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high help

J

Jessd

Well-Known Member
Messages
261
Type of diabetes
Type 1
Treatment type
Pump
Hi
I have posted about this before
Seem to be struggling with high blood sugars, changing my canula set daily
Went to bed last night on a bm of 7, woke up this morning, 10.5, gave 1 unit to correct, then 2.5 as I had a small bread roll (was starving) took the dogs for a good walk, about 45 mins later bm was 15.9, changed canulla (used a tenderlink for a change, have been using rapid d) gave a further 2.5 units, just got home about 9.50 this am to do a bm, it was 19(gutted) it seems when I correct, it just continues to rise!!
Been trying to get hold of my Pump nurse for a good week, someone rang who works with her, last Thursday, saying she would ring me between 3-4pm that day, as she had got my message, didn't hear from her, tried her 3 times this week, no luck, just left her another message
Really struggling & it's getting me down a bit
 
A couple of questions..

Are you remembering to 'prime' the cannula each you change?

Check the book in the box, to see how much you need (the 13mm tenderlink needs, 0.7u) when you prime the cannula using your remote/handset, to keep everything in check, use the bolus wizard menu and enter the amount of carbs equal to the prime dose required, this prevents the software seeing the cannula prime as an correction so won't include it in the calculations...

Another trick is some find helpful if their BG goes up after a set change, is leaving the old set in for a hour or more after the change...

Have you done any fasting tests to ensure that your basal profile is correct and this isn't causing an underlying problem!

Other area's to consider..

Are you getting bad adsorption in the area, may be a good idea to note down the site being used, and change to a completely new area.. This may highlight adsorption problems in different areas..

Not unusual for a pumper to need, a different profile for different areas to adjust for adsorption in that area, or avoiding using it!

When your BG's are high, are you using your pen for injecting the insulin... It's recommended that anything above 16mmol/l you should use your pen in a different location.. In a case an adsorption issue..

Another one, is does the length/type of cannula suit you, is it too long or too short!

I used the angled tenderlink, due to really having no fat layer, a 90 degree angle will likely hit the muscle underneath and cause all sorts of problems for me. With the tenderlink I can lay the cannula so it runs along the muscle to prevent problems of blockages/kinks ect. You do have to self insert, but it's no different to injecting and does have the advantage of if it's going to hurt going in, you can stop and move elsewhere.
 
Hi
yes priming the right amount. On the rapid d's i'm using the 6 length, do find them better, no blockages.
Now have the rapid d in my left side, I use my legs(they need a rest for a bit though, lumpy & bruised) lower back & backside for sites, do rotate them & been advised by my DSN to change my sites every day
Need to do some basal rate testing & see whats going on, been tricky though as numbers just haven't been right lately
 
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