Hi! I just started pumping 4 days ago, and I have some general pumping questions, and some specific questions about the animas ping, as well as some other questions.
I’m a late life Type 1 diabetic diagnosed at 20, and coming up on 20 years of diabetes. I’ve been doing MDI Lantus/Humalog for a while now, not very successfully due to lack of dietary willpower, and have been hovering in the mid to high 8 A1c’s for years. I’ve been using the Dexcom CGM for about a year now.
Recently (Feb), to lose some of my extra 40 lbs and to prepare for going on the pump, I switched to a low-ish carb diet. As hoped, the strict diet has had a dramatic effect on my bg control, and my understanding of how to control it. I can’t imagine having starting pumping before the diet. In fact, as expected, my recent excellent (for me) control has been upset quite a bit by starting the pump.
I understand that we all have individually specific needs and mine will be different than yours, and that you are not giving me medical advice. With that in mind please answer with your personal experience/general understanding. thanks.
- 70-90g carb, 120-140g prot, 20g fat / day
- I:C - 1:5 (1:4?)
- ISF - 1:20
- night time basal .4/hour. (10p - 6a)
- day time basal .8/hour (6a - 10p)
- ~16u basal/day (prev: 1 nighttime 12u lantus shot tuned for sleep)
- ~25-35u bolus/day
- My CDE and Animas Pump trainer thinks my ratios are aggressive. Do they seem extreme to you?
- Perhaps the higher percent of calories from protein due to my diet is accounting for the ratio being/seeming more aggressive?
- Is it unusual (or bad?) for basal to be only 25% of total? (P.I. says 40-60%. why?)
- I eat 6 small meals during the day, which means lots of overlapping bolusing. Perhaps this is masking basal usage? (once i dial in night/morning I'll skip some afternoon meals, but .8 did seem about right last time i tried)
- I have a morning spike even if bg was great all night while i slept.
- With my recent diet, I really dialed in my lantus for my sleep time at 12u, and it was perfect but would spike as soon as I got up. This makes my mornings awful (for no fault of mine!) and can affect the rest of the day.This is one of the reasons I got on the pump.
- This morning I measured it: at 8a till 9:30a I went from 100bg to 200bg, despite the basal increase at 6a. to try and help with this. I just let it rise without treating and it leveled off at 200. This is the first time i've measured it that specifically, but it agrees with my historical feel of this spike.
- Would you try to cover this with a more aggressive basal, earlier basal, both, or a bolus? It seems almost like i ate 5-10g of carbs at 8a (I didn't) so maybe it should be a bolus? But I assume if you don't eat anything, then you should be tuning your basal, not your bolus.
- I often get stinging/burning with bolusing, even for 2-3 unit boluses.
- I've read some people feel this is due to humalog, but i've been injecting that for 10 years with no sting/burn. Although I didn't feel this with the saline.
- Perhaps it is depth? My needles went twice as deep (12.7mm) as my infusion set (6mm). It isn't painful enough to make me switch off the pump, but i definitely don't look forward to it.
- Maybe it is just the current site, and when i rotate to a new one it will be different?
- Pump infusion sets are supposed to be changed every 3 days. Do you typically follow this, or stretch it longer? How long?
- With dexcom, the sensors are for "1 week" but I leave them in as long as possible, 2-3 weeks. I am one of the lucky ones because my current insurance fully covers it, so i don't leave them in to save money. I just want to avoid extra holes and not use up rotation sites so quickly, and keep an accurate one going as long as possible.
- I disconnect for showers. Do you worry about the connection site needle (at end of tubing) touching something? It seems reasonably protected by the plastic tabs.
- I got the animas for the remote meter, but find I hate to use it. The entry of carbs, bg, and insulin is either painfully slow or zips by too fast to be useful. Is there some secret here that I'm missing? The pump interface goes up slower, but is so much more predictable that it is actually useful, and I prefer this to the meter. I would even prefer to have to set each digit individually (ok, blink, up arrow x times, ok, stop blink, next digit etc...)
- Neither seem to simply enter in the insulin they just calculated for you as a starting point!??!?
- What is the difference between a forum and a group?