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Practice makes near perfect at bedtime

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The Question
Fri Feb 08 15:01:14 UTC 2013

Type 1 - my OmniPod just reset itself, lost all my numbers. It's Friday and doctor's office is closed. Any suggestions would be great!
Asked By: chiefs527  
Category: Insulin

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Expert Answers (1)
2014-05-10 13:03:49.0

Dear chiefs527:

Keeping current pump rates and ratios on paper is a crucial piece of successful pumping. Of course you realize this now, so bear with me while I sound my voice of warning to anyone else who may be reading this!

If you know about what the basal rate was, resume it. If you have no idea what your basal rate typically runs, then you will need to resort to your total daily dose(TDD). Take that amount, divide by 2 then divide again by 24 for your estimated basal rate. If you don't know your TDD, you will need to consider how much insulin you typically put in your cartridge, and how long it lasts. Lets say you fill your cartridge with 200 units every 3 days. Subtract the amount usually left in your cartridge from 200. (For example, 100-20 units=180), Next, subtract the amount taken to fill the tubing (ex.:180-12=168), then divide that by 2 (84 units) which represents half for basal, an half for boluses. Next divide 84 by 3 (for the 3 days you use it) which is 28, then divide by 24 hours for an estimated basal of 1.16.

Hopefully you remember your carbohydrate and sensitivity factors, as these are numbers you would have been using long before you even started pumping. Typically people begin pumping with a 1:15 carbohydrate ratio and a 1:50 sensitivity factor, unless they are very resistant to insulin or overly sensitive to it. You should know yourself well enough to have an idea about this.Since you'll feel you are "shooting in the dark", rely on your best and most trusted friend: your BG meter. Test often, at least every 2-3 hours. Adjust carefully at every meal and no more than once between meals.

I see that this is not a new question, thus this episode is long past. Hopefully you kept records of what did and didn't work and you now have all rates and ratios in a safe and secure place (such as your wallet, in case this happens again when you are not at home.)

Happy Pumping!

Answered By: Anne Carroll
Accreditations: RN, CDE
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Community Answers (1)
2013-07-05 14:57:05.0

Unfortunately; you should know your own numbers; but since you don't; you have to work with what you do know. You must know what your bolus ratio; my wife's is 1unit/ 10 carbs. For your basil rate, which varies by person and time of day, you'll have to pick a number for awake hours and lower for sleep. If you need help entering data, omnipod can help, just not with how much. Try to stay calm; you won't get it perfect. Take small steps. Small boluses as needed, suspend when headed to low. Avoid high carb meals; snack your way thru this. I hope this helps
Answered By: samluc

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