Wednesday, April 04, 2007

2:30 AM infusion set change (yawn)

If you're a pump user and you've never had to do one of these, hands up.

Ok, the young man in the back. How have you managed to escape changing your set in the wee hours of the morning?

OK I see, your mom does it for you.

For the rest of you. I guess that at some stage of your pumping life you've had to change a set in the early hours. And this morning, it was my turn.

What a pain it is to have a CGM at a time like this. It looks like my readings had started to climb around midnight and when I woke up I had a high of 240 mg/dL according to the Dexcom. And a value of around 280 according to my meter.

But looking at the Dexcom readings for the previous 3 hours it seemed a set change was just a good idea. I'd corrected just before bed and my numbers just kept climbing from there.

Note to Dexcom engineering: Please add an additional alarm that will tell me if my blood glucose has been above a certain value for more than a set number of hours. It would have been nice if I'd done this set change at midnight instead of 2:30 AM.

Labels: CGM, infusion set

5 Comments:

At April 04, 2007 10:56 AM , Melissa said...: Just the other night I had to do a middle of the night site change since when I got up to pee I noticed my set was hanging from my pump. No fun.
At April 04, 2007 11:01 AM , Kassie said...: that would be an interesting feature. What's your high threshold set at?

I hate that my pump tells me every half hour or so when it's down to <5 units or delivering basal insulin only. I have enough in there to get me through the night, but end up having to change it just to shut it up :)
At April 04, 2007 11:15 AM , George said...: I had a site pull out during sleep due to either a very scary dream or one where I was at a disco dancing my tail off. And yes it sucks very much.
At April 04, 2007 1:01 PM , Carey said...: Bernard -

Thanks very much, but the endos gave us the Precision Xtra and test strips. I appreciate the thought.
At April 05, 2007 8:56 PM , Drea said...: Ohhh yes, been there! Done that! I always have to double check my 2am site changes in the morning - make sure they are not upside down or inserted on my foot...or something as equally crazy!

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The Diabetes Technology Blog is focused on using technology to life better with diabetes. I review: blood glucose monitors; continuous glucose monitor; blood sugar meters; diabetes software and living with diabetes.

: Name: Bernard Farrell; Location: Massachusetts, United States

I was born in Ireland and now live in the US. I have had Type 1 diabetes for over 35 years. I struggle with my blood sugar, the same as most people with diabetes. I wear a Cozmo 1800 insulin pump and a Dexcom SEVEN CGM to track my blood glucose levels. I also take Symlin to help control my post-meal blood sugars. I'm blessed by God, and every day brings the possibility of a cure.

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