Corrections time frame on pump

[Mojo's mommy]

We are 1 1/2 weeks into this, still lots to learn......Can you fellow pumpers please tell me at what point in time do you administer a correction. We were told to correct after 2 hours post meal. While I have no problem with that,if there is still IOB from the meal bolus then a correction post 2 hours is setting yourself up for a low..is it not?

PS I still do not have basals,I:C ratiotweaked to perfection yet so I know that needs to be done 1st before anything else will work. But , for the time being I need to correct sometimes.

[Twinklet]

Teri, I don't know how the Minimed works, but I assume the newer ones are all pretty similar.

We were told to correct anything above 200; then we are to test and correct again if it's still above 200 one hour later. The pump should calculate IOB and give you the right amount for a correction dose, no matter how long it's been IF the correction factor and duration of insulin action are set correctly.

Generally, if Emily is above 160ish 2 hours after a meal, I know that I've either miscalculated her carbs, or her insulin-to-carb ratio is off and I'll do a correction bolus. The pump calculates how much IOB she has and factors that into the ISF calculation.

It's all so person-specific, so you might have to do some experimentation. :cwds: I know it's a pain; I can't wait until CGMS are standard issue with pumps!

[EmmasMom]

I have the insulin action time set to 3 hours on Emma's pump, but I will override it and give a correction after 2 hours if she seems higher than she should be.

You do have to be careful if your child tends to drop in the 3rd hour after a bolus, and for Emma it varies based on what she's eaten, her activity level and whether her site is brand new or on day 3, etc. There are always a million factors for every insulin decision... :rolleyes:

[Kaylee's Mommy]

No, its not necessarily setting you up for a low because the pump will keep track on the ISB and will SUBTRACT any insulin that is left for the correction.. so say she needed a .5 correction, but she had .3 active, then it would only correct her .2.. the pump helps very much with the issue of 'stacking' insulin:)

Kim

[hold48398]

I have the insulin action time set to 3 hours on Emma's pump, but I will override it and give a correction after 2 hours if she seems higher than she should be.

You do have to be careful if your child tends to drop in the 3rd hour after a bolus, and for Emma it varies based on what she's eaten, her activity level and whether her site is brand new or on day 3, etc. There are always a million factors for every insulin decision... :rolleyes:

I do EXACTLY the same as Amy, only Mia's IOB is set at 3.5 as a safeguard for the nighttime and/or really high BGs (she tends to take a long time to come down from a really high number). I often override if I feel like she should be lower at the 2-hour or 2 1/2-hour mark, and occasionally, it has come to bite me in the butt :rolleyes:.

I do consistently test at the 2-hour post meal mark as I find that I can catch if she is going to go too low (before she does) as well as catch if she is not coming down to where she needs to be in another hour or so. It definitely is a good indicator for us.

Good luck ;)