All,
I just got my daughter on the OmniPod this Saturday and I am witnessing extremely high BG level +250. The basal rate we are using is her daily Lantus dosage divided by 24 and rounded down. He boluses are not as effective as the fast acting Novolog dosage we used when using syringes.
At this point, I believe we are still learning how to adjust to the pump dosage. I would appreciate a strategy to start zeroing in on new basal rates as well as bolus computations.
Thank you!
As many will suggest, look into the book “Pumping Insulin” by John Walsh. He takes you step by step in easy-to-follow charts and graphs to find your targets and dosages. I highly recommend it.
I was just going to recommend the same thing! “Pumping Insulin” is the best book!
Also you will need to do basal tests where your daughter will fast or eat no carbs and then you can test is the basal is at the right rate. It could be that she needs higher than the average at some point of the day and lower than average at other points of the day. That’s one of the great things about the pump.
The best thing is to take it one step at a time. When I started on my pump, my control got worse until I got the settings right and now my control is MUCH better. So think of this time as an investment in the future!
Search in the Forum for basal testing and any other questions about the pump. You will find a wealth of information in the old discussions. Glad that you found us.
When I started on a pump, this is what my endo had me do: Check BG 1st thing in morning. If it is in your target range do not eat breakfast. Check BG 2 hours later and again before lunch. If it stays in your target range then your basals are correct. If not adjust it by 1/10 of a unit and try again the next day until it is right. Eat lunch as usual. If you are using more than 1 basal rate then you should repeat this process at lunch, dinner and through the night until they are all good. Hope this helps. If I can help anymore let me know. Also, never hesitate to talk to your daughter’s endo about your concerns. He/she gets paid to help you.