1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2020 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Job issue

Discussion in 'Insulin Pump Forum' started by Jessd, Mar 17, 2015.

  1. Jessd

    Jessd Type 1 · Well-Known Member

    Messages:
    261
    Likes Received:
    215
    Trophy Points:
    103
    No haven't got a bolus calculator on pump. I find cabbage doesn't affect my blood sugars but carrots do, if they are the only thing I have to count for never give more than 2 units & that's always been ok
     
  2. donnellysdogs

    donnellysdogs Type 1 · Master

    Messages:
    13,202
    Likes Received:
    12,462
    Trophy Points:
    298
    It amazes me that nurses nowadays tell people to test on quiet days.
    If I did it on a quite day I would be hypo all the time on a busy day!
    I know we're all individuals and that makes sense for people that have more sedentary routines perhaps.... But days when you are active need (to me) to be tested more not less and that means basal testing.

    It worked for me... As an individual thats all I can say. I am always active even if having a lie in I go out to my gardening all day.

    Shame that you haven't got a bolus wizard...as it does enable to take on board insulin if you've had to do a correction and fine tuning to say 1.6 units or 1.9 for bolus's and corrections etc.

    You have to find a way that will enable you to get these peaks eliminated. I personally only think that this can be done when doing your normal routines.. Not quiet days.

    30yrs ago when diagnosed although I was hospitalised they still sent me out everyday to walk and go shopping etc to find out my dosages in normal day situations not a hospital bed routine. It to me us a shame that they seem to exclude this on basal testing and want people to do it on quiet days... My consultant 4.5 years ago never told me that.

    As I have a lot of coffees during the day whilst gardening I also allow this in to my basal testing.. I do not exclude my coffees as it is my routine. Otherwise gardening I would end up dehydrated and altering muly doses to something that is not routine for me. I do lnow most people would not basal test with coffees still in the equation. So it is finding out what works for you...

    Best wishes Jess...
     
  3. CarbsRok

    CarbsRok Type 1 · Well-Known Member

    Messages:
    4,696
    Likes Received:
    5,286
    Trophy Points:
    178
    Jess turn on the bolus wizard. Get out instruction manual and see how to do it.
    You are facing a losing battle with no wizard as it will work out insulin needed for carbs and corrections.
     
    • Like Like x 2
  4. Jessd

    Jessd Type 1 · Well-Known Member

    Messages:
    261
    Likes Received:
    215
    Trophy Points:
    103
    Hi. I have only got the Accu chek spirit combo pump, don't have the meter with it
     
  5. RuthW

    RuthW Type 1 · Well-Known Member

    Messages:
    1,159
    Likes Received:
    1,926
    Trophy Points:
    178
    It's called the "Bolus Advice Functions" on your pump. I don't think it needs CGM. I have an older model from Medtronic and it's the best function on it. You might have to read your manual!
     
  6. iHs

    iHs · Well-Known Member

    Messages:
    4,602
    Likes Received:
    2,320
    Trophy Points:
    158
    Hi

    There is a bg meter for the Spirit Combo pump that works by bluetooth and connects to the pump to deliver the insulin. It is identical to the Accuchek Expert meter. Not sure why you havent got the bg meter. If yr pump is new, then phone up Accuchek and ask them for the bg meter for the Combo. If yr pump is not new, the Expert meter will work as the bolus wizard so will calculate the insulin for you and then you can manually enter the bolus amount on the Spirit pump and then deliver it. The Combo bg meter is best though
     
    • Like Like x 2
  7. Jessd

    Jessd Type 1 · Well-Known Member

    Messages:
    261
    Likes Received:
    215
    Trophy Points:
    103
    Have looked through manual, cannot find it. After testing today for basal rate (5 hours) will need to make adjustments. Going to test tomorrow too
     
  8. CarbsRok

    CarbsRok Type 1 · Well-Known Member

    Messages:
    4,696
    Likes Received:
    5,286
    Trophy Points:
    178
    Please read the advice by iHs in the above post regarding the meter.
     
  9. Jessd

    Jessd Type 1 · Well-Known Member

    Messages:
    261
    Likes Received:
    215
    Trophy Points:
    103
    I know there is 1 available - £120, I'm due for an upgrade in June. The expert meter is that best to look online to get that?
     
  10. RuthW

    RuthW Type 1 · Well-Known Member

    Messages:
    1,159
    Likes Received:
    1,926
    Trophy Points:
    178
    Ah yes, I understand. You've got the pump but all the functionality is in the Bluetooth BG handset, and you haven't got that. Well, I think you will really enjoy your upgrade!
     
  11. CarbsRok

    CarbsRok Type 1 · Well-Known Member

    Messages:
    4,696
    Likes Received:
    5,286
    Trophy Points:
    178
  12. iHs

    iHs · Well-Known Member

    Messages:
    4,602
    Likes Received:
    2,320
    Trophy Points:
    158
    @Jessd Until, youve been able to sort out yr basal rates correctly, what you can do is add 50% of yr correction dose to your bolus carb ratio dose and see how yr bg levels go doing that. You need to try to not give corrections if you can help it. If yr carb ratio is 1u to 10g and you eat 15g carb by adding 50% correction .....1u that makes the dose 2.5u. 15g/2.5u = 1u to 7g instead of 1u to 10g. Its all trial and error. Idealy you need to be about 6mmol before a main meal and allow a rise 2.5hrs later to be about 8.5mmol and then if yr basals are adjusted ok, you should fall back to 5-6mmol at the end of the bolus acting time.

    Although infusion sets can play up, its not often. If bg is above 14mmol, I usually use my pen to deliver the dose just in case but that's me. Often its just the basal or bolus thats not right and not the set
     
  13. iHs

    iHs · Well-Known Member

    Messages:
    4,602
    Likes Received:
    2,320
    Trophy Points:
    158
    Not sure what teststrip you are using at present but the Expert meter needs Aviva strips. There are bolus wizards available online to download as apps.......MySugr is one but there are a few others as well
     
  14. Jessd

    Jessd Type 1 · Well-Known Member

    Messages:
    261
    Likes Received:
    215
    Trophy Points:
    103
    Currently use the Accu chek mobile cassette meter.
     
    • Like Like x 2
  15. donnellysdogs

    donnellysdogs Type 1 · Master

    Messages:
    13,202
    Likes Received:
    12,462
    Trophy Points:
    298
    I'm sure that if you speak to the right person at Accuchek Careline and explained that you are getting an Insight and you would like to prepare for It that they would send you a meter free of charge. If not, contact your DSN and explain that you are wanting to get used to a meter with similaritys to the workings of the Insight. I'm 100% sure you can persuade Accuchek to give you an expert meter especially as the strips are the same as the Insight.
     
    • Like Like x 2
  16. Jessd

    Jessd Type 1 · Well-Known Member

    Messages:
    261
    Likes Received:
    215
    Trophy Points:
    103
    Ok thanks, I will give Accu chek a ring tomorrow
     
    • Like Like x 2
  17. Jessd

    Jessd Type 1 · Well-Known Member

    Messages:
    261
    Likes Received:
    215
    Trophy Points:
    103
    Hi. Have just spoken to Accu chek - they said they would only send one out of my nurse rang/emailed to say that the NHS would fund it. Will try my nurse again today & see what she thinks
     
  18. Jessd

    Jessd Type 1 · Well-Known Member

    Messages:
    261
    Likes Received:
    215
    Trophy Points:
    103
    Just spoke to my nurse, she has said that the Insight pump is good in a lot of ways but frustrating in others, has said to look at the Animas pump too. Asked her about the meter that goes with this pump, she said it's not worth getting as I'm getting my upgrade in June & wait til then as will have new pump & meter that goes with.
     
  19. CarbsRok

    CarbsRok Type 1 · Well-Known Member

    Messages:
    4,696
    Likes Received:
    5,286
    Trophy Points:
    178
    That's awful service, I would have told them I was going to have the vibe pump instead of the insite as they not that helpful.
     
  20. Jessd

    Jessd Type 1 · Well-Known Member

    Messages:
    261
    Likes Received:
    215
    Trophy Points:
    103
    I was surprised as last time I spoke to my nurse (January( she said the Insight would be better than the Animas pump for me??! Will have a look on Internet tonight. These are the 2 pumps I have the choice of upgrading too, the vibe was not mentioned. I have downloaded the mysugr logbook as lost my logbook diary.
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook