Bob Denman
New member
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! :thumbup:
Every couple of hours seems to be enough! :thumbup:
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Thread just for us old Type-1 diabetic insulin pump wearing Spyder Ryders
- Thread starter OverHillAndDale
- Start date
Bob Denman
New member
I just got off the phone with Tanya at Medtronic:
The reason why the pump seems to be letting my BGs go higher than I like right now: it's learning what it can about the idiot that it's hooked to!
It starts out with smaller amounts of insulin, and will ramp up the delivery as it sees what I can take without "crashing".
This thing is leaning all the time that it's hooked up to you! :bowdown:
The reason why the pump seems to be letting my BGs go higher than I like right now: it's learning what it can about the idiot that it's hooked to!
It starts out with smaller amounts of insulin, and will ramp up the delivery as it sees what I can take without "crashing".This thing is leaning all the time that it's hooked up to you! :bowdown:
OverHillAndDale
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!
Bob Denman
New member
Since this thing is always learning: I'm half-expecting this to happen:
:yikes:
:yikes:
Bob Denman
New member
Basal Rates:
This thing is getting smarter... and I think that I am also!
When it's running in "Auto-Mode"; it makes continuous adjustments to the amount of insulin that you receive as a basal rate...
The micro-boluses are based upon what your maximum basal rate is set at.
When you get these rigs: that maximum basal rate is set at 2.5 units per hour.
That would be about two-tenths of a unit delivered every five minutes...
that wasn't high enough to keep my BG levels from rising... :shocked:
Rather than just pumping in correction boluses constantly: I've been adjusting the max. basal rate upwards...
I've currently got it set at 4.0 per hour maximum, and may even go higher...
(This level is beyond what they suggest, but you CAN exceed the limit! :thumbup
This thing is getting smarter... and I think that I am also!
When it's running in "Auto-Mode"; it makes continuous adjustments to the amount of insulin that you receive as a basal rate...
The micro-boluses are based upon what your maximum basal rate is set at.
When you get these rigs: that maximum basal rate is set at 2.5 units per hour.
That would be about two-tenths of a unit delivered every five minutes...
that wasn't high enough to keep my BG levels from rising... :shocked:
Rather than just pumping in correction boluses constantly: I've been adjusting the max. basal rate upwards...
I've currently got it set at 4.0 per hour maximum, and may even go higher...
(This level is beyond what they suggest, but you CAN exceed the limit! :thumbup
OverHillAndDale
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.
Bob Denman
New member
Yup! Ain't it fun? I found that even with some really careful carb counting: I was still going sky-high after meals. Since the auto-mode doesn't allow for square-wave boluses: I'm moving the max basal rate up to allow for more insulin delivery after meals. :thumbup:
(I STILL haven't figured out how to beat the maximum bolus amount of 25 units... :banghead:
I was told that was hard-wired in, so that none of us would "suicide by insulin" :shocked:
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
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
Bob Denman
New member
Hi Jim!
Regarding the delayed absorption of food:
For years: I have been arguing that protein and fat intake has to affect the insulin requirements. But nobody has ever been able to tell me how to do it! :banghead:
So I experiment, tinker, guess, throw sand in the air, squint at the Sun: and punch more buttons!
Nutritionists and Endocrinologists? I don't bother with them anymore... nojoke
I'm going to eat what I eat, and figure out the boluses on my own.
I use my Primary Care Doc to write me some scripts, and suck out some blood for testing: that' all....
Oh! I also let her yell at me about my weight...
I figure that since I'm paying for the Band: it's my Dance Party, and I'm calling the shots! :thumbup:
Regarding the delayed absorption of food:
For years: I have been arguing that protein and fat intake has to affect the insulin requirements. But nobody has ever been able to tell me how to do it! :banghead:
So I experiment, tinker, guess, throw sand in the air, squint at the Sun: and punch more buttons!
Nutritionists and Endocrinologists? I don't bother with them anymore... nojoke
I'm going to eat what I eat, and figure out the boluses on my own.
I use my Primary Care Doc to write me some scripts, and suck out some blood for testing: that' all....
Oh! I also let her yell at me about my weight...
I figure that since I'm paying for the Band: it's my Dance Party, and I'm calling the shots! :thumbup:
OverHillAndDale
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!
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!Bob Denman
New member
:shocked: I think that we've got the same Dad... :yikes:
Your explanation of how the meal type affects the digestive rate tracks EXACTLY with my experience.
Your explanation of how the meal type affects the digestive rate tracks EXACTLY with my experience.
Bob Denman
New member
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! :thumbup:
http://www.bbc.com/news/health-40876438
This is kind of exciting! I hope that this research hits on a useful solution! :thumbup:
OverHillAndDale
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.
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.
Bob Denman
New member
Thanks! Let me go see what I can dig up! :thumbup:
Bob Denman
New member
I saw this on the news feeds this morning. It sure seems interesting! :2thumbs:
http://www.denverpost.com/2017/09/28/blood-sugar-monitor-without-finger-prick-tests-diabetes/
By the way: a VERY good friend suggested that I read "Sugar Surfing", by Steven Ponder...
It is an EXCELLENT book, and I have to pass along his suggestion to everyone!! Thanks! :thumbup:
http://www.denverpost.com/2017/09/28/blood-sugar-monitor-without-finger-prick-tests-diabetes/
By the way: a VERY good friend suggested that I read "Sugar Surfing", by Steven Ponder...
It is an EXCELLENT book, and I have to pass along his suggestion to everyone!! Thanks! :thumbup:
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