Question for those who pump

[Jason99]

No problem. How’s your son’s BG now?

[T1DMom]

It’s 189 now, still have a little time left on the insulin on board so maybe it will work a bit more down some!

[Jason99]

Good. 189 is not a major high and is no cause for alarm. The bg should come down more if there’s still some IOB. You’re getting the hang of this. It’s only been 3 days since you’ve started on the pump. There’s some tweaking that needs to be done, you’re getting there.

[MM1]

@Jason99

I’ve never successfully used a carb ratio for a bolus. My BG always spiked out of control when I’ve tried it. Over the years I’ve learned to guestimate my bolus and use a special basal rate to control my BG when I eat. I keep saying this, but it’s true, you’ll find the magic formula. Everyone who’s giving advice, has been in your shoes. Our knowledge was gained from decades of managing this disease.

Totally agree. You get to a point where you look at foods, estimate bolus, and then watch CGMS.

Think of it like learning to ride a bike. You’re still using training wheels, as you learn to maneuver your weight to keep balance. When you’re ready, you will rely less on ratios, and more on experience.

[T1DMom]

Thanks, if I see him start to trend back up like he has the last two night, seems like he has been chugging along at 220ish all night while sleeping, I am going to a temp basal increase!

[Jason99]

@MM1

@Jason99

I’ve never successfully used a carb ratio for a bolus. My BG always spiked out of control when I’ve tried it. Over the years I’ve learned to guestimate my bolus and use a special basal rate to control my BG when I eat. I keep saying this, but it’s true, you’ll find the magic formula. Everyone who’s giving advice, has been in your shoes. Our knowledge was gained from decades of managing this disease.

Totally agree. You get to a point where you look at foods, estimate bolus, and then watch CGMS.

Think of it like learning to ride a bike. You’re still using training wheels, as you learn to maneuver your weight to keep balance. When you’re ready, you will rely less on ratios, and more on experience.

I can’t add anything more to this. Perfectly explained by @MM1

[Jason99]

@T1DMom

Thanks, if I see him start to trend back up like he has the last two night, seems like he has been chugging along at 220ish all night while sleeping, I am going to a temp basal increase!

Honestly, I would just change the basal rate and not even mess with a temp. I’m not sure how the OmniPod works in this regard, I just take a picture of my basal rates in whatever profile I’m changing and then update them in my notes app, so I can see what they were if I need to change back.

[Firenza]

I think the Omnipod is pretty easy to do a temp basal on and if it works well then she could try changing the basal rate tomorrow to reflect the temp basal she may have done tonight.

[T1DMom]

That is what I will do for tonight, I will just do a temp basal bc that is the only thing I was trained how to adjust when we met with the rep from Omnipod. I’ll see how the temp basal does tonight and then see what his Endo suggests we change to to tomorrow and go from there.

[Tiffany]

Agree it looks normal-ish.

My OmniPod rep recommended using Flonase to prep the skin because it creates a barrier and reduces irritation from the adhesive.

For removal of the Dexcom and OmniPod I use UniSolve adhesive remover. Usually takes 2-3 packets (come in box of 50) for the OmniPod, unless other tape present-then more

Amazon.com: Uni Solve - 402300 Adhesive Remover Wipes, 50 Each : Health &...

[Dave44]

For pulling off a Dexcom sensor I’ve never needed more than 1 packet. I squeeze the solvent from the pad to thoroughly soak the sensor (or set) adhesive, wait about 1 minute and then the item practically falls off (a bit of hyperbole, but it really does make things just about fall off). I can’t imagine needing 3 unless you are using a very large overpatch.

[Jax_s_Mom]

You will be so relieved to have him on omnipod & dexcom! Makes life soooo much easier! Good luck!

[T1DMom]

Thanks, I sure hope so, we are still working out all the kinks and adjustments to his insulin doses. Hopefully we get there soon!

[T1DMom]

Thanks for the tip!

[Jason99]

@T1DMom

Thanks, I sure hope so, we are still working out all the kinks and adjustments to his insulin doses. Hopefully we get there soon!

You will

[Eric2]

@T1DMom

How long can they last in the fridge unopened?

Here are a couple of expired insulin demo’s I did. One was over 3 years past expiration, and the other was 4 years past expiration.

Both were left unrefrigerated. One for over 2 1/2 months, the other for over a year.

My insulin experiment for Michel...Relax everyone!

The great unrefrigerated (& expired) insulin demo

[Dave44]

Why am I not surprised? LOL! I’ve had backup pens sitting sporadically in hot temps, repeatedly, many months apart, unused and then when I needed to use them (lantus and humalog), they worked fine. No noticeable potency loss. I store all my insulin in the fridge, but like I said, I’ve had bottles and pens out for long periods, totalling months, including in well-above-room temps, and they worked fine. I find that people (especially new diabetics) worry so much about expiration dates and keeping the insulin cold with cold packs and flaky motel fridges, that they waste their time and energy needlessly.

[Rphil2]

I do not know if anyone has mentioned this but before school starts you should call school and initiate a 504 plan. It is important and will help with the supply issues.

[Tapestry]

Thanks @Rphil2 There was a lot of discussion in earlier posts about the 504. If you do a search on this page, you’ll be able to read them and then see if there is something you were thinking about that might not have been mentioned! It would surely help out this new @T1DMom gain more knowledge and she’d be very grateful … although, I’m sure she is busting at the seams right about now!

[T1DMom]

Thank you, I have an appointment set up with the school officials next week before school starts back up again. We will be going over 504 Plan and anything related to his diabetes and treatment.