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Ready to eject

Fairygodmother

Fairygodmother

Well-Known Member
Messages
4,279
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Bigotry, reliance on unsupported 'facts', unkindness, unfairness.
Just over six weeks ago I started using the Medtronic Hybrid Closed Loop pump. For the first few days it was good but I’m getting ready, now, to place it in the ejection seat.
Despite radically reduced carb ratios, from ten to five, active insulin time, the recommended two, and giving a Fiasp bolus up to an hour to take effect, I’m spiking drastically. Breakfast this morning took me from seven point five to fifteen point four two hours later.
Any suggestions?
It’s in Smart Guard.
I’ve read that it can take two months to ‘learn’ the user: should I just hang in there a bit longer?
I’ve been in touch with the DSN and we’re a little stumped. I’m hoping someone will give me a clue.
 
I found that when I spiked at lunch (which I did often) it was because my carb ratios were too strong so it was pausing my basal which in turn made my blood sugars run higher, I still ran a little bit higher but I had a carb heavy lunch so we eventually settled on doing a split bolus, I basically bolused for 75% of the meal 30 minutes before and the other 25% when I began eating. I wouldn’t try it without discussing with your DSN first though. SmartGuard learns from you every single day so it can take some time to learn you properly especially if you have different meals every day
 
Thanks Nicola. Do you mean you’d lowered the carb for each unit?
If that’s so, I’ll try raising my ratios. I was lowering them as I thought I needed more insulin for a meal that caused a spike.
 
Fairygodmother said:
Thanks Nicola. Do you mean you’d lowered the carb for each unit?
If that’s so, I’ll try raising my ratios. I was lowering them as I thought I needed more insulin for a meal that caused a spike.
Click to expand...

Yeah so I originally went down to 1:5 carb ratio but we found that stopped my basal rate which made me spikes worse so we settled on 1:7.5 it didn’t eliminate my spikes fully but made them a lot better, that was at suggestion of my DSN
 
I’ll see what happens when I raise the carb part.
I was thinking like I did with MDI but am learning how different a pump is
 
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