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Need advice asap

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Not sure if I am posting in the correct group but I need some advice pretty quick, as I am confused about what to do!

I am on the pump as most of you know and am 32 weeks pregnant, and an hour and a half post meal...usually breakfast and or lunch but mainly lunch...I think? I am high....for example at lunch I was 9.7mmol had 40g of carbs which I know was correct, as it was literally a glass of milk (large) but not quite a pint and a small slice of bread......I had bacon as well but obviously that has no carbs! However, an hour and a half after eating I am a 15.3 but my pump still says that I had 6.6units of rapid active, so couldn't give a correction....I could always over ride that and still give a correction but I don't know what to do! At the end of the day I just want these post meal highs to go!! My diabetes consultant doesn't think my basals need to go up...which I agree with but we have changed my carb ratio at lunch time to 1u per 5g...would it be worth going down to 1u per 4g??

I am just pretty desperate as I already have mild polyhydroaminosis (think that is how it is spelt) and my baby's abdomen is already slightly on the larger side...I just don't want it to get any worse!

I have emailed my diabetes consultant but she is in Gambia and has already said that she has restricted wifi coverage.

Can anyone help please??

Thank you x
 
How far before you ate did you do the insulin? Also, did you correct for the 9.7 in your pre-meal dose?
 
tim2000s said:
How far before you ate did you do the insulin? Also, did you correct for the 9.7 in your pre-meal dose?
Click to expand...
20 minutes, I have been advised to do it 15-30 minutes before...but I was in a cafe so I didn't quite know when the food was going to come up! And yes...pump calculates that for me!
 
Hi,

I know everybody is different. But on the rare occaision I drink milk (mainly treat a hypo.) it does have a habit of coming back to "bite me in the ****" hours later... A bit like pizza in some respects.?
 
At this stage of pregnancy you may need to look at upping your insulin:carb ratio, and it may change pretty fast. My dsn said she had known ladies to have a 1:1 ratio +5 units in the latter stages of pregnancy because of hormones!
 
Jaylee said:
Hi,

I know everybody is different. But on the rare occaision I drink milk (mainly treat a hypo.) it does have a habit of coming back to "bite me in the ****" hours later... A bit like pizza in some respects.?
Click to expand...
Milk never effects me...that badly...unless it did.....sigh I don't know!
 
Sarahkylie88 said:
At this stage of pregnancy you may need to look at upping your insulin:carb ratio, and it may change pretty fast. My dsn said she had known ladies to have a 1:1 ratio +5 units in the latter stages of pregnancy because of hormones!
Click to expand...
Yeah I have already changed it once, so maybe change it again???? I have just tested again and I have only come down to a 14.4, pump calculated 2.8u as a correction with 3.2 still active, so I have given that! I am tempted to put a tbr on but then don't want to hypo....hmphhh xx
 
ohitsnicola said:
Milk never effects me...that badly...unless it did.....sigh I don't know!
Click to expand...

I can apreciate I'm not a pumper. But is all the pumpy bits & bobs in working order..? No shifted cannula or blocked infusion thingy??
Just a thought..
 
Jaylee said:
I can apreciate I'm not a pumper. But is all the pumpy bits & bobs in working order..? No shifted cannula or blocked infusion thingy??
Just a thought..
Click to expand...
Na that's all fine, I've checked that! As I thought that was the case too..guess it could be stress aswell but honestly I don't know, I am just fed up!!
 
Change your site? Mine becomes 'waterlogged' if I use over 25-30 units in a day so will only last 2 days instead of 3 or 4. Check for air bubbles in your cartridge.
Do you have a pen? I'd correct using that but only small increments as you are not sure of your iob.
And God love you- keep testing and have the hypo stuff ready. Do you have a DSN you can contact.
@azure i think is hot on pregnancy stuff.
 
Mrs Vimes said:
Change your site? Mine becomes 'waterlogged' if I use over 25-30 units in a day so will only last 2 days instead of 3 or 4. Check for air bubbles in your cartridge.
Do you have a pen? I'd correct using that but only small increments as you are not sure of your iob.
And God love you- keep testing and have the hypo stuff ready. Do you have a DSN you can contact.
@azure i think is hot on pregnancy stuff.
Click to expand...
I changed it this morning, and am out now...I'll use my pen and test again in about an hour or so! Might just put a tbr of an extra 20% to see if that does the trick! x
 
mahola said:
Pumpy bits & bobs!! HAHA!! :D
Click to expand...

It was a "dance anthem" in the late 80s. "Pump up the slin. I feel a Bacardy Breezer coming on..! o_O

To be serious. It could well be the hormonal pregnancy thing throwing it out..
Lol, beaten to it. But I'll give @azure another tag as I head back to the Cretian beach I'm sunning myself on...
 
Jaylee said:
It was a "dance anthem" in the late 80s. "Pump up the slin. I feel a Bacardy Breezer coming on..! o_O

To be serious. It could well be the hormonal pregnancy thing throwing it out..
Lol, beaten to it. But I'll give @azure another tag as I head back to the Cretian beach I'm sunning myself on...
Click to expand...
lol are you really on holiday....mega jealous if you are!!! I have started a tbr though!
 
ohitsnicola said:
lol are you really on holiday....mega jealous if you are!!! I have started a tbr though!
Click to expand...

Yes I am.. Based in an unseasonably hot Loutro ATM... What with the heat. (Insulin sensitivity.) & the resterauntie guessy da carb & arival time on a da table..? I'm hitting the right balance of ordering low carb protein, (plenty of veriaty.) then picking up any "slack" with a few meagre Gs of potato or "side bread"..? Doing OK So far.... :cool:

.... But then, I'm not "with child". ;):D Congratulations by the way!
 
Last edited by a moderator:
ohitsnicola said:
Not sure if I am posting in the correct group but I need some advice pretty quick, as I am confused about what to do!

I am on the pump as most of you know and am 32 weeks pregnant, and an hour and a half post meal...usually breakfast and or lunch but mainly lunch...I think? I am high....for example at lunch I was 9.7mmol had 40g of carbs which I know was correct, as it was literally a glass of milk (large) but not quite a pint and a small slice of bread......I had bacon as well but obviously that has no carbs! However, an hour and a half after eating I am a 15.3 but my pump still says that I had 6.6units of rapid active, so couldn't give a correction....I could always over ride that and still give a correction but I don't know what to do! At the end of the day I just want these post meal highs to go!! My diabetes consultant doesn't think my basals need to go up...which I agree with but we have changed my carb ratio at lunch time to 1u per 5g...would it be worth going down to 1u per 4g??

I am just pretty desperate as I already have mild polyhydroaminosis (think that is how it is spelt) and my baby's abdomen is already slightly on the larger side...I just don't want it to get any worse!

I have emailed my diabetes consultant but she is in Gambia and has already said that she has restricted wifi coverage.

Can anyone help please??

Thank you x
Click to expand...

@ohitsnicola Obviously I can't advise you about your doses, but when I had highs like that in late pregnancy I corrected them (and tested lots after).

Your ratio may need upping for that meal, but don't make any decisions from one result. I used to wait till I had 3 highs after a meal to change the ratio (but I still corrected in the meantime) If you know a particular meal is giving you highs, you can have the same meal the next day and see if the same happens.

For 'dodgy' meals where I thought I might go high, I tested at 1 and 1/2 hours so I could catch the high early.

After about 30 weeks or so (don't remember exactly) my insulin needs increased a lot eg my evening meal ratio went from 1 to 10g pre-pregnancy to 1 to 4g.

So do correct if you're confident doing so. Also, you may find that certain carbs are more difficult to eat in the last few weeks eg I found I could no longer have juice at breakfast. It may be your big glass of milk was the issue.
 
I've just seen your comment about a TBR. I used a correction bolus not a TBR. That will work faster and better in my experience.
 
It is frustrating when you want to give a correction but the pump won't let you? Did you override this on the latter stages of pregnancy @azure? Just wondering?
 
Sarahkylie88 said:
It is frustrating when you want to give a correction but the pump won't let you? Did you override this on the latter stages of pregnancy @azure? Just wondering?
Click to expand...

@Sarahkylie88 No, my pump is set up for me to decide what I do. I don't use Insulin On Board or any other things like that. If I want to do a correction, I just bolus the amount I want :)

Edited to add that obviously I know what I'm doing and have a lot of pump experience - I don't just randomly do things : D
 
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