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Type 1 Diabetes
Advice needed - what to do at work!
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<blockquote data-quote="Deleted Account" data-source="post: 2068684"><p>I guess the reason for the prolonged planning and waking in the middle of the night is to set and test the basal. </p><p>If you have a chance for a Libre beforehand, you can use the metrics from this to see your trends. I had recently trialed a CGM so had this data which eased me into the pump better than I have seen with others. </p><p>Use a Libre (or CGM) during the start of the pump will also help with tweaking the basal. </p><p></p><p>However, doing all this during the first week of a pump seems a little risky. I was using Lantus I started the pump. Although it loses its potency within the first 24 hours, I was told (and experienced) that there is a residue of Lantus (and probably other slow acting insulins) in your body for up to 4 days which, obviously, will impact your BG when you first start using fast acting insulin for basal.</p><p></p><p>Also, if the period of "settling in" with the pump is not your typical week, there is a the risk that you do not account for normal periods which will raise your BG (e.g. if work is always stressful, you will miss this) and reduce your BG (e.g. if you cycle to the office, this will be missing from your set up time). On top of all this is the stress of starting a new pump which, for me, would be exaggerated if I was given the added stress that comes with being told I had to take a week off work - it gives the expectation that this is going to be really really tough. </p><p></p><p>[USER=78361]@Becca6510[/USER] if you get the chance, I would encourage you to talk to your diabetes team about your concern regarding taking a week of work and find out if they could reduce the impact on your work ... and life.</p></blockquote><p></p>
[QUOTE="Deleted Account, post: 2068684"] I guess the reason for the prolonged planning and waking in the middle of the night is to set and test the basal. If you have a chance for a Libre beforehand, you can use the metrics from this to see your trends. I had recently trialed a CGM so had this data which eased me into the pump better than I have seen with others. Use a Libre (or CGM) during the start of the pump will also help with tweaking the basal. However, doing all this during the first week of a pump seems a little risky. I was using Lantus I started the pump. Although it loses its potency within the first 24 hours, I was told (and experienced) that there is a residue of Lantus (and probably other slow acting insulins) in your body for up to 4 days which, obviously, will impact your BG when you first start using fast acting insulin for basal. Also, if the period of "settling in" with the pump is not your typical week, there is a the risk that you do not account for normal periods which will raise your BG (e.g. if work is always stressful, you will miss this) and reduce your BG (e.g. if you cycle to the office, this will be missing from your set up time). On top of all this is the stress of starting a new pump which, for me, would be exaggerated if I was given the added stress that comes with being told I had to take a week off work - it gives the expectation that this is going to be really really tough. [USER=78361]@Becca6510[/USER] if you get the chance, I would encourage you to talk to your diabetes team about your concern regarding taking a week of work and find out if they could reduce the impact on your work ... and life. [/QUOTE]
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