Well, it’s been just over a week on the pump and how are things going?
To begin with I got off to a flying start with some outrageously good results for the first three or four days. However, this turned out to be beginner’s luck and since then my levels have been far too high. Not dangerously high but certainly outwith the parameters I’m happy with. Not that I’m anal or anything.
So I’m going through the usual pump start processes of testing, logging, testing, logging and reviewing data to see where things are going wrong. I’ve tried to do this systematically and only change one thing at a time so I can more accurately measure the effects of the change. Today, for example, I have decided to look at my morning basal rates and so have not eaten anything since last night. As I write this I have to confess I’m rather peckish, but I think I can safely live off my hump for the next few hours.
My results this morning have been highish – hovering around the 12’s – but, more pleasingly, they have remained consistently around 12, varying up or down 1 mmol/l or so. Given meter readings are generally as perfectly accurate as US troops rescuing British hostages; I’m taking this as nicely consistent. All I need to do now is start at a lower level in the first place. This is my theory and if I’m completely wrong then do comment below.
Aside from the banalities of blood glucose levels, I’ve been enjoying the pump (if one can ever said to “enjoy” a piece of medical equipment). Stuffing in insulin for meals is far easier & unobtrusive than injections and being attached to something all day and all night is – surprisingly – considerably less of a problem than I thought it would be. Insulin delivery also seems to be a lot more consistent. If you put in x units of insulin and you expect your BG to be at y in a few hours time, then it usually is. In retrospect Lantus, to name names, seems to have been almost entirely random in the way it squirted out its long-acting goodness.
So I continue to test and log and get suitably annoyed and frustrated when things don’t work as I expect them to. But with the help of my DSN and the book “Pumping Insulin” (which I’ve taken to reading on the bus to work) we seem to be slowly but surely getting there. Huzzah!
p.s. – readers who have no interest in pumps while be pleased to hear that before long I will write some more general articles and will stop banging on about the damned thing.