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Shawn

New to pumping and the Pod need help

So Last Friday I went on the omni pod. Well the first few days were great I did some minor adjustments on basal rates carb rations etc with much success. Last night I did a bolus before dinner with accurate carb counting and 1hr after dinner my sugar was up 145pt from 115 to 260. I did a correction bolus and another hour later no change in BG. I changed my pod and site and bolused again. This morning my BG was 232. I bolused again and 1 hour later Bg was 297 after another Bolus and another hour it has dropped to 216.What the heck is going on? I think last night was an infusion site problem. But this AM I don't know insulin resistance in the morning???Ughh! any thoughts would be great I just dont know what to do....Thanks

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Shawn - you're not saying your bolus amounts. I had a problem with my Pod giving too much for corrections. You may need to change your correction setting. I wound up in an ambulance from mine being off on Monday night. You are still early in your "set up" phase. I've been on mine since the very beginning of April and I'm still making adjustments. This is going to be a constant work-in-progress. Right now I have mine set up to give me one unit of insulin for every 60 mg/dl I need to come down. Good Luck!

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Thanks for the info Karen. I'm sure once i get my ratios figured out it will be easier to handle.

Thanks !

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Shawn - It takes awhile to get all the ratios in check. Like Karen said, it's a work in progress. Don't get discouraged. I think almost everyone when they first start pumping have their highs and lows. It is not an exact science on how to set up your ratio for a correction bolus. Most of the 'Rules' are just a place where to start and to go from there. Just take it one day at a time and you will get there. My CDE had my original settings (based on what it should be by the rules) completed off base. They all had to be readjusted again and again. Remember everyone is different and also you will respond differently on a pump then on injections, and even this response will change over time and you will have to do more changes. This is one of reasons why we must monitor our glucose levels so much, our lives are not static but they are dynamic, every hour of every days our bodies might be going through minute changes from the hour before, and I'm sure you know that stress (and doing something new like going on a pump is exciting (read stressful), illness, our emotions, etc. all play a huge roll in our glucose levels and our response to insulin. I am always willing to answer questions about my pumping experience so just give me a holler and I will do my best to help!
And by the way "Welcome to the OmniPod World of Pumping'.

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Thank you so Much for the support Peter. I am a very analytical type of person and was getting frustrated. I also just read your post on Coffee and spiking BG I have the same problem. guess that amongst many other things will be a challange.

Thanks again

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Yea, I still don't understand the coffee spiking think. All I know is I have to take a 100 unit bolus to cover 3 or 4 cups of coffee in the morning. Of course when I tell my CDE this she just says give up the coffee. NO WAY, I had to give up so much due to this crummy disease but I am not going to give up my coffee. I am a programmer/analyst and like you I am very analytical, also trying to apply logic to everything. However this whole coffee thing just doesn't make sense to me :)

Shawn, I have a major interest in POD Failure problems. I have some personal theories on the matter and would be interested if and when you have any POD Failures. I myself have never had a pod failure and so I trying to collect info from other users who do. If you could just let me know when you have one and what kind it would be greatly appreciated.

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I'm with you on that! I work in the film industry and have 5 children... Coffee is not a want in my life it's a NEED. I'll let you know if I have any pod failures.
so far canula pulled out of my skin once in 4 pods.
This morning my BG was 200 so I corrected 2 units and added 2 units to cover my 2 cups of coffee. 1 Hr later no spike BG 98. Guess thats gonna be the plan
but its a ridiculous carb ration considering that there is only 2 carbs on my coffee and my normal ratio is 1 unit for every 20g of carbs.

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Shawn-

I was having the same problem with my bg's when I first started podding. Karen had said she had to change her carb to insulin ratio. I thought maybe that would help me. I changed my carb to insulin ratio from 1:18 to 1:15. It's working so far. Good luck.

Cherise

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Thanks Cherise !
I did change my ratio for the AM and it does seem to be working
better but still not as close as I think it could be. I'm sure ill figure it out

Best

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You might have to change your insulin to carb ratio for bolusing. Mine is set for different rates three different times throughout the day as I need much for insulin per carb in the morning, a smaller ratio at lunch, and an even smaller ratio at dinner. It took me two weeks to get it dialed in and haven't changed it since (5 months). Also, the pod for me is very site specific. My stomach and arm offers me the best and quickest repsonse to insulin while my back requires higher basal rates. I would suggest sticking with a similar site for several weeks and changing it after you're dialed in. Then, what i did was add a .5 to all my entire basal schedule (that would add a total of 1.2 units per day to your body) until you know what extra that site may need. I now have three basal programs in total that say "arm, stomach, or back." Good luck!

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Thanks Peg
I'll give that a try. I think I'm getting closer to getting it dialed in but still have a ways to go

Be well

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