I started on the pump Monday! So far it is just a lot of adjusting. I was running 300-500 all the time so I feel low a lot of the time even when I am not and I get nervous. Currently I am set at:
ISF (correction for highs) 1 unit : 75 blood glucose points
Carbs covered insulin : 25 carbss : 1 unit insulin
Basal rate: .5 units per hour.
Current glucose is 92 but I had to correct a 288 earlier.
So I guess I just kind of wanted to see what others were doing on theirs pumps. Also how long did it take you to adjust your pump settings ? Thanks!
ISF 1unit for 90 blood glucose points
Carbs covered by 1 unit insulin: 20 at breakfast & 18 other meals
Basal Rates max .6 minimum .3 for a daily total of 10.7
I am small 5ft & 100 pounds. & I’ve had T! for 49 yrs
I think it took about 2 months to get a decent basal profile & sort out the other factors. I started adjusting basals in the 1st week under the guidance of my Animas trainer
Good luck. Like you I was up in the 300s for at least a week & I felt awful. Just hang in there
Pump setting, hmmm it toke me a while, but even though it keeps changing by me and my educator! (Speaking about the Basal Rate)
I use Apidra insulin
ISF 1unit :20 bgp
Carbs 1 unit : 5 grm
Basal rate changes between 1.8u/h to 2.2u/h
I am 6ft 7in, over weight 289lb
Had T1 for 28 years.
Also don’t forget that each person is different in Daily life, exercise, diet,…etc
In ten years of pumping, I can’t count how often my basals/ratios have changed. At least every 3 months for the last decade. Don’t be surprised if your needs change now and then and you need to re-evaluate. Insulin dosing needs can be volatile. I have five or six basals throughout my day, too.
Yeah - I’m the same as you Melissa, my basal/ratio have been tweaked a few times over the short period I’ve been pumping (I’m still a newbie at 2 years LOL and 40 years of MDI (multiple doseage injections) ). I would post what my settings currently are, but because I’m in Canada, they won’t make sense to those of you in the USA. Usually I post in both, but I’m feeling lazy tonight
BTW, welcome to the world of pumping Rose! I know I am loving my experience so far along with my little green machine I call Salvador Dali (his moustache irritates me from time to time LOL ).
I started my pump about 2 years ago… I know what you mean about feeling low when your blood sugar is actually fine- it happened to me too. That will change soon and you’ll start feeling pretty darn good.
I’m still adjusting my pump settings. I think your metabolism changes month to month depending on what’s happening in your life, what the season/weather is, etc. But I got my pump under control within about 2 weeks. It isn’t much different from using the syringes.
Right now, I do 1 unit for 4 carbs in the morning and 1 unit for 5 carbs any other time.
ISF is 1unit for 60 bgp
I am amazed by some of the hefty glucose/insulin ratios! You peeps are lucky to be so insulin sensitive!
My basal rates change when I have other changes in my life like weight gain or loss, more or less exercise, premenses every month I need a little more one or two days before. I have a lot of basal rates. No wonder injections did not work for me.
ISF (correction for high sugars) 10PM- 5AM 1 unit : 90 blood glucose points
5AM- 10PM 1 unit : 70 glucose points
Insulin to Carb Ratio 10PM- 11AM 1 unit : 20 carbs
11AM- 10PM 1 unit : 19 carbs
Basal rates:12 AM-1AM: .4 units per hour
1AM-4AM: .6 units per hour
4AM-6AM: .4 units per hour
6AM-11AM: .5 units per hour
11AM-6PM: .6 units per hour
6PM-10PM: .4units per hour
10PM-12AM: .45 units per hour
Glucose before I treated low this morning was 62. I do a lot of early morning and midnight checks. I really worked on rebalancing my basal rates during the time I sleep recently. The reminder alarms on my Animas Pimg helped wake me up for this. It has helped lower my A1C because before I had too much basal and had to correct a lot of lows which would create a high later. Revisiting the book “Pumping Insulin” has helped me a lot. I weigh 113. I had to rebalance because I gained 10 punds since August (I wanted to gain this). I am 5’5". Everyone else’s basal rates look a lot sompler than mine but you have to figure out what works best for you. Type 1 for 33 years. I use humulog BTW.
