Hyperglycemia Woes


#1

CanI just vent because I’ve been hyperglycemia for 2 days? I can get it down, but I have to override Automode to do it because it’s so freakin conservative.

It started yesterday. The tubing clip got loose and didn’t deliver my lunch bolus correctly. I went up to 400, quickly despite Prebolusing. I struggled to fix it, having taken a correction with the tubing still sitting unhinged. So I got out of automode and dosed. Got back in and it stops giving any microboluses because it’s stupid. It came back down after 5 hours of above 350.

I thought it was a user error on the clip, but noticed it’s sliding around a bit now. And we are driving home from Florida on vacation, supplies buried on the bottom of a luggage pile.

I’ve tried holding it still and giving correction boluses. I’m 275 and have a sensitivity of 1:40. The darn thing gives a correction of 2.2 units (way too little) and it’s still climbing.

I need to make my hubs stop so I can change tubing. Blech!


#2

If I am high I give myself much more than the correction. A correction will take you to target (or not if you are very high) but you have to wait 3 or 4 hours. So I combine the correction with a meal bolus. I then give myself a lot of insulin and don’t eat anything right away. Let the big dose take your high BG down first and then eat. You may eat a little more or less depending on how the overall bolus. Works well for me. Just fon’t wait until it comes all the way to target before you start eating something.


#3

I changed the tubing and just went with a new cannula too. Did a second correction not in automode and it was 4.4 units, so I ended up with enough and it was 84 at 6:30 pm.

I was just so (grumpy from the hyper) but also frustrated with the anemic corrections. You put in your insulin sensitivity for bolus wizard calculations on purpose. The micro-boluses ought to be able to adjust to a correction pattern.

Now, I’m complaining, but I still really like the 670G and I know it’s overly conservative to get FDA approval…this annoyance is worth the mostly good trends I get!


#4

Thats the pits. Can you just do some correction bolus via syringe or does it figure out that its been tricked?


#5

When I am hyper, I go to Reservoir & Tubing, Fill cannula , Fill, and set Fill Amount to the number of units I feel appropriate. However, this only works if everything is in good working order.


#6

Yeah, before Afreeza, I always did an injection if I thought it might be an infusion issue. But with Afreeza is an amazing tool to have for those highs that just won’t budge! Sorry it was such a horrible return trip. Nothing worse than crappy blood sugars and being stuck in the car.


#7

I do something of the same


#8

Bottom line. When BG is way too high give yourself extra insulin and be ready to eat when it comes down faster.


#9

If its still climbing your basal is probably much too low. It’s possible you can’t observe bolus taking it down because basal is too low and driving it up.