Sugar levels will not come down

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Sugar levels will not come down


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Old 06-01-2012, 12:45   #1
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Unhappy Sugar levels will not come down

I have started the pump for 3 weeks now and since then I have had 3 occassions where my sugar levels hit a high 20+ mmol and won't come down even after a correction dose. On all occasions its my post dinner and before bed reading. This makes it a pain since I have to monitor it throughout the night.

I have ruled out the following:
1) Kink in the canula as when i take out the canula from my body, i can still see insulin pump out as a prime it

2) Not related to a new infusion change as the set has been on me for at least 15 hours and have been working

3) Insulin being from a bad batch - when i do a manual injection from the same insulin vial, my sugar will come down.

4) My pump I don't think is defective as I can see insulin coming out of it.

5) Site is dead - on 2 out of the 3 occasions, it has only been on for less than 24 hours

Does anyone have this problem? If so, have you found out what the cause is?

I've questioned my basal and bolus amount. The basal is pretty right since on most nights i see a reduction. If i have counted my carbs incorrectly and understated it, then a correction bolus should have seen it come down (it doesn't and most time it rises a few mmols)

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Old 06-01-2012, 13:09   #2
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Sorry I can't offer anything more than best wishes. I still do injections. Hope you figure it out.

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Old 06-01-2012, 14:54   #3
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Do you have different basal rates set for different times of the day? Different correction ratios for different times of the day? I find I am more insulin resistant in the morning, so my correction factor is different for that versus afternoon and evening. Just trying to help you troubleshoot.

If you haven't already read it, the book Pumping Insulin by John Walsh is great for new and seasoned pumpers.

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Old 06-01-2012, 15:54   #4
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roofus ~

I have experienced those high blood sugar readings that just don't seem to want to come down also. I am not a health professional but I can tell you what has worked for me.

If my blood sugar has climbed to 250 (13.8) or more, my pump gets one chance and one chance only...to make the correction work. I wait for 1 hour to see if the pump correction is going to work. If the pump correction does not make any impact on my high numbers, I then take a syringe and vial, figure out my correction after I've tested my BG again, and take an injection (usually in my bicep muscle). I still have to monitor my BG for what seems like forever, but with a syringe I know I have eliminated several possibilities that might be the problem.

Pumping Insulin is a good book because it explains a lot of situations that may confront you.

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Old 06-01-2012, 21:20   #5
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I am a type 2, and I have experienced similarly high blood sugar readings which don't seem to go down. Curiously, there are no changes to my lifestyle. I am still invesgating the problem. Does anyone experience the same? Please advise.

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Old 06-02-2012, 00:15   #6
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Hi roofus,

this is one of those questions that haunts some of us. Seems you have done all the proper investigation, and still can't find a reason. That is the nature of this condition. I will suggest one thing that I found to be true - Once the bg gets into a higher range it is more difficult to bring down. I don't know why this happens, but it has been my experience and the pump is not usually the cause of the trouble. When this happens, please take care not to stack your insulin, it just takes some time to resolve some highs.

 
Old 06-02-2012, 00:49   #7
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Did you eat something that's not part of your regular menu? Something particularly fatty? That can cause delayed metabolism for me, and then I'm chasing the high.

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Old 06-02-2012, 00:51   #8
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Sometimes as Nunya said there is no rhyme or reason. I went through this back in April. 2 weeks of high numbers. Tried everything I knew to do and nothing worked. Finally chalked it up to bad insulin or change of seasons. Since then it's been smooth sailing. Hope you find the solution your seeking or it resolves itself. Hang in there

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Old 06-02-2012, 02:11   #9
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Thank you all.

I do have several basal/bolus rates throughout the day and on most occasion it has worked.

For dinner i had a meal that wasn't fatty but was different to what i usually have. It was dumplings but i accounted the flour in my carb exchange.

If my sugar rises and won't come down with the pump, a manual injection usually resolves it temporarily. Don't know whether this is because it was just at the time when the first correction bolus on the pump starts working or the manual injection itself - i'm leaning towards the manual injection as one of the episodes i gave myself 2 corrections over 2 hours on the pump and the reading an hour later from the second one rose. Thats when i stepped in with the manual.

It is weird how every occasion is after dinner. Does exercise or showering have anything to do with it? Thats the only other difference i can think off that would have happened post dinner. I exercise about 1.5 hours after having dinner, perhaps my sugar was high already at that time and exercising (low intensity) brought it even higher? But when i was on MDI, i exercised the same for years and didnt have a problem.

Ahhh.. this is so frustrating.

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Old 06-02-2012, 02:55   #10
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I feel your frustration. Has this been happening since you started pumping 3 weeks ago? Or just the last few days? I can't offer much in the way of your particular style of pump as I am on the Omnipod. Different type creature! Hope it gets better soon

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