Hello all, first post as a pumper!!!!
I have very recently started on the Accu Chek Combo Pump and I have sorted out my basal rates, carb bolus and correction rate, but I am having trouble when I go out drinking. When I was on MDI (22 units of Lantus once a day, and then counting carbs for my meals) I reduced my carb bolus for meals the following day by around 60% and this stopped me going hypo and I never went high. However now I am on the pump when I try and do the same with my bolus I always end up high around 15+ two hours after a meal. I have tried setting a temporary basal rate of 120% whilst I am drinking to keep me in range and that worked, however when I stop drinking to go home and go back to my normal set basal I am constantly correcting lows or chasing highs even though I am very good at not over-correcting a hypo. And so I can't work out what to do during/after drinking and the following day because almost without fail I will go low or be chasing highs for the rest of the day..
So after all that it may seem like I am asking what to do myself but I am actually more curious to know what you more experienced pumpers do when you know you are having a night out drinking (I know we are all different!), as in do you increase the basal during drinking then drop it overnight or do you keep the basal the same and work out a reduced/increased bolus percentage for the day after or even bolus per drink!?!? So far everthing I have tried has either sent me low or high or as I said before jumping between the two.
Even with the change and upheaval compared to MDI I already love my pump and count myself incredibly luck to be one of the very very few in Northern Ireland to have one. Pumping is bliss....
Thanks!
Ova
I have very recently started on the Accu Chek Combo Pump and I have sorted out my basal rates, carb bolus and correction rate, but I am having trouble when I go out drinking. When I was on MDI (22 units of Lantus once a day, and then counting carbs for my meals) I reduced my carb bolus for meals the following day by around 60% and this stopped me going hypo and I never went high. However now I am on the pump when I try and do the same with my bolus I always end up high around 15+ two hours after a meal. I have tried setting a temporary basal rate of 120% whilst I am drinking to keep me in range and that worked, however when I stop drinking to go home and go back to my normal set basal I am constantly correcting lows or chasing highs even though I am very good at not over-correcting a hypo. And so I can't work out what to do during/after drinking and the following day because almost without fail I will go low or be chasing highs for the rest of the day..
So after all that it may seem like I am asking what to do myself but I am actually more curious to know what you more experienced pumpers do when you know you are having a night out drinking (I know we are all different!), as in do you increase the basal during drinking then drop it overnight or do you keep the basal the same and work out a reduced/increased bolus percentage for the day after or even bolus per drink!?!? So far everthing I have tried has either sent me low or high or as I said before jumping between the two.
Even with the change and upheaval compared to MDI I already love my pump and count myself incredibly luck to be one of the very very few in Northern Ireland to have one. Pumping is bliss....
Thanks!
Ova