[xMenace]

One of the toughest decisions I face is what to do with an unexpected high with my pump. My efforts in the past have more often than not met with near disaster. Either the bolus doesn't work at all and I skyrocket, or it decides to work much later than normal, say 8 hours and I get an unexpected hypo.

So today when I tested 16.9 at pre-lunch I was unsure what to do. My set had been working fine, but I was a bit high-mid morning and I felt high. I felt my set (below my belt line) and there was no soreness, a typical symptom of a bad set. It was also in a spot with a good history. So I bolused a big correction and my meal.

I went to the washroom. My urine was yellow. Oops? I'd eaten nothing, but I was shooting pool. I tested again with my Contour: 3.6! I tested again with my BD 4.3! A definate OOPS!

I gulped my lunch, but I needed about 90 more grams. I told my partner Roland we were going for a walk. He understands enough to know the situation, and he made sure his cell was working first

No problems. We got to the city market where I bought a large date square and a naturally squeezed OJ. We continued on a nice walk for teh rest of the hour. BGs have been around 7 since.

[BlueSky]

Originally Posted by xMenace

... when I tested 16.9 at pre-lunch I was unsure what to do. ... I bolused a big correction and my meal ....

Glad to hear that it all ended well .

I find that there is a "relevant range" within which the normal insulin sensitivity factor based corrections work. With me, it is up to about 12mmol/l. As blood glucose rises above this level, the required ISF increases exponentially. The dosage tipping point, beyond which blood glucose collapses, also becomes increasingly critical. To get the desired result, the correction dose has to be spot-on. And there is no way of knowing what it needs to be.

Judging the required amount of the correction bolus becomes a lot more difficult as the BG goes up. For me, this is a major reason for limiting carbs. It means that blood glucose tends to stay below those hard-to-manage levels.

[kgm0612]

I hate days like that, John. As I was reading your post I was thinking it could have been written by me the other day. What works well for me one day, doesn't work well the next time!

Hope you enjoyed that date square! LOL

Karen