Last night I changed my quick-set and then before I went to bed I ate a small amount of ice-cream. It totaled to about 32G of carbohydrates. This was semi late as well but in the end I wake up the next day in the 500’s. Good times right?? But it gave me the correction and I basically went to sleep from being completely exhausted. Woke up mid day and I’m now in the 400’s. I’ve had this happen once or twice before so I immediately then ripped the current set out and as I thought the cannula was bent. What did I do wrong? I feel good now since I corrected with a direct shot but the times this happens i’m always too late to notice this error and it’s not fun. My BG destroyed this day for me and I have had little or no energy to do anything. Any tips or anything to prevent this?
I have no tips to avoid kinks - and I get them often, but I have two major tips for you on how to deal with them.
First, call any kinked cannula into Insulet and they will replace it - no questions asked. Kinked cannulas are SUPPOSED to alarm as occlusions, but I find that most do not, so they want them back to find out why they did not alarm.
Second, any time you see a number above 300 (or well into what you consider way too high), consider correcting via injection. It will bring you down out of the danger zone while you watch to see if you start to rise again. That rules out any error you might have made regarding carb counting, etc. If you start to rise after correcting the high, either the insulin is bad or your pod is not working. 9 times out of 10, there’s something going on with the pod.
I had messed up and didn’t know how I got to the omnipod section. I have a MM paradigm. Definitely agree with the shot advice. I never seem to think to clearly when my BG is that bad. I think I resolved the issue though. I had placed that one in with out the inserted as well as the next and they both ended up kinking. So now I’ll only use the inserter.
Oh, whoops. Should have caught that when you said quick-set.
To post in that group, you need to be a member of Minimed Paradigm Users Group and add your discussion there.
Either way, I’d say my advice about the injection is still relevant. And yeah, with the quickset, you’ll want to use the inserter to avoid the kinks.
So - quick question ? How do you know its a kink and not the Insulin ? I use Humalog and always did with my pens (and Lantus over night prior pump). My question is this - I have exactly the same issue as above, MelissaBL has a theory, but it could be another simple issue. So with the normal path of trying to work through the problem of BG’s climbing. First is that you are clearly not getting the insulin you have given yourself (pen or pump) - in days of old I just changed the cartridge. I have been on the pump (omni) for 5 monhs now. I have had a bad set (5 vials) of bad insulin. That almost took me to hospital if it hadnt been for my wife (Head of IT at a bank) - who took over when my levels were up at 28 mmol/l and above. No rational thought except I was in trouble (a complete mess) - I had tried 3 new pumps - it was the insulin not the pump. However, I have now had a couple of wrong moves (on my CGM) when I have changed the pump and therefore simply changed vial and pump to aviod any issue. It works. Melissa, how do you know about the kink if the pump doesnt alarm ? It strikes me that there are to many variables, as always, in this equation ??
Gos
For me, I remove the pod/set when I can’t explain the high. If I see a kink upon removal, I have to assume that that’s what was causing the problem. If I don’t, I will check to make sure the insulin in the vial I’m using looks normal (as in not cloudy). It’s really rare for me to experience bad insulin. In my personal experience, it’s always the pod/infusion set.