Sorry, I can do 15 minutes extended bolus on my Combo, but as you said 30 minutes is the minimum on the Omnipod. Hope that eating 20 minutes after starting the extended bolus works for you, just be careful if your blood sugar is lowish when you start the extended bolus, as you could hypo before the food kicks in. It will be a matter of trial for you to discover this for yourself as we're all different, and different foods absorb at different rates.Sorry for all the questions, but - How do you bolus over 15 minutes? I’m trying it with my pod but seems that half an hour is the shortest extended option, and now I don’t know if should do it 15 mins before eating or 30 mins, or if that will mean the fiasp is working too much sooner than the food?!
ThanksSorry, I can do 15 minutes extended bolus on my Combo, but as you said 30 minutes is the minimum on the Omnipod. Hope that eating 20 minutes after starting the extended bolus works for you, just be careful if your blood sugar is lowish when you start the extended bolus, as you could hypo before the food kicks in. It will be a matter of trial for you to discover this for yourself as we're all different, and different foods absorb at different rates.
Hope you can get the pods to work for you.
Cheers for the ideas- I’ll check out the speed setting, or ask about it tomorrow.Hi, a couple of things.
First, if you are a recent type one, it is possible that you still have a bit of insulin production capacity, and your pancreas may be (randomly) deciding whether to work or not. If this is affecting you there's nothing to be done but wait it out.
Secondly, it's perfectly possible to be reacting to something in the solution that's not the insulin. I react to all long/basal insulins, probably due to whatever it is that delays their action. I think you're reacting to short term insulin though. Have tried insulin from different manufacturers, and different types (analogue, soluble)? Some people react to all insulin except the (really old fashioned) pork/beef, which are difficult to get a doc to prescribe.
Reacting to the needles? I know it happens, but fortunately not to me, so I can't help, sorry.
EDIT I just remembered, right at the beginning of using my pump it was giving me bruises. It turns out there's a setting which changes the speed at which insulin is pushed out of the needle. It causes less bruising, and hopefully less pain. My pump is Medtronic.
Thanks, and thanks to everyone who is offering ideas and support, my diabetic nurse is friendly/lovely but often just says she has no idea when I ask her about any of thisHi, it may well be an issue with the canulla as you are doing everything within your power to try & resolve it. You are correct that the minimum extended bolus is 30 mins. Hope you get some answers with your diabetic team tomorrow
Fantastic news!Hallo- just in case anyone sees this, who gave me advice, it seems like advice on here has sorted my pod issues
I’ve had a full three days with a pod testing out the new way of doing boluses and it made a very small lump that didn’t seem to interfere with insulin absorption. I don’t ever do more than about 1.8units at once, if I need more I spread it out over half an hour and seems like the insulin works how it should. Very happy.
Been leaving it a bit longer before eating if I’m a bit high, and less time before eating if I’m on the low side. Have had a few too many lows but not immediately following a bolus, just other things (period/hormone cycle) so it’s not perfect but I’m roughly back to the insulin to carb ratios I had roughly got down before switching to the pump.
So just to say thanks! Seems I can actually enjoy a bit of time off over Xmas instead of unrelenting high sugars and pain in my arms (and brain!)
That's great. Am so glad that this pod has worked better for you.Hallo- just in case anyone sees this, who gave me advice, it seems like advice on here has sorted my pod issues
I’ve had a full three days with a pod testing out the new way of doing boluses and it made a very small lump that didn’t seem to interfere with insulin absorption. I don’t ever do more than about 1.8units at once, if I need more I spread it out over half an hour and seems like the insulin works how it should. Very happy.
Been leaving it a bit longer before eating if I’m a bit high, and less time before eating if I’m on the low side. Have had a few too many lows but not immediately following a bolus, just other things (period/hormone cycle) so it’s not perfect but I’m roughly back to the insulin to carb ratios I had roughly got down before switching to the pump.
So just to say thanks! Seems I can actually enjoy a bit of time off over Xmas instead of unrelenting high sugars and pain in my arms (and brain!)
Hope you have a good Xmas too-That's great. Am so glad that this pod has worked better for you.Thanks for letting us know. Hope you have a good Christmas x
@KC49 the only thing I now experience is having bread at lunchtime gives me a food spike of 12-13+. Tried all different prebolus timings, types of bread, extended bolus and nothing works. Just upped my basal for one hour to try & see if it helps!
My pump is also set on a lower basal rate after lunch, as I always went low in an afternoon, and had to snack to prevent a hypo. For a few weeks after my covid jab I was going high, and gave an extra bolus an hour after lunch, now I'm going low late afternoon again, so need to reduce basal a tiny amount mid afternoon. That's where a pump is so brilliant. Strange though, because I've always needed a higher basal rate in winter than summer.Hope you have a good Xmas too-
Good luck with the basal tweak- mine is set to go lower from 13.00to 16.00 to ward off my afternoon lows, and so far the most annoying thing is that I’d got used to being able to snack things without taking insulin for them after work, but if I do that now I end up too high. So the basal adjustments must make a difference, even though it’s small amounts
My pump is also set on a lower basal rate after lunch, as I always went low in an afternoon, and had to snack to prevent a hypo. For a few weeks after my covid jab I was going high, and gave an extra bolus an hour after lunch, now I'm going low late afternoon again, so need to reduce basal a tiny amount mid afternoon. That's where a pump is so brilliant. Strange though, because I've always needed a higher basal rate in winter than summer.
Hi, you know you can snack but take insulin? I'm not sure if it's just as meals as I don't snack. Merry ChristmasHope you have a good Xmas too-
Good luck with the basal tweak- mine is set to go lower from 13.00to 16.00 to ward off my afternoon lows, and so far the most annoying thing is that I’d got used to being able to snack things without taking insulin for them after work, but if I do that now I end up too high. So the basal adjustments must make a difference, even though it’s small amounts
Yes I think that's what normally happens with me in summer. I've got a different summer and winter basal programme on my pump, which is really helpful.Could it be because the insulin passes around your body more efficiently when everything is a bit warmer?
I could never achieve it with injections either!! It's great to wake up in your target range, it makes the rest of the day easier, rather than playing catch up all day!!Several mornings in a row without waking up too high is something I never achieved with injections!
Hope your basal tweaks work out, or you find some way of having bread at lunch time.Hi, you know you can snack but take insulin? I'm not sure if it's just as meals as I don't snack. Merry Christmas
I'll let you know how the tweaks go but my husband is taking me out for lunch today so maybe won't know until over the next few days.
It's a bummer, as I do love a sandwich. Had a smallish baked pot at lunch @ the golf club. I know them well so asked if they would weigh potato b4 cooking. Bolused 20 mins b4 eating and had a 2 hr later spike of 11.8Hope your basal tweaks work out, or you find some way of having bread at lunch time.
I can't drink with the medication I'm on, so don't have that problem, but yes it's always a learning curve.
Just wondering, if you always have lunch at the same time, could you up your basal a bit more one hour before your lunch, and then reduce it the hour after your lunch??? Just a random thought!!
If my numbers are high before lunch, I'll prebolus 30 minutes or longer, but if on the lower side of normal, I'd hypo, but we're all different, so what I do might not work for you.
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