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low BG when using wizard medtronic

Discussion in 'Insulin Pump Forum' started by Matt1212, Jun 24, 2011.

  1. Matt1212

    Matt1212 · Well-Known Member

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    Hello Everyone,

    Question when using the pump for a meal bolus and the you have had a reading below your range in the last 15 minutes. Would you use the wizard and enter the low BG i.e 3.0 and let the wizard reduce your meal dose , even though you have taken some fast acting carb and your BG is now in range ?

    For example
    6.00pm test BG - it is 3.0 , take 50ml lucozade
    6.15pm restest BG and it is 5.5
    6.15pm dinner is 45g carb (ratio 20carb - 1u insulin) so normal blus 2.2u
    However if enter 3.0 BG into wizard the bolus will be 2.2u less 0.5u (as BG was 3.0 below range and insulin sensitivity is 6.0 to 1u insulin)

    Problem is getting high BG later as under bolus for meal

    What do other pump users do ?

    thanks
    Matt
     
    #1 Matt1212, Jun 24, 2011 at 1:10 PM
  2. jopar

    jopar · Well-Known Member

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    No as the low has been treated...

    If you use the low reading in the wizard, it will calculate a reduction in your insulin dose, and you will end up high..
     
    #2 jopar, Jun 24, 2011 at 2:25 PM
  3. phoenix

    phoenix Type 1 · Expert

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    Yes I agree with Jopar, but it is confusing.
    If I'm low immediately before the meal I put in my glucose level, the pump screen says don't bolus until your glucose is normal' I have to say I ignore that and just bolus and eat. TBH this happens quite often at dinner and I know it works fine for me and I am almost never very low ie just under 4mmol. If I were very low I would treat, wait and then dose according to my new glucose level.
     
    #3 phoenix, Jun 24, 2011 at 2:40 PM
  4. donnellysdogs

    donnellysdogs Type 1 · Master

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    I agree, I was told to treat the low retest to get normal reading and then bolus and eat..as normal.....
     
    #4 donnellysdogs, Jun 24, 2011 at 3:44 PM
  5. liklejojo

    liklejojo · Well-Known Member

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    I'm afraid I agree, I would go with the new reading that is ok as this is the level that you would have had if you didn't go hypo.
     
    #5 liklejojo, Jun 27, 2011 at 2:04 PM
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