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Re: [IPp] high #'s after site change



> I have noticed about a 100 point spike in Jeremy's numbers in the
> first hour or so after a site change.  Fortunately, his numbers do
> start to come down with a correction bolus.  Does anyone know what
> might be causing this, assuming that the site is good (I know to
> switch site if he wasn't coming down with a correction)?  Also, is
> there anything you have done that prevents this spike?

When you remove the old set you can and frequently do remove much of 
the insulin that has infused within the last hour or two. Leave the 
old set in place for at least 2 hours if he's using an insulin 
analog and 4 hours if regular (unlikely :-)

Michael



> 
> Tonight, I tried bolusing him right before site change for a
> whopping 0.1 unit, which was 30 mins worth of the basal he would be
> missing for that time period he was disconnected --  We still have
> our learning curve going on here ;)  That didn't seem to help.
> 
> He bolused for dinner and his bedtime reading (which is about 2
> hours after dinner) came down from the pre-dinner reading, so I
> figure that something is working okay, but he was still just over
> the high side.
> 
> I would appreciate any tips you have on how to counteract this
> spiking.
> 
> Thanks,
> Allison
> 
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