Ive noticed lately my pumps insulin doesnt seem as powerful as it once was i now bolus for a meal 20-30 mins before i eat and still goes way high and then i try to correct it and notice it takes hours upon hours to fix it self and usually it doesnt and i have to take a shot and within a hour it corrects itself and later goes back up… this makes me wonder if my pump isnt working in its normal state like before i even upped my basal settings and such and it seems to have made no difference and so im curious do you think my pump has malfunctioned or lost its full function working ability
My first instinct based on what you say would be an infusion set issue. What you are going through sounds a lot like what happened to me when I was using Humalog in my pump. After about 12 hours or so I would get something very similar that injections seemed to fix. I would pull the infusion set out and I would have much more of a red bumpy spot than usual. I switched from Humalog to Novolog and haven’t had that issue since.
Also, how often do you change your infusion set? Back when I was really trying to save I would keep my sites for 4-5 days. I noticed by the fourth day this kind of thing would begin and by the fifth day it was pretty bad. The other thing if you do this consistently you will build up scar tissue or get lipohypertrophy (you can tell if this is happening if you have hard bumps where you usually put your pump sites even though you may not have used the site for a while) which will make sites act like this as well. I am quite anal now about changing every 3 days max.
i have changed my sets alot lately so i really doubt its that and considering its by going on as long as it has its gotta be something else… im thinking its the pump itself especially when i consider im using more insulin then before and seeing higher numbers regardless and yea every 3 days and sometimes 2 days
What a pain for you, Andrew! One thought: Do you know that your basals are right? I had to do quite a bit of tweaking before I got mine right after I started on the pump. Worth checking. I would try raising basals a bit before thinking it was the pump itself. Other than that, and assuming you have tried a new batch of insulin to make sure it’s not the insulin, I’d talk to Animas.
I agree with Zoe. I would test basals first, see how you hold if you dont eat and start at a decent number.
Then maybe look at when your food hits.
You have a Dex right?
I know if I eat a carb heavy meal, it can take longer for bg to drop.
If the BG is high from something like a piece of dessert, it goes down more quickly.
Food issues would probably fall after testing and checking basals.
I kinda sorta dont think it is the pump.
The thing with pumping…there are sooooooooo many factors to check and when you are a new pumper (or even an old one) things can change and need to be redone.
Checking basals is a good idea. It’s possible too that your insulin needs/sensitivity has changed.
Just read this and the posts quickly. Did you try correction boluses with an injection?. Could be that the pump is just fine and the insulin itself is the problem. Not humalog, but this particular bottle/vial. You don’t mention whether or not you’ve noticed the same problems with other vials of humalog or just one.
well my sugar went low after i took a shot and now its going up a bit and since i noticed it i been bolusing on my pump and yet it keeps climbing thats why i think my pump does nothing it just keeps climbing… i even added more to the correction bolus on my pump and it is making no difference another reason why i blame the pump!
i use apidra and i used a brand new bottle today actually its really aggravating it was fine and now the last 3 or 4 weeks ive been having problems with my pump correcting my sugars at all yet a actual shot has always worked faster then the pump and im not quite sure why… and yes i corrected with the same vial i changed my pump with earlier and it dropped me mighty fast and has before so dont think it was the insulin either
thats a good suggestion jrtpup im curious if i should change it
also im sick currently so i wonder if thats causing my sugar to go right back up after my shot wears off
Well…that’s probably your answer. My blood sugars rising is usually the first sign that I’m sick–even before I have any symptoms. Illness/infections are a known cause of irratic bg levels.
well even being sick my pump should keep it a bit lower then its been plus im taking shots it should keep it close to a normal range but it doesnt thats why im doubting the pump currently my sugar is like 500 right now and thats after a pump bolus and 2 correction shots so yea thats why im totally lost about this
Being sick = increased blood sugar readings, like others said basal testing is something that should be done, first set should be the overnights, then am and then PM, also the pump will not work well if the USER (YOU) don’t PUT all the information in IE each object you put into your mouth… Yeah it does count…
i do that even the small amounts and my settings are set… i did alot of basal testing less then a month ago and also i bumped up my basal a few days ago and have yet to see a difference
With your blood sugar that high, Andrew, you should check for ketones. If you’re unable to get it down you should talk to your doctor. That’s getting in the danger zone. I didn’t realize you were talking that high. Once you get that high your correction factor isn’t really accurate and it’s hard to get it down. Drink a lot of water and do call your doctor. Now that you say you’re sick, I think that is the reason, but you still want to get those numbers down.
Andrew have you tried unclipping the infusion set and giving a bolus to see if insulin is actually coming out?
Do you reuse cartridges? Any bubbles in the cartridge? Do you smell more insulin than normal particularly around the site and/or on the pump? How fast after an actual shot does the blood sugar climb again?
I really think this is insulin leaking or an infusion set problem. I have had 3 infusion sets in a row fail on me so it is possible depite multiple site changes.
I agree the sick is probably contributing but if it just that why would an actual injection work?
I havent done that yet and I do not reuse. No bubbles and I do not smell insulin and goes back up in 2-3 hours and ive noticed when I eat even bolusing ahead of time it spikes really well
so during this whole problem how many times have you changed the infusion set?
I would try calling Animas but not sure it would help much. If the pump is not alarming that something is wrong then they won’t likely be able to tell you too much besides change your infusion set. Your explanations sound exactly like what happens to me when mine have gone bad. I notice it especially around mealtimes (which I have always assumed means a little is getting through as I never have had ketones when this happens). Perhaps if you do change the site again and this is still a problem you could go to the Doc’s office. They usually have demo pumps. You would be able to say for sure if it is the pump or not if they would let you try theirs for a few days.