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Very Active Member
Originally Posted by Bob Denman
Please consider going to the CGM if you can...
Here's why I think that it really helps:
Assuming that you test your BG four or five times each day: that gives you a "snapshot" of what is going on at that moment.
But it doesn't tell you anything else!
With the CGM: you'll need to calibrate it three times daily (I do mine when I get up, in the mid-afternoon, and at bedtime) You simply do that by testing your BG, and making sure that the value in entered into the pump.
By doing this; your pump will keep track of your BG values 24 hours a day, and it will be able to give you those values.
EXAMPLE:
Under your current setup, you have just tested your BG, and get a reading of 115 ( )
But where is it going? Up or down? Should you be grabbing a snack to prevent a low, or throwing in some insulin to prevent a high?
The pump will keep running graphs available for you, so that you can see where the numbers have been... and where they are going.
And your 630 will do a GREAT job of providing this information to you!
Please consider it...
Thanks Bob,but i'm T2 and it would not be as useful for me as it is for a T1,and the cost(don't know if Humana would cover) is too high!
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Very Active Member
Originally Posted by Bob Denman
What I have found; is that it doesn't seem quite capable of keeping up with my meals. I sort of have to "trick" it into giving me extra insulin, by telling it that I'm taking in more food.
So far: so good!
Bob - I just want to make sure that I'm following you as I not yet blessed with the new pump.
Are you saying that you can't bolus for a meal, OR that it doesn't do a good job of quickly adjusting if you DON'T bolus?
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Originally Posted by OverHillAndDale
Bob - I just want to make sure that I'm following you as I not yet blessed with the new pump.
Are you saying that you can't bolus for a meal, OR that it doesn't do a good job of quickly adjusting if you DON'T bolus?
What I think that I'm trying to say, is that the pump's algorithms seem to be aiming for blood sugars that are high enough to keep us safe.
I have mine set in "Auto-Mode"
(So Dr. Daystrom has programmed the Enterprise to pilot itself! )
When I want to bolus for a meal: I get to the bolus screen, and it asks me for a BG reading, and a carb count. It will then figure out how much of a bolus is needed. (based upon insulin sensitivity, active insulin time, and carb ratio)
It doesn't use the dual, or square wave bolus feature in Auto-Mode: it just seems to be constantly inputting tiny correction boluses. (.05, to .15 units at a time). This "sort of" keeps me close... I just need to add in some extra boluses, to aim for my much lower BG targets.
I've got a call in to Medtronic Support right now, to discuss some of this. I'll let you know what I learn!
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Very Active Member
Sounds like like the bolus calculation is still intact.
I'm bugging Medtronic again about offering a higher-resolution screen for their phone app so I can better read my blood sugars while on the Spyder. I know you avoid this technology, but I find it extremely useful to be able to monitor while I ryde.
Looking forward to watching your regular reports on the new pump technology.
Dale
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When I'm riding: I'll take a peek at what's going on, whenever we stop for fuel, food, or pit-stops...
Every couple of hours seems to be enough!
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Very Active Member
Since I'm a simpleton, I suspect the device will outsmart me in the first 5-10 minutes. I'll be breaking mine in during August of 2018. Can't wait!
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Since this thing is always learning: I'm half-expecting this to happen:
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Very Active Member
Bob - you and I have been Type 1 for 52 years, so I'm sure you're as insulin-resistant as I am. My maximum bolus and maximum basal are both WAAAAY beyond the suggested limit.
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Sounds like a great tool
Maybe I am a bit of a newbie type 1 - 38 years, lol.
I've been using pumps from Medtronics for years and now do CGM with the Enlite sensors.
Great explanations Bob.
Do you work with a dietician or nutritionist through your Endos office?
Perhaps some of the lag in BG corrections can be due to what you eat, as you know the impact of various foods on you. Adjusting the make up of the meals or timing could be part of the answer.
I know various Docs have different approaches.
As much as I enjoy pizza it takes about a pint of insulin to bring my BG back under 300 after eating 2 slices at the local pizza joint. So if I can't resist I make my own that way I know whats in it.
Not real strict with my intake and not an organo-nazi but I know foods can affect us all differently. No matter how much we like them....some don't like us!
Just my .02
Jim
PS keep up withs your posting of the good info
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Very Active Member
If you're eating some high carb stuff mixed with fats like pizza, I find that the square wave or dual wave bolus works best. For me, about 8 units spread over and hour (Spyder people - how we handle as we ryde IS relevant to this forum!)
Proteins and fats DEFINITELY affect how carbs are managed. If you eat a LOT of protein, primarily meat proteins, they will raise your blood sugar (not sure of they become carbs or what).
Proteins and fats both interfere with insulin usage rates. If I have a meal with lots of fats, often it takes 2-3 hours before the meal starts raising my BS. So, add some of this, wait on that, bolus this way, don't do it the way it did before.... As a Type-1 friend of mine said, "There is never a moment in the day where I can just ignore that I'm a diabetic." So true!
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In today's News:
http://www.bbc.com/news/health-40876438
This is kind of exciting! I hope that this research hits on a useful solution!
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Very Active Member
Houston area support for diabetics
Houston is desperately looking for help with diabetic supplies including insulin, alcohol swaps, syringes (in unopened boxes), pump supplies, etc. Steve Ponder who wrote "Sugar Surfing" has people assisting in the coordination of this effort, and you can look for him on FaceBook. There are people in or close too DKs due to doing without insulin. Not sure, but I believe the greatest needs right now are insulin, syringes, alcohol swabs, and lancet devices (not the lancets themselves), glucose meters and strips.
I have a contact, Anne Imber who is managing some of this effort.
Anne Imber.JPG
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Thanks! Let me go see what I can dig up!
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