long time, back and o.k. now.. with a question

[psilocybin]

in the passed 3 days my sugars have been going nuts after the meal time bolus....is this due to honeymooning being over??? is there something wrong with my pump? why am i at 15mmol at night??? all my other ratios are still fine. except for my dinner??...basels are good to

[psilocybin]

is there anyway to change my ratios at different times of day with this pump???i dont want to just set a custom bolus because i cant choose different types of boluses if i eat different things (eg, extended, combo,) ??

[lgvincent]

Some folks have been looking for you recently. As I recall . . . something about mafia . . . gambling debts . . . gonna break somebody's legs . . . just your general stuff like that.

Sorry, ain't got no answer to your question, though.

[Cinnabon]

Wow...
So good to see u!! We were all so worried.
Yes u can have different setting, but u must be very careful. Is there anyway you can sit with your doc or CDE?

[psilocybin]

im glad to be back...went through some rough times...not with the law nore am i in any trouble =]...

i missed all of you,... i cant meet with my doc for weeks...hes booked solid, i have been correcting every night, and it needs to be fixed...

[sydneya]

So glad to hear from you again,psilocybin. Sorry you were having a rough time, but glad you are back. I hope the rough time is gone for good:elefant:

lgvincent, you are bad. But just as long as you have fun being bad!!:motz:

[am1977]

in the passed 3 days my sugars have been going nuts after the meal time bolus....is this due to honeymooning being over??? is there something wrong with my pump? why am i at 15mmol at night??? all my other ratios are still fine. except for my dinner??...basels are good to


Hey, welcome back :hello:.

Sorry to hear that you were having a tough time... hope things have settled down by now.

As for your blood sugar... there could be a lot of things effecting it. If you are under stress, that would be my bet. But then there's the end of the honeymoon, as you mentioned, and other factors to consider as well.

It definitely sounds like your rates need some adjustment at night. It could be that your carb to insulin ratio at dinner needs to be fine tuned a bit... or even, possibly, your nighttime basal. How long have you been having this problem? If it's been for more than a few days, I would give your doc a call :call: and ask for some assistance.

Wish I could help you with changing your bolus type, but I am clueless about pumps other than MM's. I'm sure someone here w. a cozmo will post soon, thogh :wink:

Hang in there! :smile:

[spike]

in the passed 3 days my sugars have been going nuts after the meal time bolus....is this due to honeymooning being over??? is there something wrong with my pump? why am i at 15mmol at night??? all my other ratios are still fine. except for my dinner??...basels are good to
Glad you are back.

Your pump is probably just fine, but sets can be problematic, but that doesn't explain why only your post dinner numbers are high. ratios usually are lower in the morning (when expressed as carbs-to-insulin).

Have you discussed this with your doc?

[jared]

glad to see your still alive. come and chat some time

[EdnaDeel]

hey
glad you are back. I wondered where you have been.
I have been doing alot of correction boluses myself lately and can't get it figured out either...
hope all gets straightend out for you...

[David]

Glad to see you back again.

What happens to your BG levels if you don't eat dinner?

[Funnygrl]

is there anyway to change my ratios at different times of day with this pump???i dont want to just set a custom bolus because i cant choose different types of boluses if i eat different things (eg, extended, combo,) ??
No there isn't....gerr...it's custom or nothing. Use the bolus wizard than up it a little when you get to the confirm screen. I'm hoping the different ratios based on time of day will be an update soon, and have written smith's requesting it.

[Keezheekoni]

Supposedly, come September, that will be one of the upgrades...according to the rep I met last month. :)

[Funnygrl]

Supposedly, come September, that will be one of the upgrades...according to the rep I met last month. :)
Really? I was hoping it would be in the next upgrade. I saw your list of upgrades you posted and I don't recall being on it. Was that the one you forgot?

I also really want different bg targets for different times of day, but right now the carb ratio thing is more important.

[Keezheekoni]

Yep, it's one of the ones I forgot...

Mind you, this was info from a rep who may or may not been given true information. I tend not to totally trust sales reps, but we shall see. :D

[Funnygrl]

Here's hoping!

[Cyborg]

Welcome back Psi...

Have you tried a new vial of insulin?

[jenet]

No there isn't....gerr...it's custom or nothing. Use the bolus wizard than up it a little when you get to the confirm screen. I'm hoping the different ratios based on time of day will be an update soon, and have written smith's requesting it.
Is this really true? I thought the Cosmos were more customizable than my Animas. I do wish I could set the different I:C start times more specifically like at 11:30 AM instead of 12:00 PM for my lunch Insulin/Carb ratio, but at least I can have multiple ratios per day. I'm confused now... (I know, nothing new about that. ;) )

cheers,
j

[Funnygrl]

Is this really true? I thought the Cosmos were more customizable than my Animas. I do wish I could set the different I:C start times more specifically like at 11:30 AM instead of 12:00 PM for my lunch Insulin/Carb ratio, but at least I can have multiple ratios per day. I'm confused now... (I know, nothing new about that. ;) )

cheers,
j
Cozmos are a lot more customizable in some ways, but not others. You can creat custom temp rates or boluses and name those, and you can set your own times for everything. You can also name your basal profiles, but as of yet, you can't adjust carb ratio or bg target by time of day.

[Cyborg]

Cozmos are a lot more customizable in some ways, but not others. You can creat custom temp rates or boluses and name those, and you can set your own times for everything. You can also name your basal profiles, but as of yet, you can't adjust carb ratio or bg target by time of day.

I have different carb ratios and ISF's and targets for different times of the day. :nerd:

[condensr]

psilocybin-

Since you were so recently diagnosed, you have likely been or are still honeymooning. As I'm sure you've read on here, during that stage, rates and ratios may change a lot in either direction.

Eventually, the insulin production stops and the need for changes goes way down though.

[jenet]

Cozmos are a lot more customizable in some ways, but not others. You can creat custom temp rates or boluses and name those, and you can set your own times for everything. You can also name your basal profiles, but as of yet, you can't adjust carb ratio or bg target by time of day.
Thanks for the clarification. It seems as much as we may love our current pumps, we're all still waiting for the "perfect" pump. ;)

cheers,
j

[HollyB]

Hi,

What you're experiencing sounds a lot like what happens with my son about every three months. He's coming off his honeymoon, and growing fast, and going through puberty, so his needs change pretty often. But it seems to me that the honeymoon end is not always a gradual tapering off but can happen in a series of lurches. Seems to for Aaron anyway.

During the school year, he needed a lot more insulin at breakfast than other meals. Then early in the summer (totally different schedule) he started going way high around bedtime. Like you -- 12, 14, 15. So we upped his dinner bolus and then helped temporarily. But eventually the highs started breaking out all over, and we realized he pretty much needed everything jacked up a little. Edged up his basals and I:C ratios for lunch and dinner, everything looks good. Until school starts -- then we'll be back to the drawing board, I'm sure.

And on pumps -- I too wish the Animas didn't have preset time slots for I:C ratios. Especially now that "breakfast" is often not till 11:30 or so!

[Shotokan]

I really prefer the custom-meal ratios to the time-based ratios because my ratio depends on whether I take Symlin or not. For example, I have one ratio for "Dinner with Symlin" and another for "Dinner without Symlin." I would hate to lose that feature!

Can't you just name your custom "meals" for the time of day? Say you need different ratios for 6 AM - 11 AM, 11 AM - 2 PM, 2 PM - 6 PM, and so on. Just name the custom meals "6 AM - 11 AM", "11 AM - 2 PM", "2 PM - 6 PM", and so on. Then select the "meal" that corresponds to whatever time of day it is.

[Funnygrl]

I really prefer the custom-meal ratios to the time-based ratios because my ratio depends on whether I take Symlin or not. For example, I have one ratio for "Dinner with Symlin" and another for "Dinner without Symlin." I would hate to lose that feature!

Can't you just name your custom "meals" for the time of day? Say you need different ratios for 6 AM - 11 AM, 11 AM - 2 PM, 2 PM - 6 PM, and so on. Just name the custom meals "6 AM - 11 AM", "11 AM - 2 PM", "2 PM - 6 PM", and so on. Then select the "meal" that corresponds to whatever time of day it is.
I still like the custom meal boluses since I use a specific one for Pizza (1 to 20 ratio, 70% immediate, 30% extended over 4 hours), and I don't think Cozmo will eliminate those, but the problem with using that instead of time of day is that while you can program a certain extended amount, you can adjust that when it comes time to give the bolus, you are locked into whatever type of bolus you programmed.

Ok, is that a run on sentence or what?

[Shannman]

Forgive me for I can't spell:

I see many people have suggested you call your doctor, but have you tried calling clinical support at Deltec? I too have a Cozmo pump, that I love! Anytime I need to make adjustments, or just have questions in general I call them. They can walk you through any setting that pump has, I've never had poor service from any of them.

Give them a call, I'm pretty sure their available 24/7. 1-800-826-9703.
Hopefully that will help. Congratulations on your marriage!

:beer:

[Tim_Roy]

How long has the set been in?

It IS the summer, and the longer you keep it in, the more likely the heat is to impact the performance of your insulin.

Excess heat tends to make insulin not as effective, which might make you run higher.

Of course, it really gets ugly if the bottle was left out in excessive heat, in that case, the whole bottle is spoiled. As your units of measure are non-U.S., that may be less problematic for you (pump insulins in the U.S. are prescription only, and insurers tend to not want you to get an "extra bottle" for your normal price).

If this happens again, change your infusion site sooner.

Sometimes, I'll have my bgs all over the place. It often turns out I've put the site close to a blood vessel or nicked same while inserting it. This means the insulin absorbs much faster than it should. This can lead to lows right as or after you're eating and highs later on.

[Keezheekoni]

Here's hoping!I emailed an edited version of this thread to my Cozmo guy... Here's his email response:

Regarding I:C Ratios, there is the main ratio that is set in Personalize and then there are 6 Custom Bolus Options - these are staggered throughout the day so you can input different ratios and then input the number of carbs consumed or planning on eating. There will also be some additional personalization with the new software that will be out soon as well.

Now, he also called me and told me some more, but I was busy with the kids, so I didn't hear all of it. The jist was that he was at some sort of conference last weekend and the Cozmo reps were all told about "everything" regarding the new upgrade. He said that "basically" what people in the thread were looking for will be there... However, he also said that is information he's not supposed to disclose, so he couldn't "really" tell me what it was all going to be.

HTH!

[psilocybin]

thank you everyone for your responses. helped greatly

[Funnygrl]

I emailed an edited version of this thread to my Cozmo guy... Here's his email response:

Regarding I:C Ratios, there is the main ratio that is set in Personalize and then there are 6 Custom Bolus Options - these are staggered throughout the day so you can input different ratios and then input the number of carbs consumed or planning on eating. There will also be some additional personalization with the new software that will be out soon as well.

Now, he also called me and told me some more, but I was busy with the kids, so I didn't hear all of it. The jist was that he was at some sort of conference last weekend and the Cozmo reps were all told about "everything" regarding the new upgrade. He said that "basically" what people in the thread were looking for will be there... However, he also said that is information he's not supposed to disclose, so he couldn't "really" tell me what it was all going to be.

HTH!
Yeah, but if you use the custom bolus you can't use extended boluses or combo boluses. Thanks for sharing the info. I wonder how much longer we have to wait for this upgrade. I can't wait.

[psilocybin]

hopefully by the end of the year

[karen]

My bgs are soaring after dinner as well after about 3 years of not messing too much with my basals.

I just saw endo and she had me increase my basal at dinner time and the rest of the evening and also changed my carb ratio at dinner from 1:6 to 1:5.

What you really need to do is fast at dinner time and if your bgs is normal going into when you would normally eat you go forward with the fast and test every hour after that to see if it is your basal making you go high. If your bgs remains normal it is not your basals, but possibly that you need a higher carb ratio for your evening meals. I think also we all tend to eat more at dinnner.

Hope this helps.

Karen