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High numbers

Please can anyone advise
I am attaching screenshots
At my blood sugars at 18 it will not give me a correction??? I just do t understand this blinking pump to be perfectly honest - I thought the WHOLE point of Smartguard was to prevent you getting so high?!!
I feel for the last 5 days diabetes is just totally running me
 

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grantg said:
tagging a couple of medtronic 780 users: @Ann48 @sleepster @Nicola M

in one of your other threads: https://www.diabetes.co.uk/forum/threads/advice-please.210863/
Click to expand...
This was this morning though - I just don’t understand - surely it’s not right that it lets me go so high - I was in the 20s???
What’s frustrating is as always I have a little more than needed for breakfast then went & walked the dogs
What on earth do I have to be doing to keep myself in range - honestly diabetes is just kicking my backside lately
 
How long have you been on this pump, as it takes a while for it to learn your diabetes. Have you checked your bloods with a finger prick test and input the results? Maybe still high because of your cold, or hormones (sorry I don't know your age), cold weather.

If none of these apply, it's always good to check your basal insulin requirements haven't changed.
 
Hopeful34 said:
How long have you been on this pump, as it takes a while for it to learn your diabetes. Have you checked your bloods with a finger prick test and input the results? Maybe still high because of your cold, or hormones (sorry I don't know your age), cold weather.

If none of these apply, it's always good to check your basal insulin requirements haven't changed.
Click to expand...
I have been in this system for nearly 3 years
 
SmartGuard will max out corrections, as far as I am aware, they "reset" at midnight, so if you've been given a lot of corrections overnight by the time midday rolls around, you could have maxed out your corrections and need to input a blood glucose reading to get it to start giving you corrections again. The pump learns from you every day and, in effect, takes into account the last 24 hours to base your insulin for the next day. You can only change so much in SmartGuard, your Active Insulin Time, most people swear by 2 hours, your Target blood sugar range, as far as I remember, there are 3 numbers you can set it to, mine is set to the middle one, as that works for me and your carb ratios. Are you certain your carb ratios are correct for each time of the day? Have you spoken to your diabetes team about perhaps changing some settings to see if that helps?
 
Nicola M said:
SmartGuard will max out corrections, as far as I am aware, they "reset" at midnight, so if you've been given a lot of corrections overnight by the time midday rolls around, you could have maxed out your corrections and need to input a blood glucose reading to get it to start giving you corrections again. The pump learns from you every day and, in effect, takes into account the last 24 hours to base your insulin for the next day. You can only change so much in SmartGuard, your Active Insulin Time, most people swear by 2 hours, your Target blood sugar range, as far as I remember, there are 3 numbers you can set it to, mine is set to the middle one, as that works for me and your carb ratios. Are you certain your carb ratios are correct for each time of the day? Have you spoken to your diabetes team about perhaps changing some settings to see if that helps?
Click to expand...
Thanks for your reply
This high started at 9.30am the pump offered a few corrections but then just stopped
Trying to get hold of team is a nightmare (always on annual leave) I will see if I can get hold of anyone tomorrow
 
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