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Re: [IPk] ip-uk-digest V5 #1326



Hi Carmel
Jean uses the Quick set with the Quick-serter, with the 6mm cannula.
 I'll show her the youtube videos for the Sure T to see whether it appeals, the
2 day cycle may be an issue.

Thanks for the suggestion

Regards

John 


 > On 1 Nov 2020, at 12:47, Carmel Matthews
<email @ redacted> wrote:
> 
> o;?Hi John, I just love the way you care for your wife and try to help her. 
> I too have been type 1 for 61+ years since the age o3. 
> It must help for you both and enabled you to help her as she was diagnosed
> after you married.
> I do most of my management myself but as we age I need more help from him. 
 > I just wondered what infusion sets your wife uses ? Have you tried the sure T
?
> It has a short fine needle and easy to insert.
 > The only drawback is is you have to change the sites every 2 days. I found
that
> absorption has improved greatly since using them.
> It might be worth trying them. 
 > I canbt help with any of your other problems but it may help with your
issues
> Good luck and best wishes 
> Carmel 
> 
> Sent from my iPhone
> 
>>> On 1 Nov 2020, at 11:11, Nanette Freedman
>> <email @ redacted> wrote:
>> 
>> o;?Hi John,
>> 
>> You can use 0% temp basal - as you say, and as I have also learnt by
>> unfortunate trial and error, temp basal is much safer than suspend.
>> 
>> My excellent endo has also pointed out to me that as one gets only (I'm 71)
>> low BG is something to be wary of more than high - I hate high's even
>> though thankfully I don't suffer breathlessness. I do worry about what will
>> be as I get older - my husband is enormously caring but far less involved
>> than you are - to be fair this may be in part because I've preferred to be
>> independent.
>> 
>> You write about 'getting time factors right' - my approach to diabetes is
>> that I am so obviously affected by most if not all the 42 factors that BG
>> control cannot be an exact science for me (and this fascinates me - as a
>> Medical Physicist, I've been working at the interface between the exact
>> science of physics and the variability of human biology most of my working
>> life) - so I do not think in terms of getting factors right - absorption of
>> the same foods may be different at different times, writing emails or
>> talking on the phone can send BG sliding or even shooting up or down, right
>> is what works for me today at this hour, not some absolute 'correct'
>> factor. The pump and  Libre are lifesavers. And thankfully my consultant
>> understands all this and is not judgemental though he does come up with
>> helpful suggestions.
>> 
>> Best of luck
>> Nanette
>> 
>>> On Sun, 1 Nov 2020 at 12:52, John Gareth Hicks <
>>> email @ redacted> wrote:
>>> 
>>> Hi Nanette
>>> No, hadn't seen the 42 factors article, thanks a lot for pointing me at it.
>>> 
>>> A quick flick through and I can identify with several factors, have
>>> printed it
>>> out to go through in detail with Jean.
>>> You may have gathered she isn't "computer friendly", just as well that I
>>> spend
>>> half my waking hours on one or the other (2 ipads and an imac).
>>> 
>>> Yes, that's the advantage of Dual Wave as long as we get the time factors
>>> right, we don't always.
>>> 
>>> After confessing to using 'Suspend basal' to our consultant we now have
>>> two
>>> Temp Basal's set up. one at 200% and the other at 10%, the options are
>>> limitless.
>>> I did once forget to cancel Suspend Basal for 3 hours and we certainly
>>> paid for
>>> that lapse !
>>> 
>>> Reminds me of a recent occasion in lockdown when I started one of our two
>>> vehicles to charge the battery, intending to go back out and switch off the
>>> engine after 20 minutes, remembered 4 hours later !
>>> Didn't do much for the local environmment that day.
>>> 
>>> I should mention that I am an octogenarian, Jean catching up fast, I can
>>> tell
>>> you that these age related memory issues are real !
>>> 
>>> John
>>> 
>>> 
>>> 
>>>> On 1 Nov 2020, at 07:24, Nanette Freedman
>>> <email @ redacted> wrote:
>>>> 
>>>> Hi John,
>>>> 
>>>> In case you haven't seen this, it might be of interest:
>>>> https://diatribe.org/42factors
>>>> 42 factors that can raise or lower BG
>>>> 
>>>> I was wondering when you write that you find dual waves of insulin
>>> helpful,
>>>> I assume this is because you stop the longer "dual" part of the bolus if
>>> it
>>>> is clear that the food that it was intended to cover was not eaten. By
>>> the
>>>> way, another trick that I find can help further in this sort of situation
>>>> is to set the basal rate to zero temporarily.
>>>> Best regards
>>>> Nanette
>>>> 
>>>> On Fri, 30 Oct 2020 at 16:55, John Gareth Hicks <
>>>> email @ redacted> wrote:
>>>> 
>>>>> Hi Rosie
>>>>> Unfortunately Jean now associates breathlessness with a high bg so
>>> starts
>>>>> to
>>>>> panic when the libre shows 8 bg, say, with an upward pointing arrow.
>>>>> 
>>>>> She is a bit lax with the timing of boluses, doesn't always pre bolus so
>>>>> some
>>>>> foods race away ahead of the insulin.
>>>>> 
>>>>> I find dual waves are a plus since she frequently can't finish the meal
>>>>> she's
>>>>> based the bolus on.
>>>>> 
>>>>> Thanks for the input
>>>>> 
>>>>> John
>>>> .
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>>> .
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