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Medtronic 640g and hypos

tigger

Well-Known Member
Messages
569
Type of diabetes
Type 1
Treatment type
Pump
Dislikes
registrars asking silly questions
First day, first pump and it was going ok until I had a load of hypos around 5-7pm. What I was told by the rep was you put your bg in it would adjust the basal rate. It doesn't. I called the helpline and they said you needed to set a temp basal rate or suspend it. Since my maths isn't great when my levels are 2.7 does anyone have any advice? I have redone the basal for 24 hours and lowered it a lot for night to try and avoid any really bad hypos tonight and will see how it goes.

I was also told by the dsn that you just treat hypos with fast acting carbs (15g) and no slow acting ones after "because the pump will adjust". Is this as wrong as I thought it was? Rather nervous for the night.

I don't have a cgm with it or the smartguard people are talking about on the medtronics thread.
 
bumping your post @Mrsass is on a medtronic
 
As I think you saw from my thread, I have the 640g but it's just running saline... I am going for my second part of training tomorrow... I will help with any info I find out then, however -- the info you've been told is rather different than mine told me... It sounds like your DSN was confused and giving you info as if you have the CGM... I'm not surprised you're unsure of things now :-(

Hopefully someone with more experience will be along soon...
 
My DSN said that 10 -15g of quick acting carbs for a hypo is sufficient, depending on what you're doing. If sitting watching tv, the quick acting is enough, but if dancing, gardening etc, after the hypo, then a small snack (like a couple of oatcakes) is advisable (or you can use a reduced basal for a couple of hours).

If you're going hypo around 5 - 7pm then the basal at 3pm should be reduced. Finding the correct levels of basal takes time and involves trial and error. Hopefully your DSN is keeping in touch to advise you on the basal changes.

I understand why you reduced your evening basal, because you're afraid of hypos tonight, but this may simply give you highs. Keep an eye on your blood sugars to make sure you don't go too high.
 
Thanks. I did and it did although I think that had more to do with either not connecting it correctly after my shower or disconnecting it in my sleep Trial and error and many thanks for the advice.
 
tigger said:
Thanks. I did and it did although I think that had more to do with either not connecting it correctly after my shower or disconnecting it in my sleep Trial and error and many thanks for the advice.
Click to expand...
When you reconnect, make sure there is a click which tells you you've connected properly.
 
That advice is fine in normal circumstances but if you are swimming in basal then you will probably need a lot more glucose.
I've never used any slow acting carbs after a hypo though as told not to.
 
CarbsRok said:
That advice is fine in normal circumstances but if you are swimming in basal then you will probably need a lot more glucose.
I've never used any slow acting carbs after a hypo though as told not to.
Click to expand...

Everyone is different. If I knew I was going to do jives, quicksteps and cha cha chas and hadn't set a reduced basal beforehand, I certainly would eat a starchy snack, after treating the hypo.
 
dancer said:
Everyone is different. If I knew I was going to do jives, quicksteps and cha cha chas and hadn't set a reduced basal beforehand, I certainly would eat a starchy snack, after treating the hypo.
Click to expand...
I would have eaten before the activity
 
How you doing today @tigger? Which infusion sets do you have? Some click and some twist... They can be a bit fiddly... Hope you're doing better today x
 
the quick set infusion - yes it clicks and twists. I think I'm getting the hang of it...
 
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