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Just out of interest....

Lucie75

Well-Known Member
Messages
302
Location
Bristol
Type of diabetes
Type 1
Treatment type
Pump
Since going on to a pump do you generally find you have fewer hypos per week? My pump review is in a couple of weeks (at the moment I only have it on trial) and my main target was to reduce the number of hypos per week. While I think this has happened (although I can't remember how many I had per week before I went on the pump), I'm finding that even the smallest alteration to my day has a huge impact on my blood sugars. Yesterday evening I did a bit of digging on our allotment so knowing that this was quite strenuous I did a tbr of -50%. Beforehand I was 11.1 (I'd not given a full dose for my meal because I knew I'd go to the allotment afterwards). Just 20 mins into digging I felt ridiculously tired so tested and I was 2.2. Don't get me wrong, I LOVE having a pump and would hate for it to be taken away, but this wouldn't have happened when I was on mdi. Perhaps this is because control is so much tighter on a pump. Getting the tbr's right for exercise is proving to be my downfall.
 
Yes i have fewer hypos not sure its the pump or CGM though. Although saying that Ive had a 2 which is the first in a long time after I ignored the CGM and fell back asleep (saturday morning)
 
It makes sense that it could be the tighter control causing you an issue. I'm at the same stage as you with the pump. I feel like I'm having fewer hypos, and less severe, but I don't know for sure. The research data says "fewer hypos at no cost in HBa1c".

Your gardening incident is odd though. If that happened to me I would think something had gone wrong at mealtime. Too much insulin, double dosing, or a tummy bug. To go from 11 to 2 so quickly.

One thing we were told in a follow up pump class is that there's a delay of a couple of hours when you change the basal rate, before it affects the insulin in your bloodstream. That it's slower than a pen injection I guess. That surprised me.
 
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