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Re: [IPp] duration of insulin action



Andrea's is set to 2 hrs on her Cozmo.
-Natalie

On 6/30/06, Louis Diaz <email @ redacted> wrote:
>
> We set ours at 3 hours from the beginning for our daughter (4.5).  We
> have exactly the same issue with her BG not coming down but that is
> usually around midnight to 3A which is the time of her greatest
> insulin resistance as is common in many children.
>
> On 6/30/06, Cathy Adams <email @ redacted> wrote:
> > Hi Debbie,
> >   I would consult your endo for help with this one. I think that each
> person
> > uses insulin differently and the amount of time that insulin lasts in
> your
> > system would be different for each person. It also depends on what type
> of
> > insulin you are using (NovoLog, HumaLog, Apidra). If you conslted your
> endo
> > with specific blood sugar numbers and the situations when the pump said
> he
> > had insulin on board but his blood sugar went up or didn't go down
> he/she
> > might be able to suggest a different setting for the insulin on board if
> > necessary.
> >     We have an Animas pump and it calculates insulin on board (IOB) when
> you
> > give a bolus for a high bg reading (I'm sure it's pretty similar to your
> > Cozmo pump). Our doc said to set the IOB for 4 hours for our son to be
> on
> > the safe side because he is only 3 and we don't want to overload him
> with
> > insulin. If we were going to give him shots for a correction in case of
> a
> > pump malfunction we were told to do this no more often than every 3
> hours,
> > which again I think depends on each person and their individual
> situation.
> > Sometimes we experience the same situation that you are going through
> where
> > our son's pump says that he still has IOB but his blood sugar will go up
> or
> > not have gone down the next time we check him. We just correct him at
> that
> > point. We notice this a bit more when it's almost time to change his
> > infusion set.
> > Cathy
> > Mom to Riley (5), Cole (3 dx'd 9/05 pumping Animas since 6/8/06), Owen
> (19
> > mos)
> >
> > ----- Original Message -----
> > From: "Melvin & Debbie Crawford" <email @ redacted>
> > To: <email @ redacted>
> > Sent: Friday, June 30, 2006 9:50 AM
> > Subject: [IPp] duration of insulin action
> > >
> > > Hi all,
> > >
> > > I have a question about the duration of insulin action setting.  We
> pump
> > > with
> > > the Cozmo, but the other pumps probably have a similar setting.
> > >
> > > I am wondering how long of a time span you put in for the insulin
> action.
> > > We
> > > have always used the default 4 hours, but I am wondering if it is more
> > > like 2
> > > - 3 hours.  I know if you only did shots, let's say the pump was
> broke,
> > > you
> > > would have to give shots every 2 hours, which lets me know that the
> > > insulin
> > > alone is only working in 2 hour segments.  But if you add in the
> basals,
> > > and
> > > they are set correctly, at what would the duration of insulin action
> need
> > > to
> > > be set?
> > >
> > > Last endo. visit he said we could change that setting to 3 hours if we
> > > wanted.
> > >
> > > My question arises, because I notice, especially in the evening, if
> > > Kendall is
> > > high at bedtime, he still may have insulin working (or the pump thinks
> > > it's
> > > working) and won't suggest a bolus, but then when I check him later,
> he
> > > has
> > > either gone up more or not gone down any.  If there was still insulin
> > > working
> > > from the bolus, it would seem he would continue to fall a bit.  Hope
> this
> > > makes sense.  His basals seem to be set correctly.
> > >
> > > Anyone have any insights?
> > >
> > > Thanks,
> > >
> > > Debbie Crawford
> > > Mom to Kristin, 19; Kelsey, 16 and Kendall, 13 (dx'd 11/99 - pumping
> 4/03)
> > > .
> > .
> .
>



-- 
Mama to 4 wonderful children
Andrea Jean 4/99 - dx 1/28/03, pumping Cozmo 10/2/03 - diluted H (U50)
                            testing with Freestyle Flash & CoZmonitor
Alicia Liliana 6/01
Carlos Kenneth 5/03
Anita Viviana 3/05 (has "protective gene" - TRIGR study)
Happily married to Tommy since 6/96
Salt Lake City, Utah
CWD and IPP member since 10/2003
.
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