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Permalink Reply by Beth (mother of Max, dx 1-29-08) on July 17, 2008 at 1:50pm

We had the same issue with our son. Gary Scheiner told us to make sure to change the pod (when possible) at a time when we could give our son a big bolus of a least a full unit. The problem isn't the tiny amount of time the pod is off, it is that it takes the new pod a while to establish a pathway with just the basal. The big bolus seems to jump start the process. We've had far fewer problems since we started doing that. Good luck!

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Permalink Reply by sugarrbabie05 on July 17, 2008 at 2:50pm

Thank you for the reply! I didn't think about that. I might try that next time around!

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Permalink Reply by Lisa Stratton on July 18, 2008 at 12:52am

I have had this problem with my daughter. We have started to give her a double basel bolus (does that make sense?) before we deactivate the pod. This has helped us a LOT. Like Beth, our diabetes educator/trainer also suggested changing her pod when we can give her a big bolus like around dinner time. We really had a hard time at first figuring this out and my daughers BG's were in the 400's every time we changed a pod and it would take us between 3 and 4 hours to get her back into the normal range.

Just in case it is confusing what I mean by double basel bolus is that we take whatever her basel rate is when we are about to change the pod (for instance .30) and we give her a bolus for double that amount (.60) before we deactivate the old pod (as long as it is still giving her insulin).

Lisa

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Permalink Reply by Janet on July 18, 2008 at 3:54pm

My nurse practitioner told me in our first session that many people go high right after changing pods. She suggested that I give myself one unit of insulin as a bolus right after I change pods. She had another idea that I haven't tried -- leave the first pod on for a while even after it's been deactivated and you've activated a new one.

One pod at a time is enough for me. :)

Janet

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Permalink Reply by tammy on July 23, 2008 at 5:13am

Once a pod has been deactivated it stops delivering insulin.

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Permalink Reply by Malyssa on July 18, 2008 at 11:05pm

I run a + 20% (so 120%) basal for 2 hours after I change a pod. Someone suggested this to me because I use to shoot up into the 300-400 after a pod change. I would talk to your endo or CDE before trying this though.

Hope this helps a little.

Malyssa =)

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Permalink Reply by sugarrbabie05 on July 18, 2008 at 11:11pm

I am glad i'm not the only one! i am going to see if there is a pattern the next couple times i change the pod and talk to my cde next time i go in next week. thanks to everyone for their input!! it is really appreciated =)

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Permalink Reply by sugarrbabie05 on July 22, 2008 at 6:43pm

I talked to my endo today about changing the pod. She mentioned that I should try giving a bolus BEFORE I changed the pod so it could get to correcting. I am going to try that on friday when I change my pod. Just wanted to put that out there!

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Permalink Reply by sugarrbabie05 on July 25, 2008 at 9:54pm

So, I changed the pod this morning and did an extra unit with breakfast and then changed my pod. And my level did not go high afterwards!!! =) So...i think i've finally got it figure out!

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Permalink Reply by DiabeticizME on July 26, 2008 at 1:46pm

I am glad giving yourself an extra bolus helped you out!

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