Insulin Backed Up

StewM said:

Well, wouldn’t you know… I’m also with Dr McGowan. It was the pump nurse Sharon Bradley (who I’m primarily dealing with atm) who was keen to keep me on Fiasp.

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Exact same team as I have, lol. I think if you have used fiasp on pens then they would more than likely want to see how it goes initially. I was on novorapid and still am now that I am on pump.
It took me more time than I expected to get basal good & even more for temporary basal. I enquired about changing novorapid to see if any other fast acting insulin would give me a smoother BG rate. That was when Dr McGowan told me fiasp can be gloopy.
They are probably thinking better the devil you know to begin with. I'm sure it will improve once basal sorted, it's very early days for you.

StewM said:

Yeah, I’ve not figured out temp Basal at all yet. I always go high after/during a Zoom meeting so set a higher temp Basal. Zero difference. Had another meeting with an even higher temp Basal. Zero difference. Tried losing a lower Temp Basal for solid three hours of walking, nearly went into Hyperglycaemia.

What’s really strange about this is both my morning and evening Basal tests are showing an incredibly flat profile, similarly my overnights are flat as a pancake.

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The flat as a pancake profiles are a brilliant start. Are you commencing temp basal re zoom (stress?) One hour before & one hour after event, same for exercise?

StewM said:

I understood you

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I understood searley too, and only asked the question so that new diabetics wouldn't read the wrong information.

StewM said:

Yeah, I did for the Zooms but I didn't for the exercise because of how high my Blood Sugar was going, so I abruptly stopped the Temp Rate before I needed a correction.

With the Zoom thing, I don't know if it's stress (it could be) but it could also just be being unusually sedentary (I don't tend to like sitting down for long periods of time if I can avoid it).

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It's so difficult to pinpoint, genuinely just slowly but steadily ruling things out.
Two things changed for me when I changed to pump/just fast acting insulin:
Sunny/hot weather drastically reduces my insulin requirements, didn't affect me when on pens.
Alcohol, even one or two glasses of white wine makes me crash the next day, need a temp Basal.
Speak to Sharon at your next zoom meeting, the exercise incident may have been a one off. Could have been a number of reasons for the high (as it was high b4 exercise).

Hi, I am using the Omnipod Dash with humalog, which is a littlebit slower and which I take 15mn in advance before eating.

1) A profile Glucose change of 1-2 is not massive and is prefectly reasonable (my opinion).
But you repeat the Basal testing for several days to get a relyable and repeatable result. Also you may test part by part of tthe Basal-profile other parts (morning, night) in the same fashion. You may need quite some time to obtain a fairly stable Basal profile.
Also be aware that your Basal may change in time. I do have the problem for example that my need of Basal is changing of the year and the period maybe 2weeks up to 2-3 month periods by up to 30% up or down.
Essentially I have added several similar profiles with changing amount.
What I am doing if I recognise a change in the same direction in Basal (best seen over night) over 2-3 days I am starting to adapt to switch my profile, even adapt if necessary.

2) After all this you start to check for your carb/insulin ratio with some good known carb-intake over several days. Maybe you have also to differeniate over the day(Breakfast-time, lunch, diner and night) over several days. The same you may try to do with your correction ratios. But with this correction tests you should wait until you have no meal insulin in your body any more, which maybe more difficult to do.and may need some more guessing than real test-results

3)Anyhow, if you got through your testing and processing and rechecking from time to time you'll see in time what your glucose profile will tell you. For me I reached a reduction in my HBA1C reduction for around 30-40%.

Especially average and time in range and Hypo- and Hyper-timings will tell you.

For me the results was really great. But I must say I had the advantage that I worked for some month at home with fairly controlled conditions

Anyhow good luck.

PS: if you are reaching the end for a pod after 72h it'll continue for another 8h(as long there is enough insulin in the pod) before the final absolute stop of the pod. Even though the PDM is showing in between that your pod has expired. This may help you for work where its not always possible to change the pod directly.