Le sigh...maybe someone can help me. I'm at a loss. You all saw Adam's 600 number last week...well, that trend has continued. It is rare that I can get him out of the 300's most of the day. This weekend was the straw that broke
Both Saturday and Sunday he was in the 300's. Both days I employed the use of temporary basals...on Sunday to the tune of +150% most of the day. Never got below 300, often he was in the 400's and 500's.
He just saw his endo a few weeks ago. At that time, he increased his basals across the board by .025, which was fine. When he started having highs last week, I increased everything again by .025 so that now most of his basals are at .400/hour. For reference, his breakfast I:C ratio is 1:16, and the rest of the day is 1:20 (and I really don't think I need to change them...but who knows.)
So last night, I'm pissed at the pump and I give him an injection before bed - which brought him down in range beautifully and quickly. And I do realize that an injection will generally work quicker than the pump because of better absorption, but it made me wonder if his pump is not working correctly. I've changed his sites both Sunday and Saturday (and I'm about to do it again tonight). No bent cannulas, no blood in the cannula.
This morning, he woke up at 185, I pre-bolused breakfast at 6am, but by 9am, he was 300. I emailed his endo this morning and he did not want to willy-nilly change basals right now, but to keep his pump on for basals today and bolus him via injection. So I did that for lunch, and by golly, he was in range at his next check.
I fully realize that pump failures are rare....but why would injections keep him in range, but his pump doesn't? I'm not sure what to do next. I'm doing injections tonight....changing the pump site, and then going back to the pump tomorrow to see if anything has changed.
Arrgh. My brain hurts. Why does this all have to be so damn hard? I'm incredibly frustrated and I HATE having him be in the 300's for as long as he has been. I'm so confused. We rotate sites...fresh insulin in the pump every 3 days...no ketones at all (thank goodness!)
I'm finding it hard to trust in our pump right now. I am having the urge to go back to MDI because at least I know the insulin is getting in there.