Please sone help needed

[Sasha1!]

Hi
So this feels like I’ve been here before a bit with this post
Can someone please advise me - I am using the Medtronic 780g with guardian 4
Nights & mornings - great
My afternoons seem to be getting worse & worse
So today knowing how the last 5 days have been I tried something (I know it may have been a bit silly but bear with me) had my lunch of small sweet jacket potato (weighed it for the carbs) my numbers were 8 before lunch & pre bolused
Had tomato with it & grated cheese
Wasn’t having an overly active afternoon but had a 10 minute walk after lunch
So after I bolused - I went to fill canula option & basically input 5 units - I know I know but the reason why is because every **** time I eat at lunch my numbers are a so & so in the afternoon- high!!
My point in this is - they still went HIGH ‍ what the heck??? I am attaching my screen shot

Please anyone how can I sort this out

 

[Sasha1!]

My i

Hi
So this feels like I’ve been here before a bit with this post
Can someone please advise me - I am using the Medtronic 780g with guardian 4
Nights & mornings - great
My afternoons seem to be getting worse & worse
So today knowing how the last 5 days have been I tried something (I know it may have been a bit silly but bear with me) had my lunch of small sweet jacket potato (weighed it for the carbs) my numbers were 8 before lunch & pre bolused
Had tomato with it & grated cheese
Wasn’t having an overly active afternoon but had a 10 minute walk after lunch
So after I bolused - I went to fill canula option & basically input 5 units - I know I know but the reason why is because every **** time I eat at lunch my numbers are a so & so in the afternoon- high!!
My point in this is - they still went HIGH ‍ what the heck??? I am attaching my screen shot

Please anyone how can I sort this out

my other point is look how much insulin I have apparently on board
What’s it doing?? Because in my mind IT IS NOT WORKING - just tired of this

 

[Dexta]

Hi Sasha. Just a thought. Does your control improve at all soon after you change your cannula/infusion set and then deteriorate?

I know your night and morning control seems good, but I’m just wondering if it could be your cannula site that’s partially restricting insulin absorption.

 

[Juicyj]

Hello @Sasha1!

This is what i'd do if faced with this situation - either start with basal fasting tests and check how my basal insulin profile is stacking up during this period, or just go straight ahead and change my bolus ratio covering the time frame over this period. https://www.mysugr.com/en/blog/basal-rate-testing

Repeated events suggest either your basal or bolus ratio needs adjusting, so rather than fighting it with corrections either do a couple of basal fasting tests or look at your insulin settings and see where the bolus adjustment need to be made, no one here can advise on what to adjust by so if you're not sure yourself contact your DSN and get some guidance on this.

 

[Sasha1!]

Hello @Sasha1!

This is what i'd do if faced with this situation - either start with basal fasting tests and check how my basal insulin profile is stacking up during this period, or just go straight ahead and change my bolus ratio covering the time frame over this period. https://www.mysugr.com/en/blog/basal-rate-testing

Repeated events suggest either your basal or bolus ratio needs adjusting, so rather than fighting it with corrections either do a couple of basal fasting tests or look at your insulin settings and see where the bolus adjustment need to be made, no one here can advise on what to adjust by so if you're not sure yourself contact your DSN and get some guidance on this.

Thank you
Same old battle with my Nurse ‍ she tells me the pump will eventually bring me down?!! My thoughts on this are are t ok actually serious - you think I feel well like this not to mention the damage it is doing to me!! I find it pretty **** poor service ……. Hence am sorry but I ask for help on heat - the afternoons lately are a sodding nightmare
Surely this isn’t right - let alone just accept it-which is what my nurse is basically saying!

 

[Juicyj]

Thank you
Same old battle with my Nurse ‍ she tells me the pump will eventually bring me down?!! My thoughts on this are are t ok actually serious - you think I feel well like this not to mention the damage it is doing to me!! I find it pretty **** poor service ……. Hence am sorry but I ask for help on heat - the afternoons lately are a sodding nightmare
Surely this isn’t right - let alone just accept it-which is what my nurse is basically saying!

That's a poor response from your nurse, can you ask to speak to another nurse ? Yes eventually the pump will correct it - but that does not address the issue which is preventing it from going high to start with and that's your argument. Thy should review your pump settings to manage it.

Can you review your bolus ratios in your pump yourself and would you feel ok doing so ? We cannot here advise on adjusting this, it's against forum rules.

 

[WILCOMAN]

I have exactly the same setup as you and what I do is bolus thirty minutes before I eat and that works well for me