Another trick up my sleeve

7 10 2009

I’ve been using the super correct method to get my blood sugars down.  I have updated my technique to make it work a little better.

1.  I did end up doing the super part as “fill cannula”, which does annoy me that it doesn’t get tracked anywhere.  However, I imagine newer pumps will have this feature built in.

2.  I do the fill cannula in 2 steps, per Bernard, so that the last number listed is the correct “fill cannula” amount.  This prevents any weird things happening when I change my infusion site.

However, the newest trick added to the arsenal is using a temp rate to combat a low without having to eat Starburst.  =D

This mostly works because I have a Dexcom and can see these things coming.  If I am just above target, but going down too fast or have too much IOB, I will set a 10-15% temp rate for half an hour.  This small drop in insulin is enough to get me to my target and stay there, instead of dropping below and having to eat something to bring it up.

Just one more thing to add to my arsenal.  Take that, diabetes!


Playing with the super bolus

23 06 2008

Now that I’ve got Charlie, I’ve been feeling more confident about trying new tricks in managing my diabetes.  Specifically, I have been using the super bolus.  Actually, to be more accurate, I have been using what GiR and I like to call a super correct.

From what we can guess, it’s EXACTLY like a super bolus, but it’s just used to correct a very high blood sugar.  Just like a “correction bolus” is just a meal bolus without the meal, a “super correct” is just a “super bolus” without the meal.

I have found that if my blood sugar is above 200, a “2 hour super correct” does the trick.  I take 2 hours of basal ahead of time as a bolus, then reduce my basal to 0 for those 2 hours.  If I’m hovering in the 160-ish range, a “1 hour super correct” is fine.

HOWEVER!  I will guarantee you right now that I am not doing this correctly.  According to Bernard, the basal portion of the super bolus should be taken via the “fill cannula” method so as to not mess up IOB calculations.  I do not do this.

My #1 biggest fear about using the fill cannula method is the fact that my Cozmo defaults to the last amount used.  For example, if I use the fill cannula to deliver 1.2 units of basal, then the next time I go to fill my cannula, 1.2 will be auto-filled.  Now, when I switch out my infusion set, I do this VERY FAST.  I have got this down to a science, people.  So, imagine with me the horror of accidentally delivering 1.2 units instead of .2.  This spells serious trouble.

I know for a fact that delivering the basal portion directly via the correction mechanism really messes with my Delivery Summary.  So according to my pump, I have occasionally taken a LOT of correction, when in fact some of that has been basal.  Of course, my diabetes control should take into a large number of factors and not just my Delivery Summary, but that’s a discussion for another time.

So what do I do?  Right now I am doing my own vague mental calculations of IOB, but that’s not very effective.  I suppose I could learn to slow down and pay more attention to filling my cannula, but that will be a hard habit to break.  Any tips/suggestions?