one of the trickiest issues because basal rates should be fairly stable assuming you have been pumping for a while ..if you are getting spikes like this perhaps it is time to revisit basal testing ..........Delayed reaction @himtoo that being the case, how would differentiate between a Basal issue and a Pod issue?
I do pretty much the same as you after a pod change with rising sugar, this happens around 1 in 4 pods but I do find using the pen to correct can mask a dodgy pump for longer than I'd like but no alternative really. Totally agree about not going to sleep with a dodgy pod, I change mine around 6pm to avoid this but of course it’s not convenient for everyone.Hey Stew ... that does sound a bit odd .........i have experienced lows with a long delay before going hypo
i have a rule that i always follow and many other type 1's i know either in real life or virtually use this rule too
at the first point of seeing an unusual spike it is a pod correction and then double check 2 hours later ...if no significant downward movement i do a pen correction then and wait another 2 hours and check again ( but the one thing i or others don't do is go back to sleep as we chalk this up to life with type 1 and the PITA that it can be )
so after 4 hours if pod and pen have not significantly shifted BG down this indicates a pod delivery issue as the correction is sort of replacing some of the basal that has not gone in ..................and then it is a pod change
I'm still sitting on the fence as to whether I prefer pods to pens. Think the pods are double edged swords. I can exercise now by reducing basal by 80% one hour before, during & one hour after but the threat of low BG can carry on for up to 12 hours after exercise. When on pens I'd reduce my basal dose of lantus in the morning by 2 units, have my exercise & most times was OK for the remainder of the day.Thought I’d reawaken this thread to ask this question, as it provides some relevant context.
So since this issue, I’ve seen a reoccurring pattern of this.
Between 36 hours and 48 hours into a new pod my insulin looses its effectiveness.
Due to the issue above I’ve been a lot faster at switching a new Pod in when issues occur (following Himtoo’s suggested method).
However then what happens is I become highly sensitive to Insulin for a period between 12 and 18 hours into the new Pod
- Example, after having a barely effective dose for dinner, I tried a correction which also failed, I then used a pen that fixed the problem quickly. However the first Bolus on the new Pod hammered my Breakfast as if I’d barely eaten any food.
This issue has been present before with the odd Pod before but it’s never happened with every Pod for a prolonged period of time until now. This all means I’m only getting ‘normal operation’ for a very short time on any Pod, and leaves me questioning if this Pumping stuff’s worth all the bother.
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