Advice please

[Sasha1!]

Hi
So have had quite a lot on recently - stressful situations - my diabetes has really been giving me a hard time
To the point I had Friday & Saturday off with horrendous high sugars
I tried contacting my nurse - no response - to the point I called the Switcboard to speak with the DSN of the day
I had a call back - so overnight I was running very high - at 8.02 pm the pump gave me the last correction. - then for 7 hours it kept me out of range with no corrections from the pump at all?!!! The nurse if the day said well you’re doing everything right just keep going - this is after I had been off 1 day
Today has been another horrendous day

 

[Sasha1!]

Attaching this here - from today

 

[Sasha1!]

Currently sitting at 20.8 with 1.225 units on board & the pump is offering no corrections ??!

 

[h884]

Currently sitting at 20.8 with 1.225 units on board & the pump is offering no corrections ??!

Hi Sasha1!

You have obviously been having a rough time. With sugars that high you do not feel great.

Some questions for you.

What pump and sensor do you use ?

Are you due to change anything such as your sensor or pod ? Could it be that is where the problem lies.
Have you given a correction using your pen
D
Have you done a finger prick to verify your readings and checked your ketones ? There could be inaccuracies in the sensor or could you be unwell

Sorry if these are things you have already thought about / done/checked

Hope is some help

Let me know how things go

 

[Sasha1!]

Hi Sasha1!

You have obviously been having a rough time. With sugars that high you do not feel great.

Some questions for you.

What pump and sensor do you use ?

Are you due to change anything such as your sensor or pod ? Could it be that is where the problem lies.
Have you given a correction using your pen
D
Have you done a finger prick to verify your readings and checked your ketones ? There could be inaccuracies in the sensor or could you be unwell

Sorry if these are things you have already thought about / done/checked

Hope is some help

Let me know how things go

Hi
I have the Medtronic 780 with guardian 4
Not due to change sensor or canula yet - contacted my nurse on Friday by email she only now responded today asking if I changed my canula - yes I did & did I carb count for my meal- yes I did - this meal 3 chicken wings, 3 boiled
Potatoes & 60g beetroot - carb counted - actually didn’t move after tea for about an hour took me to 18.9
These highs are wrecking me -

 

[h884]

Hi
I have the Medtronic 780 with guardian 4
Not due to change sensor or canula yet - contacted my nurse on Friday by email she only now responded today asking if I changed my canula - yes I did & did I carb count for my meal- yes I did - this meal 3 chicken wings, 3 boiled
Potatoes & 60g beetroot - carb counted - actually didn’t move after tea for about an hour took me to 18.9
These highs are wrecking me -

Hi

I can only imagine how you are feeling. It is very frustrating, no matter what you are doing things are not improving. Sorry for my questions, these were things that went through my mind as to solutions

 

[Sasha1!]

It’s just the lack of help from my nurse I’ll be honest - so frustrating - I try my best with the diabetes
I just don’t understand why the pump has stopped giving correction - been in double figures since 1.15 today for goodness sake -
I’ve changed my set & insulin - my last bm was 14.8

 

[Fairygodmother]

Do you have the Medtronic seven eighty g handbook? See if there’s a section in there that’ll help?
The only other things I can suggest is that you look at carb ratios, insulin sensitivity factor and basal set up
The DSN who advises when I ask about finer tuning suggests changing these by small numbers and waiting to see the effects before doing more changes.
I really sympathise. Highs feel absolutely awful and it’s beyond frustrating not to have help.

 

[Fairygodmother]

Are you still in Smart Guard?

 

[Nicola M]

The problem is the pump will only give so much corrections before it will shut them off, it’s based on your total daily dose, it will only give a percentage as it doesn’t want to risk you going low. If you’re still running high and it’s stopped giving corrections you should do a finger prick and enter a manual BG so you can give a manual correction (press the down arrow after entering the BG) it should in theory re-start giving corrections after that. I’d also consider changing my set and insulin if you’ve been high for a while and are not coming down.

 

[Sasha1!]

Are you still in Smart Guard?

No so now my inserter for the guardian 4 has packed up!! I could t believe it - beyond frustrated tbh. No response from my nurse
Rang Medtronic - I will get new transmitter, inserter & replacement guardian 4 tonorrow
But obviously now running in manual mode til tomorrow afternoon!!

 

[h884]

No so now my inserter for the guardian 4 has packed up!! I could t believe it - beyond frustrated tbh. No response from my nurse
Rang Medtronic - I will get new transmitter, inserter & replacement guardian 4 tonorrow
But obviously now running in manual mode til tomorrow afternoon!!

Hi Sasha1!

I can understand your frustration. Lack of support from your pump team does not help

Maybe new equipment will help ? It will be interesting to see what running in manual mode does for your levels ?

I use Omnipod 5 and Dexcom 7. Currently running in manual mode. I am getting better control this way.

Hope things begin to improve for you soon.