It just keeps getting better

Hey, Scott. I’m really sorry that you’re having an awful time with your new pump. The transition can be hell. I hope you get it ironed out with your CDE soon.

In the meantime, I have a couple of suggestions. Maybe one or two might help. First of all, when are you doing your pre-meal bolusing? Even on a fast-acting insulin, bolusing 20-30 minutes before a meal is a great suggestion for lowering your sugars. Your body is reacting to no longer having that background insulin in the form of whatever you were taking before. Now it’s getting such small infusions as basal. Your body can get used to it, I promise.

Have you considered that your correction factor or your duration of insulin activity may not be set right? I enthusiastically recommend the book Pumping Insulin by John Walsh. It’s the most richly detailed troubleshooting guide for pumping I’ve ever seen. Wish I’d had it 8 years ago when I got my first pump!

Also, I imagine the stress is going to be pushing you higher. We all know that, right? But telling a stressed out person to de-stress is like trying not to hyperventilate when you’re already short on breath.

Feel free to be cranky. When I’m having technical malfunctions, dealing with doctors and insurance on the phone, etc., I’m a downright witch.