Not the pump, but may be your insulin is getting weaker - could well be the heat. Maybe try a different insulin - you should not be that out of control.
It was 1-17 1-19 dont remember which but I was also high which is why it was that much and apridra has never gave me a problem and its been high most of the day though I was off today another reason thinking its pump
No,the math doesn’t work out. Andrew, I wonder if that’s at least part of the problem? Are you letting the animas calculate for a carb bolus, or making a good guess and using a regular bolus?
I go by the bolus wizard and if I think I need more I increase it some
I guess you try everything you can and then present the situation to Animas that you have tried everything and that an injection of the exact same units in the same situation will control your blood glucose where the pump won’t. At that point there is nothing else but the pump. Without error messages or pump failure Animas will never say it is the pump. They have too many back ups on the pump for them to say it is the pump without evidence otherwise
Any known issues with a pump and apidra?
Apidra® is a rapid-acting insulin that works like your body’s natural insulin to help manage your mealtime blood sugar. It comes in a standard vial or prefilled in the Apidra® SoloSTAR® pen, and it also works in your insulin pump.
Apidra® has shown a low rate of pump clogs and infusion site reactions.>
Doesnt look like it. How did today go?
You know what is funny about this? Their first research showed less clogs. Their f/u research showed MORE clogs. You won’t hear them talk about that or advertise that. I do not think occlusions in the tubing are a big deal anyways. It usually has something to do with the actual site which can and does happen with all of them. Andrew maybe you can try a different insulin just to see?
Only high when im home lately even with increased basal makes no sense
Maybe the math isn’t working out because his blood sugar correction isn’t being accounted for?
Variables variables. That’s all it is.
So many factors!
You know, I thought about that later. You’re probably right.
Hmm. iv heard from some folks that Apidra seems to get wonky for them after 48 hours in a pump… Remember it can take up to 3 hours for even rapid insulin to take hold and bring down a sugar… Seems like you might also have a basal rate issue as well… …
Some hints…
Try changing your infusion set and cartridge more frequently… some people that third day isn’t worth it…My insulin needs tend to creep up late into the second day… for the same effect… Some people cant keep a set in longer than two nights…it just doesnt absorb right after the second night…
May want to try a different insulin… (Novalog or Humalog vs Apidra… Apidra is a little different than the other insulin analogs, tend to suggest Novolog if you can try it. Humalog proportedly can crystalize in the pump tubing but for many people it works just fine)…
Check your basal rates… Do a basal rate test, or some similarity thereof… basically you dont eat. but you have to start a basal test with a reasonable blood sugar… you DO NOT correct for this… you wait till the next meal… test on the hour… or even half hour…(unless it tanks or gets too high…you can let it creep up… but you may decide to stop it after 4 hours and correct immediately (and not do a 8 hour basal) if it gets really bad)…
If you find it creeping up too quickly and you ended up correcting cuz you were really high, might want to try doing some temporary basals and see if you can figure out how much of a temp basal with correct the basal rate… then you can work with your doctor to adjust your basal rates up by the amount that the temp basal seemed to resolve it… tend to start at 20% (120% temp basal)… and work up… When im sick ill up it every 4 hours if im staying higher than id like…
Iv had times when iv had the temp basal up to 160% while being sick…
Wish you luck…
When does this happen and what insulin is it? I know with my Apidra insulin that the potency of it weakens after 24 to 30 hrs. I don’t go over two days anymore b/c of it. The longer the insulin in the reservoir the weaker it becomes. I change every 2 days and with only having 200units in there it usually works out. If I don’t use that much insuline I usually don’t fill the entire reservoir.
With summer heat, have you ruled out your insulin is getting “cooked” when you are outside in the heat? Pondering.
True though I work indoors and am not outside much
Andrew, are you still having problems?
I thought Sandy’s comment on Apidra was interesting…
Just highs in morning and my basal is pretty high
You’ve sure been bombarded with ideas from this group huh?
Maybe it will settle down soon and you’ll have it figured out.
Then again, this is diabetes we’re talking about! 