I have a question regarding your statement: “A good rule of thumb is that 1 gram of glucose raises the blood sugar 3, 4, or 5 points for body weights of 200 lb., 150 lb., and 100 lb., respectively. For example, a 5-gram glucose tablet raises the blood sugar about 20 points at 150 lbs.”

I weigh 140 so it would be 4 points per gram of glucose. My understanding is all carbs eventually turn to glucose. If that is true and something has 5 grams of carbs including 2 grams of sugar, do I multiple 4 points by 5(carbs) or 4 points by 2(sugar) to get the total points raised???

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I have had two insulin pumps over the past 15 years (both Minimed). I was taken off the pumps for the same reason I was put on them: frequent and dramatic low blood sugars. I’m done with Minimed (hated the infusion sets and the proprietary everything) but I’m reconsidering pumps. I am now 37, my sugars still drop to the point where medical intervention is necessary but they’re not dropping as LOW. So… I’m hoping perhaps I’ll have better luck pumping. I’d appreciate any information that you could send for your pumps (specifically the Spirit).

M

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My daughter (nearly 12) has been dx nearly 6 years. Pumping for 5.

Frustrating time of it these last few days. Need to make several changes it appears. +30% increase in basals is not even touching her numbers. ( i run temp rates to see what, if anything works and when /how much etc) before I actually change the program in the pump.

Is there a magic formula that says if you tighten I:C ratios say by 10% (which is usually where I (or the endo) starts) and it also seems basals need adjusting that I can do X amt for the basal increase and have it balance? I am thinking that surely she wouldn’t need a 30% increase with tighter I:C ratios? I do tend to be aggressive and tackle two things at once. (don’t remember if I have ever changed 3,but i also thought it’s probably time to tighten our Correction factor as well. I am sure our endo has changed 3 things at once. But it’s been awhile. Since it’s easy enough to go back if there are times the increases (in this case)end up being too much.

Our A1c’s have been consistently under 6 for the last couple of years at least. and under 7, i think since after the first year of pumping. The last few days I cannot keep her under 200, or rarely does she stay there. And have been correcting at least .5u and sometimes 1u at a time. No ketones thankfully.

I also know that as parents we call this The Curse of the Endo appt. since it appears that generally all of our kids tend to have these major highs shortly before the endo appts. (ours is in just under 2 weeks).

Thanks,

C

Perhaps one of these days I can get to a CWD conference and sit in on some workshops that you do , or am blessed to hang out at meal time table talk. That i have heard also takes place.

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