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5 Responses

  1. Leighann
    Leighann January 18, 2014 at 4:59 am | | Reply

    (This isn’t medical advice, but…)

    I would look at what’s happening in the evening for a few weeks to try to tease out a pattern. For a few weeks you could jot down what you had for dinner and snacks, afternoon/ evening activity, and pre-dinner, bedtime, and waking numbers. And it doesn’t hurt to send these in to your endo or CDE to have them take a look.

    Afternoon/evening exercise can cause blood sugars to dip even 8 hours later. I know that when my child has evening activity, I need to check on her about 2am.

    Foods consumed for dinner or bedtime snack might affect blood sugars hours later. Perhaps these higher numbers come up on nights when a high fat meal has been consumed.

    To figure our overnight basal rates, you can use a CGM. If you don’t already have one, endo offices can put an iPro on you. It’s usually covered by insurance (ask!).

    And we do pump changes at 4:30 pm because that’s plenty of time to see if there are issues before bedtime.

    Good luck!

  2. Eric
    Eric January 21, 2014 at 8:40 am | | Reply

    I have been on the Omnipod for 2 years and the “mysterious” high blood glucose levels are usually due to Tunneling. See – http://www.opensourcediabetes.org:443/diabetes-technology/insulin-pumps/pump-life/pump-problems/tunneling

    I am switching away from the Omnipod this year because of how unreliable the insulin delivery can be. This may not be an issue for some pod users.

    1. Christine
      Christine January 23, 2014 at 10:58 pm | | Reply

      Thanks for the website. Very informative.
      Christine

    2. Art
      Art January 24, 2014 at 5:21 am | | Reply

      what are you switching to?

      1. Eric
        Eric January 24, 2014 at 9:00 am | | Reply

        I am not sure yet. I have never had a traditional tubed pump before so I will be going on a trial run sometime in Feb. with either the TSlim or Medtronic pumps.

        I am hoping a lot of the issues I had with the Omnipod are resolved by switching to a tubed pump but realize that the tubing might take some getting used to. My last option is to go back to Lantus/Pens but I don’t know if I can handle the inconvenience of thinking about different ratios/carbs/etc that my pump calculates for me now.

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