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Re: [IP] BGs are now down

At 07:14 PM 1/27/1999 -0500, you wrote:
>Ginny wrote:
>>I put my D pump back on..Bolused in within an hour my BGs are down to
>>Now I think I am going to call minimed tomorrow and ask what is wrong?
>>just wanted to share I am feeling better!
>I've been following this thread, and I'm glad to hear things are back to
>normal for you. I do have a couple thoughts on what you've been going
>1)  You did well by returning to the previous pump (regardless of brand
>affiliations here). I always try to "return to a known entity / limit
>variables" while I try to troubleshoot something new.  I describe this as
>"go with what you know, while you try to figure out the why of what's
>wrong" - otherwise known as "GWWYKWYTTFOTWOWW" <VBG>
>2)  There *are* differences in how the pumps deliver, but I don't think
>that is the sole source of the problem here. The Disetronic delivers at a
>higher pressure than the MiniMed. It's rate of delivery also differs, with
>insulin delivering more frequently for basals (every three minutes,
>regardless of basal rate), and quicker for boluses. This should not have
>been the primary issue with the transition to the MM though.
>Has the tissue at your infusion sites started to develop some scarring /
>hardening from previous pumping? If so, the difference in the delivery
>pressure between the two pumps may result in some discernable loss of
>absorption with the MM. Just a thought, something else to consider.
>3)  One thing often overlooked with the MM reservoirs is the need to move
>the plunger up and down twice before filling. This ensures the lubricant is
>evenly distributed in the reservoir barrel, and the plunger moves freely.
>You've already spoken to the point of making sure the pump motor arms are
>properly seated against the plunger before priming - this is very important.
>4)  You shouldn't really need major adjustments in your basal rates when
>you switch. I switched a couple years ago, (from the MM to the Disetronic),
>and needed to make some adjustments, but not in the order of .5 unit basal
>increases per hour. I found the major difference to be the lead time for
>starting basal rate changes, since the Disetronic's rates are set to change
>on the hour, unlike the MM, which can change at more frequent intervals.
>Keep us in the loop on the progress with this problem. It's interesting, to
>say the least.
>Bob Burnett
>mailto:email @ redacted
>Insulin-Pumpers website http://www.insulin-pumpers.org/
Brian Carter
ICQ # 27217438
email @ redacted
Insulin-Pumpers website http://www.insulin-pumpers.org/