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Fwd: [IPk] ketones- again



Sorry Mary but I don't understand what you are saying. You would presumably 
give injected insulin when you have high bgs that won't come down after 
bolusing with the pump. It is at this time that you should check your set to 
see if something is wrong. I don't understand what you mean by not knowing 
for hours if your set has been inserted incorrectly.

Ken
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From: email @ redacted
Message-ID: <email @ redacted>
Date: Sat, 12 Apr 2003 14:46:20 EDT
Subject: Re: [IPk] ketones- again
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In a message dated 4/12/2003 11:50:57 AM GMT Daylight Time, email @ redacted 
writes:


> . Whenever I can see that 
> my bgs are not coming down, I will grab my syringe and then investigate my 
> site/pump to see if there is a problem. 

While giving injected insulin is obviously the crucial thing to do, it can 
cause problems too.  With me the cause has almost always been a set where the 
cannula has been sited outside the skin or too shallowly (I can't tell at the 
time of insertion if this has happened).  If I gave injected insulin, it 
would be hours and hours before I knew if the replacement set had been 
inserted correctly - so I tend not to inject unless things are _really_ bad.  
I wouldn't recommend this to others, but for me (who still has a problem with 
sets) it works.  

I also find that if you've got a high bg plus ketones, it can be really 
difficult to get the bg down even with a set that's functioning properly.  
Difficult - you don't want to overcorrect and go hypo, but that bg has to 
come down.  Can take me a day to achieve but fortunately it doesn't happen 
often.

Mary
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