Insulin pump issue

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Insulin pump issue


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Old 08-21-2010, 12:47   #1
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Default Insulin pump issue

I just started on the insulin pump(accu chek spirit)2 days ago and i keep getting blood sugars that are not able to register since they are so high.Even after I changed the infusion site to make sure there was nothing wrong with the set.Anyone else have these issues or have any advice.

By the way Iam going through 300 units of insulin a day and my basal is 3.3u/hr

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Old 08-21-2010, 18:39   #2
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Did you need that much insulin when you were doing injections? Do you know why you need that much? I know people using steroid medication for other illnesses have to use much more insulin. There are reasons that explain increased use of insulin.

I started pumping in 2007 and I had numbers over 300 in the beginning. My endo gave me a terrible start when she programmed my pump. All the basal rates, carb ratios, etc were completely wrong for me. It took me several weeks to totally redo all the programming and stop having really bad highs. It took a total of three months before I had things running very smoothly.

One possibility you should consider. If you do not rotate sites and avoid using a body part repeatedly for a long time. you can develop scar tissue beneath the skin's surface. Absorption of the insulin is very slow and, sometimes, nonexistent, under those circumstances. That can cause very high blood sugar. I did not know about scar tissue when I started pumping. I started having high blood sugar and it continued until my problem was diagnosed. I use my lower abdomen for a few weeks, keeping the sites about 1.5 inches apart, and changing sets every 3-3.5 days. Then I switch to my upper legs while my abdomen heals. Any scar tissue that had started to form on my abdomen will disappear while I am using my legs. Rotation like this will prevent scar tissue. I cannot use my upper abdomen because I have permanent scar tissue there due to many years of not knowing I was supposed to rotate sites.

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Old 08-22-2010, 00:06   #3
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That is quite a bit of insulin. How much were you using before the pump? What kind of insulin are you using in the pump? When you got your pump...did they spend enough time teaching you how to use it?

When you bolus for a meal....check your blood sugar before you eat and then again 2 hours after you eat. Your blood sugar should already be back at least to nearly what was before you had your meal. If it is not...your insulin to carb ratio might not be right for you. What is your insulin to carb ratio now?

When are you supposed to see your dr again? If the machine wont register your blood sugar it is likely over 600. If it stays that way you need to be seen by someone ASAP.

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A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
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Old 08-22-2010, 01:13   #4
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Quote:
Originally Posted by Richard157 View Post
Did you need that much insulin when you were doing injections? Do you know why you need that much? I know people using steroid medication for other illnesses have to use much more insulin. There are reasons that explain increased use of insulin.

I started pumping in 2007 and I had numbers over 300 in the beginning. My endo gave me a terrible start when she programmed my pump. All the basal rates, carb ratios, etc were completely wrong for me. It took me several weeks to totally redo all the programming and stop having really bad highs. It took a total of three months before I had things running very smoothly.

One possibility you should consider. If you do not rotate sites and avoid using a body part repeatedly for a long time. you can develop scar tissue beneath the skin's surface. Absorption of the insulin is very slow and, sometimes, nonexistent, under those circumstances. That can cause very high blood sugar. I did not know about scar tissue when I started pumping. I started having high blood sugar and it continued until my problem was diagnosed. I use my lower abdomen for a few weeks, keeping the sites about 1.5 inches apart, and changing sets every 3-3.5 days. Then I switch to my upper legs while my abdomen heals. Any scar tissue that had started to form on my abdomen will disappear while I am using my legs. Rotation like this will prevent scar tissue. I cannot use my upper abdomen because I have permanent scar tissue there due to many years of not knowing I was supposed to rotate sites.

Well I just rotated early because my insulin pump rep and dr wanted to make sure my numbers was accurate.All they could say is my body is insulin resistant.Before I started pumping I was using 400 units per day so the numbers arnt that unreasonable for me.

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Old 08-22-2010, 01:18   #5
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Hey before I was pumping i was on 400 units.now they changed my basal to 4/uh.I was using novolog but the dr think iam building a resistance now he put me on humulin r. my carb to unit ratio is 1 to 3 and insulin sensitivity is 1 per 10.I have my dr and pump rep and educator cell and they have me call them every 2 hours.And I do check my bs when I sit down to eat and 2 hours after.

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Old 08-22-2010, 02:57   #6
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Jeremiah, I am type 1 with insulin resistance, just like you. I am taking a type 2 med to fight the resistance. You should ask your doctor for a med to do that for you, then you will not have to take so much insulin. I use only 35-40 units per day. If I did not take the med to deal with the resistance, I would be using much more insulin.

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Old 08-22-2010, 03:32   #7
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Wow that would be nice.I ll ask about it.Thanks!

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Old 08-22-2010, 14:49   #8
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If you are not currently taking metformin as well as your insulin I would inquire about it

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Cheers,
Pam
~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Type 2 since age 16
A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
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Old 08-22-2010, 15:25   #9
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Okay Il ask.I had a rough night last night.Dr raised my basal to 5.0u/hr

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Old 08-22-2010, 15:41   #10
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Out of curiosity, how many total grams of carbs are you allowing for your meals or snacks? Maybe if you can give us an idea of a typical menu that you eat we can help you find any hidden carbs you might be eating and not counting for.

__________________
Cheers,
Pam
~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Type 2 since age 16
A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
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