today's blood sugars sucked

[Funnygrl]

I saw the CDE today and she wanted to set my rates to .5 units per hour across the board. The result:

44
159
152
127
88
50
200

:thumpdown :

I think I shall call her tomorrow. :call2:

[Cinnabon]

Funny,
These readings are not that bad. I know how you feel, I got really obsesssed with lower readings, so much that I had sever Hypo unawareness.. NOT good. Go slowly.. U will achieve perfect settings and real good readings.

[spike]

Funny,
These readings are not that bad. I know how you feel, I got really obsesssed with lower readings, so much that I had sever Hypo unawareness.. NOT good. Go slowly.. U will achieve perfect settings and real good readings.


:) I kinda thought the 44 qualified.

[psilocybin]

we all have our off days. nothing to get down about

[JediSkipdogg]

Sometimes setting the rate the same for all 24 hours is the best solution to fine tuning different areas of the day. It's something I've considered doing and then adjust as necessary.

[Lynne1]

My trainer set my basal at 1 level rate the first day. Then, they try to get rid of the lows. It will take a couple of weeks but you will be dialed in in no time!

[sugarfree76]

I CANNOT WAIT to get my pump!!!!
stupid a1c was almost 9 last week.
(Yet, I don't want to be 44, but I do want those constant 100-110 readings)

[Funnygrl]

Constant 100-110? Not a single one of those readings is in there. Today isn't looking good either so far.

[JediSkipdogg]

Constant 100-110? Not a single one of those readings is in there. Today isn't looking good either so far.

It can take many days to get a basal rate set. Mine is still a work in progress 4 years after starting to pump.

[Lynne1]

Constant 100-110? Not a single one of those readings is in there. Today isn't looking good either so far.
How long have you been pumping?

[sugarfree76]

Constant 100-110? Not a single one of those readings is in there. Today isn't looking good either so far.
That's what I am striving for.
I see that you are on the Cozmo. That's the one that I just ordered up!
Be optimistic.

[Dewey]

Constant 100-110? Not a single one of those readings is in there. Today isn't looking good either so far.
I'm not trying to sound mean or offensive, but it's not going to happen overnight. How long have you been pumping now? Have you tested basals and such? Like Cinnabon said, I too, got obsessed with fine tuning my sugars to the point of where I also was experiencing hypo unawareness (to the degree that I was in my 20's and still walking, talking and acting normal!). When I initially saw your thread, I thought you were suffering from severe highs or something, so given the circumstances, it's not that bad. 44 is low, but for each person, reactions vary...I often think of Meech's thread:

For everyone who thinks 180 is really high (http://www.diabetesforums.com/monitoring/5835-everyone-thinks-180-really-high.html?highlight=high)

Just remember, try to be more patient & things will work out. Working closely with your CDE will help you to achieve the goals you want initially, but as time goes on, you'll be able to adjust on your own (i.e. when you see trends in levels). The pump is not a "cure-all," it's merely a tool in helping us manage our levels & our condition.

[Funnygrl]

Only 10 days now. So yes, I know it takes time. It just gets fraustrating in the mean time. I had my rates pretty well set and was doing well, than my educator said that to get them more fine tuned I have to do the constant basal rate thing, and I know she's right, but I feel like at the moment it's a huge step backwards.

[Funnygrl]

That's what I am striving for.
I see that you are on the Cozmo. That's the one that I just ordered up!
Be optimistic.
Congrats, I love it, so good choice!

[Lynne1]

Only 10 days now. So yes, I know it takes time. It just gets fraustrating in the mean time. I had my rates pretty well set and was doing well, than my educator said that to get them more fine tuned I have to do the constant basal rate thing, and I know she's right, but I feel like at the moment it's a huge step backwards.
Did you have your rates set before going on the pump or after? I can understand the constant basal if you don't know your pump basals. The pump works so differently than MDI.

[JediSkipdogg]

Don't forget that 10 years ago being under 200 was considered excellent control and that no correction was needed as long as one was under 200. Back then an A1C around 10.0% was also great.

[Funnygrl]

Did you have your rates set before going on the pump or after? I can understand the constant basal if you don't know your pump basals. The pump works so differently than MDI.
I had them set on the pump, but my educator didn't feel comfortable using them because they don't follow a typical pattern, and she thought we could fine tune better starting from scratch.

[Lynne1]

I had them set on the pump, but my educator didn't feel comfortable using them because they don't follow a typical pattern, and she thought we could fine tune better starting from scratch.
I guess that's ok as long as she gets rid of the lows first.

[Funnygrl]

Well, I woke up with a 75 bs this morning, and my set totally out. Hmmm. So I left it out for 25 minutes and reconnected when I was 86. I was 62 by lunch. So I called the endo office, and they decreased my basals from .5 across the board to .4 across the board, and decreased by carb ratio from 1:22 to 1:25, and changed my correction factor from 50 to 75. So less insulin in three different ways. I'm not thrilled about this. But we shall see. My target bs was also changed from 100 to 140 (but I was a bad girl and set in 130, cause 140 is getting out of my comfort range). Anyways, I protested a bit, but he said the minor highs are safer than the lows.

[Cyborg]

I know it takes time, but just starting over and resetting all the basals? What gives? I think I would have lost some confidence in their abilities. Pick up a copy of Pumping Insulin by John Walsh and take charge of the tuning yourself. Go back to the basals that were close and continue there.

I guess you need to listen to your doc if they are training you. So sorry you are going through that. I know how the wrong settings make you feel like total crud. Good luck with it whatever you decide...

[am1977]

That would actually be a pretty good day for me :s:... however, I feel if you aren't happy about it, keep good log and working with your Endo. You will figure it out :wink:

[Funnygrl]

Yeah, I know they aren't terrible, but I was doing way better, and that's what is fraustrating me.

[psilocybin]

ya.. wouldnt be surprised your frustrated...just remember everything takes time...you have your ups and downs...fine tuning on a pump can be difficult, especially when your honeymooning (so what ive heard)...

[Rhino]

Psilocybin -

My gamer tag is Trogg Door

Add me dude! I'll add you when I get home.

[EdnaDeel]

Psilocybin -

My gamer tag is Trogg Door

Add me dude! I'll add you when I get home.

WHAT?!?!?!

[poodlebone]

Well, I woke up with a 75 bs this morning, and my set totally out. Hmmm. So I left it out for 25 minutes and reconnected when I was 86. I was 62 by lunch. So I called the endo office, and they decreased my basals from .5 across the board to .4 across the board, and decreased by carb ratio from 1:22 to 1:25, and changed my correction factor from 50 to 75. So less insulin in three different ways. I'm not thrilled about this. But we shall see. My target bs was also changed from 100 to 140 (but I was a bad girl and set in 130, cause 140 is getting out of my comfort range). Anyways, I protested a bit, but he said the minor highs are safer than the lows.

When I started pumping I had only 2 rates and they kept getting fine tuned from there. Now I've got 5 rates set. I was having a lot of lows and when I saw my CDE last month she lowered all of my basals by .05 each; raised my dinner ratio (from 1:18 to 1:20) and I think breakfast might have been raised as well but I don't remember. She also made me set my target range to 100-140. She wanted 100-160 but I couldn't bring myself to do it. I have had fewer hypos, but I'm still having them so I think things need to be lowered even more.

It does drive me a little crazy to see a reading of 147 2 hours after eating (not all the time, though) but it almost always does go down to below 140 by hour 3. If it doesn't, it means I miscalculated, or my meal had more fat than I thought and I got a delayed BG rise. I've been trying not to pay much attention to the 2 hour pp readings and I focus on hour 3, and if it's high I'll correct then. But, I was getting numbers like 82 or 77 at hour 2 before, then I'd drop below 60 by hour 3.

The one thing my CDE told me that I had set perfectly was my correction number, 45. I was actually going to raise that but haven't yet since so many other things were changed. Oh yeah, she set my IOB time to 4 hours instead of 3. I wish Minimed pumps could set IOB in smaller increments, because I think 3.5 hours would be ideal for me.