[Cinnabon]

Hello everyone...
I believe the questions will commence now. I invite you all over to my house to sleep over for the next 2 weeks, as I get accustomed to this pump. I give all of you the right to SMACK me, as I will become VERY annoying. I waive my right to press any charges against any of you..LOL.

1) As I will be waking up in the middle of the night to check my BS, I may become Hyper, do I automatically deliver a Bolus in he middle of the night?

2) Are there more chances of becoming Hyper than Hypo? of course, taking into consideration the TEST,TEST,TEST protocol.

All the reminders that you may have as when you started pumping, even those moments that you say now "Wish I would have known that!", PLEASE SHARE!!

[Clint]

hey cin... you have a PM...

I havent run into any gotchas... just test and make sure you do your bolus'.. other than that, pumping for me has been far easier than MDI ever was.

[daddyo]

Cinnabon you willdo fine, take it one day at a time. and you will have no problems. yes you may go Hyper but you will corect that with time, Usualy, for me anyways, the lows are when you are first dialing in your basil rates, but they are easy to fix with time and testing. I did alot of testing to see how I would react to the insulin at diffrent times to see if the boluses were correct you'll get though it Hang in there

[Cinnabon]

Thinkin of this too.....

My usual insulin shot was the 9pm (N). Now, since my pump will not start working till 12am, Shouldnt I Bolus 3 units over the next 3 hours.. 9, 10, & 11pm?

[duck]

Originally Posted by Cinnabon

Hello everyone...
I believe the questions will commence now. I invite you all over to my house to sleep over for the next 2 weeks, as I get accustomed to this pump. I give all of you the right to SMACK me, as I will become VERY annoying. I waive my right to press any charges against any of you..LOL.

1) As I will be waking up in the middle of the night to check my BS, I may become Hyper, do I automatically deliver a Bolus in he middle of the night?

I do...BUT: Do you know what your correction factor is? Let me know.

2) Are there more chances of becoming Hyper than Hypo? of course, taking into consideration the TEST,TEST,TEST protocol.

I was dialed-in pretty good by the time I went on, but for whatever reason, I was more high the first month than low because of bad insertion sets, etc (my fault).

[duck]

Originally Posted by Cinnabon

Thinkin of this too.....

My usual insulin shot was the 9pm (N). Now, since my pump will not start working till 12am, Shouldnt I Bolus 3 units over the next 3 hours.. 9, 10, & 11pm?

When were your last shots over the last 24 hours?

[Cinnabon]

When were your last shots over the last 24 hours?


Lastnight:

Before dinner6pm: 8 R

9 pm: 12.5 N

Tonight he told me to take the 8 R but no N tonight.

[middnite03]

so I gather you had your meeting with a new pump trainer, and your starting on insulin right away?? no saline, and you'll be starting at midnight???

My usual insulin shot was the 9pm (N). Now, since my pump will not start working till 12am, Shouldnt I Bolus 3 units over the next 3 hours.. 9, 10, & 11pm?

No, that NPH that you take at 9pm is actually your basil insulin, that is built into your basil rate. so dont bolus. What basil rate were you set at from the trainer, and what carb ratio were you given???
from a prev post you take 15 n in the morning and 12 at night right?? that 27 units a day of basil.

take 20 percent from that 27 units and devide by 24 hours and you get...


20 percent of 27 units is 21.6 devided by 24 hours is .9 units an hour set as a basil rate, so starting off you err on the side of being a little high then low, you should be on a .7 to .9 basil rate to start off,
at least these were the numbers given to use as a formula by my endo and pump trainer, what does everyone else think???

and 2 tell me this trainer was with you for at least 2 to 3 hours showing you all functions of your pump???

[duck]

Your NPH should be nice and cleared out in about an hour...Somehow, I think that alone will make you feel better.

Check your blood sugars at 9, 10,11 and midnight...If they start to take off, take your correction bolus.

Cinnabon, do you know what your correction factor is?

[Cinnabon]

Unfortunately Duck,

I dont. I am set to see a NEW doc on 7/5.

[middnite03]

if you do not know your correct factor, how did the pump trainer input it into the pump?????? did he set up the bolus wizzard for you??

[Cinnabon]

No saline.
My basal rate is 1.0 units / hr.. Bolus ratio is 10:1
He was here for a lil less than 2 hrs. He is due back everyday till Saturday were I can request more visits then.

If you have the MM 715 book it states on Pg 32 ch. 3

4) The start time for your first basal rate is midnite (12:00A ti 12:00A)

[am1977]

Originally Posted by Cinnabon

Hello everyone...
I believe the questions will commence now. I invite you all over to my house to sleep over for the next 2 weeks, as I get accustomed to this pump. I give all of you the right to SMACK me, as I will become VERY annoying. I waive my right to press any charges against any of you..LOL.

1) As I will be waking up in the middle of the night to check my BS, I may become Hyper, do I automatically deliver a Bolus in he middle of the night?

2) Are there more chances of becoming Hyper than Hypo? of course, taking into consideration the TEST,TEST,TEST protocol.

All the reminders that you may have as when you started pumping, even those moments that you say now "Wish I would have known that!", PLEASE SHARE!!

Hey I love sleep over parties Do we get to have a pillow fight, eat pure junk, and stay up all nite?

Getting serious here...to answer your questions...

I do bolus when I have a hi in the middle of the nite, but like others have mentioned it is good to know what your correction factor is. Most likely it will be 1 to 50. 1 unit brings you down 50 points...but this may not be the case for you. This is something to ask your trainer or CDE or doc about.

Yes, it is wise to test even more when pumping...especially in the beginning. I think it's pretty common to experience far less lows....which is a good thing . However, to prevent hi's, it's best to really get down your carb counting and watch your portion sizes.

Just one other note...don't expect that you will have perfect blood sugars. I think I did or at least more stable blood sugars and that wasn't the case. Ultimately, thinking that way is just going to set you up for disappointment. You will have highs and lows, but once you get your basal and bolus rates down, you become experienced with carb counting, and you get more into a routine, things will fall into place and it's quite possible that your control will improve.

Good luck, I hope pumping is everything you hoped it to be

Andrea

[middnite03]

ok i looked that page up LOL that means that the first basil program starts at midnight, not that you should start using the pump at midnight if he came out today, he should have told you not to take your am shot this morning, and start the pump program as soon as you hooked up...

the midnight start means that there are different basil rates for different times of the day, and that "day" starts at midnight, for ex..

my program is this..

12am - 3am .9 u/hour
3am - 8am 1.3 u/hour -this is for the dawn highs.....
8am-7pm .9 u/hour
7pm-9pm .2u /hour -my usual workout time.
9pm - 12 am .9 u/hour

when I asked why so many changes, I was told that I have to be de-programed after so many years of MDI, and learn how to think like I am on a pump. there is no doubt that it will take time, and your sugar's will be a roller coaster for a while, did he leave a number to get a hold of him 24/7 in case of an emergency????

[Cinnabon]

Ok... Im getting the feel for puling it out again.....