I am in the 2s and have at least 1 unit of insulin on board, I take 3 dextrose and a biscuit.

I’ve worked out that one 3g dextrose tab raises me by 0.6mmol, so I just take enough to do the job. I’ve been told off for not taking the prescribed 15+15 before now, so just smile and nod, and keep doing what works

 

[smc4761]

Press the Settings "cog wheel" at top right.Scroll down to page 3. Press Professional Options. Click Yes when it asks are you a health care professional. Click next. Enter the oh so secret code CAA1C.Click done, then insulin calculator. Go through the various parameters, then you'll get to a screen asking Do you want the Active Insulin symbol to be displayef on the Home Screen. Select yes. Thatt'll get you the gingerbread man next time you enter a bolus. Click it and it'll bring up a screen giving a number for iob and time left.

It's surprisingly useful just havin a rough guide to how much iob there is, especially if you get into a stacking situation.

Hi Scott, I have followed all the instructions as above, gone through all of the parameters bu do not get the option

Do you want the Active Insulin symbol to be displayed on the home screen. Select YES

All I get is a screen which says

Set up complete. When checking glucose the insulin calculator will now be available. I click on DONE

No sign of any wee gingerbread man although I do have an alarm bell on bottom l;eft which I dont remember seeing before

Any help would be appreciated, I am a bit of a luddite

 

[LooperCat]

Hi Scott, I have followed all the instructions as above, gone through all of the parameters bu do not get the option

Do you want the Active Insulin symbol to be displayed on the home screen. Select YES

All I get is a screen which says

Set up complete. When checking glucose the insulin calculator will now be available. I click on DONE

No sign of any wee gingerbread man although I do have an alarm bell on bottom l;eft which I dont remember seeing before

Any help would be appreciated, I am a bit of a luddite

Sorry to butt in, have you entered an insulin dose in the last four hours?

 

[slip]

@smc4761 and you've inputted an insulin amount? (obviously when you did the injection)

 

[Alison54321]

Hi Scott, I have followed all the instructions as above, gone through all of the parameters bu do not get the option

Do you want the Active Insulin symbol to be displayed on the home screen. Select YES

All I get is a screen which says

Set up complete. When checking glucose the insulin calculator will now be available. I click on DONE

No sign of any wee gingerbread man although I do have an alarm bell on bottom l;eft which I dont remember seeing before

Any help would be appreciated, I am a bit of a luddite

I had to do it twice, the first time I didn't change from the EASY option, and I got no little gingerbread man, so you have to reject the EASY option. I can't remember where that comes in the questions, but look out for the word EASY and change to the alternative.

I can check and come back with more precise details if you want, but I have to find the code again, and I've forgotten it.

 

[porl69]

Pod change went well, I made use of the 8 hour “grace” period after it expires (as long as it still has enough insulin) to shunt the changeover time from 1600 to 1900, as I’m more likely to be home then. Was planning on doing it at 1800, but had to wait for my new sensor to warm up! Teenaged son was most impressed with all the new tech! We took the sticky layer off this morning to have a better look at it out of curiosity, and the other pic was the one I took with my phone to make sure the cannula was in properly, I’m pretty bendy but even I can’t rest my head on my hip to check!

View attachment 27922 View attachment 27923
​

Hospital was fine, I was just picking up batteries for the remote, a box to send expired pods back to the manufacturer for recycling, and syringes so that if I need an injection when I’m out I don’t have to carry pens. Seems less wasteful, as I’m carrying a spare pod and bottle of NovoSluggish in my bag anyway, just in case I need to change the pod. If I take a pen out of the fridge and carry it around for a month without using it, it’s a terrible waste. A 10ml vial should last a fortnight if I put 200u in at each pod change. Pump lady said I’d done all the right things with setting up a temporary basal profile for shark week, she’s happy for me to tweak and fiddle to my heart’s content

I’ve worked out that one 3g dextrose tab raises me by 0.6mmol, so I just take enough to do the job. I’ve been told off for not taking the prescribed 15+15 before now, so just smile and nod, and keep doing what works

Winner. It's good when the Pump Lady congrats you on what you are doing. I was moved over to Fiasp in readiness for the pump - WHEN I eventually get to see the DSN & Pump doctor

 

[LooperCat]

Winner. It's good when the Pump Lady congrats you on what you are doing. I was moved over to Fiasp in readiness for the pump - WHEN I eventually get to see the DSN & Pump doctor

Any joy on the phone?

 

[Scott-C]

No sign of any wee gingerbread man although I do have an alarm bell on bottom l;eft which I dont remember seeing before

Any help would be appreciated, I am a bit of a luddite

Next time you bolus, do a scan, the graph and number will show up, click the pencil icon at top right to bring up the Add Notes screen, tick the Rapid Acting Insulin box, then the + sign which will show up next to it, that'll bring up another screen where you use the + and - arrows to enter the bolus amount, then click back with the ok buttons at top right. When you get back to the home screen, the wee guy should be there doing his thing.

 

[smc4761]

I had to do it twice, the first time I didn't change from the EASY option, and I got no little gingerbread man, so you have to reject the EASY option. I can't remember where that comes in the questions, but look out for the word EASY and change to the alternative.

I can check and come back with more precise details if you want, but I have to find the code again, and I've forgotten it.

Thanks Alison, I had not changed from easy to advanced. I now have my gingerbread man, looks so good I could eat him

 

[Alison54321]

I'm finally back in target range, with a reasonably soft landing, it's taken all afternoon, been in the 14s and 15s, which since Libre I don't like at all, but I didn't want to carry on with the zigzags, and a panic crash landing with the arrow pointing down, so I went for a slow gentle descent.

 

[LooperCat]

I'm finally back in target range, with a reasonably soft landing, it's taken all afternoon, been in the 14s and 15s, which since Libre I don't like at all, but I didn't want to carry on with the zigzags, and a panic crash landing with the arrow pointing down, so I went for a slow gentle descent.

Nice one! I’m always much more anxious about stubborn highs than hypos- they are easy to sort out (mostly) but a stubborn high can leave you feeling ropey for hours while you wait for it to come down.

 

[Alison54321]

Cancel that, now it has an arrow pointing straight downwards and is at 6.8, but my gingerbread man is slowly taking off his onesie, and his head is revealed, so it can't go that low.

But I have a mango, ready, just in case.

 

[Alison54321]

Nice one! I’m always much more anxious about stubborn highs than hypos- they are easy to sort out (mostly) but a stubborn high can leave you feeling ropey for hours while you wait for it to come down.

Normally I would prefer to push it down faster, but I've had to chase the down arrow a couple of times today, and that was enough excitement for me

 

[Alison54321]

Gingerbread man now only has his legs inside his onesie, and it's at 7.1, with no arrow.

It's interesting how useful he is.

 

[kev-w]

I just had a completely unexpected hypo. I have no idea why. I did have to carry the dog upstairs to the flat, because he is old, and has just started refusing to climb stairs, but would that make that much difference?

When I checked, after returning from dog "walk" my blood sugar had gone up, not down, so I bolused, thinking it would all be fine, then I started having this weird shaky feeling.

I don't usually carry heavy things up flights of stairs, beyond shopping, could that happen?

Anyway, it's going to go high now. Still at least my hypo awareness is still working.

Could a little exertion carrying your dog trigger a cortisol release? Spikes you up and drops off? On top of a shorter walk than normal perhaps.
But that's me guessing!

Note: Mild hypos are not unusual and are harmless. One or two mild hypos a week may be acceptable for people aiming for good control of their....

Hmmm, that sounds a bit like a duck noise quite ambiguous, personally I can function at 3.5, you'd not know I was 3.5 if I was but I'd be raising it, I think I see different types of hypo and their effects, the long sleeping one where you've dropped and stayed low for a period of time on your basal, or the sharper more reactive ones from a bolus injection spike when you get the carbs wrong, or the back end of the basal where it's a little swing down and soon corrected without ill effect, but again, that's just the way I think I see it

I've never done the DAFNE course tho, our CCG doesn't do it...

 

[Alison54321]

Could a little exertion carrying your dog trigger a cortisol release? Spikes you up and drops off? On top of a shorter walk than normal perhaps.
But that's me guessing!

I think that must be what happened. I just took him downstairs again, and carried him up again, a little while ago, and watched to see what happened, and it seemed to rise slightly when I got back up, and then started dropping quite rapidly, and I got back into target.

I shall try and be more aware of this pattern tomorrow morning, and not make any rash decisions on the basis of the quick rise, I'll wait until I see the extent of the drop.

 

[Scott-C]

It's interesting how useful he is.

Indeed he is, but I just wish they'd used a more entertaining graphic. I'm going to suggest this to Abbot for the next version:

 

[Alison54321]

Indeed he is, but I just wish they'd used a more entertaining graphic. I'm going to suggest this to Abbot for the next version:

View attachment 27927

That would be interesting!

 

[Scott-C]

it seemed to rise slightly when I got back up, and then started dropping quite rapidly,

It's probably simpler than a cortisol release. If you're at rest or under slight but steady load, there will likely be a general balance between bg and ifg.

Then, if you start carting a dog up upstairs, heart rate likely goes up, the extra pressure from the faster heart rate will increase pressure in capillaries, so they'll leak more glucose out into the lower pressure interstitial fluid, which is a good thing as the muscle cells the if serves needs more glucose for carrying the pet, so libre senses the higher glucose there and reports it. Then when heart rate goes down, it balances out again.

When I first started using libre, I didn't appreciate the interplay between the two spaces - blood and interstitial fluid - and it took me a while to understand the relationship between them, the way that glucose naturally seeps out of blood into if to deliver to cells, and will do so more when heart rate goes up.