I’ve done very well so far on my t:slim with lots of tweaking here and there. I’m actually excited about using it again.
But there’s one thing that gets me… every.single.day.
The b word.
Without fail, my BG will be great until an hour or so after I eat. Everything looks great, I’ve prebolused at least 20-30 minutes ahead, my meal doesn’t spike with in 30 minutes after eating like usual.. and BAM! It hits. I end up correcting every time, so I’m thinking I need a higher insulin-to-carb (IC) ratio in the morning for breakfast than any other meal.
It seems that I’m slowly ironing out the bumps here and there. But it’s also as if I get one ironed out and another one pops up. But that’s life, right?
The weekend was pretty rough, with no rhyme or reason to most readings. On the “purple” day (which was actually Saturday, not Friday… my Dexcom had the wrong date when I uploaded it), I woke up with a high BG and simply could not get it down. So, I changed out my cartridge since it had been since Tuesday that I had it in there, and my BG plummeted by 4pm. It’s not been bad since, even through my son’s birthday party yesterday.
I’m constantly tweaking things in the pump as well as around that I do (like no eating-meals/snacks-too-close-together) and watching how the insulin affects me so that I’m not overbolusing/stacking if I do eat a meal then decide to add a bit more on for dessert. I still worry that charging more than once or twice during a cartridge use will cause the pump to heat (thus causing the insulin to go bad). I may be completely wrong, but it’s still something in the back of my mind. I’m going to try giving it one good full charge and see if I can get at least 4 days out of a cartridge (since Novolog is approved in insulin pumps for up to 6 days, that way I can change out my infusion site in the middle of the wear time).
Overall, I’ve been happy with the t:slim again. I’ve still got some things I need to work out, but it’s been a good choice so far.