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Re: [IP] re: unexplained lows on a D pump

I have had Minimed pumps for 15 years, and occasionally have the problem of,
if not unexplained low bgs, then low bgs that are hard to overcome.  I have
always assumed  that insulin is somehow trapped in my body and releases
later.  Whether this is correct or not, it's random nature seems to suggest
something other than an equipment issue.
-----Original Message-----
From: Delaine M. Wright <email @ redacted>
To: Insulin Pumpers List <email @ redacted>
Date: Saturday, February 06, 1999 9:51 AM
Subject: [IP] re: unexplained lows on a D pump

> At a recent pumpers support group that I facilitate, this has come up a
>times.  I promised I would post the question to a much larger support group
>with a greater number of D users and report back on the finding next month.
>The 2 Disetronic users in our group, both men in their early 30's, have
>noted similar difficulties (as Kasey and Kayla mentioned) with unexplained
>episodes of hypoglycemia.  These pumpers note that the episodes are long -
>sometimes lasting almost all day, and do not respond in the "usual way" to
>the "usual" amounts of carb that it typically takes to treat a low.  The
>following day's basal rates are right back to where they need to be,
>*without* the odd occurring lows.  These extended hypo's do not seem to
>any predictability.  The entire group, including the pumpers to whom this
>was happening, were concerned that this seems to suggest an overdelivery.
>None of the MiniMed users have experienced this same phenomenon.  I
>personally have had significantly fewer lows than ever on a pump and the
>times that I have run lower than target, it is always relative to
>hormones/menstrual cycles, is somewhat predictable, and quickly and easily
>fixed with basal adjustments.  Have any other pumpers (especially D
>observed these types of unpredictable lows?  Any med professionals working
>with pumpers seen or heard of this before?  Any thoughts on whether this
>could be a mechanical or a physiologic issue??  I'd like to provide these
>pumpers with some answers, if there are any.  Thanks for your feedback!
>Delaine M. Wright, MS, CDE
>Kasey Sikes wrote:
>> For the past few days Kayla has been having some unexplained lows.  At
>> least one a day in the 40's or 50's.  Yesterday she dropped like a rock
>> to 29.  Needless to say, I'm trying to figure out why, but in the
>> meantime I'm concerned about her glycogen stores.  I've decreased her
>> basals and increased her carb ratios a tad to keep her in a higher
>> target range.  Hopefully we won't see any lows........
>> Kasey
>> Kayla's mom
>Insulin-Pumpers website http://www.insulin-pumpers.org/

Insulin-Pumpers website http://www.insulin-pumpers.org/