Wednesday, August 10, 2011
I got on the insulin pump and my sugars are still high how long does it take to get control?
I echo all of the people who are suggesting that you call in your sugars either to your physician, diabetes nurse, or nurse practitioner. It will take a couple of weeks to work out all of the kinks with you new pump, however, the faster you get this figured out, the more comfortable you will be -- so call in your sugars daily! If you are constantly running high, it sounds like you may not be receiving enough basal -- therefore, you could increase your basal by 10% -- try this out for a day, see what your sugars do, and increase another 10% if necessary. Also, you will need to be able to recognize trends on a daily basis, so you should be recording your blood sugars every time you check. That way, if you see that you are consistently running high before lunch, you can address your food dose or corrective dose at breakfast. Make sure, especially since you are on a pump, that you are testing for ketones when your BS is >250 mg/dL -- you want to make sure that your pump isn't occluded, etc. -- since you are using only rapid acting insulin in your pump, if your pump becomes occluded, it is only a matter of hours before you become very sick.
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