I was told that my pump is not to be used, that the piston is either over or under priming the cartridge. (Or a little bit of both) I've got plenty of lantus, and I know that I'm supposed to take a little bit through a syringe every few hours until I can take the lantus (8pm). What's tricky is how much and when. I called the doc's office and got "Um, you're supposed to call the diabetes center for questions about the pumps". (I've yet to get a phone call for an appointment to the fabled Diabetes Center, and it's been nearly a year. They keep telling me they'll call.) I tell her that it's not a question about the pump, the pump is dead, and I have a question about insulin to take in the meantime. She told me that she'd ask a doctor and call me back. It's been nearly an hour. My BG was 172 at that point (I was in the middle of a site change when my pump died, old site was bleeding into the tubing.) and I'm 177 right now. So, to the experts, the last time I had pump training I was told to take my 4x my regular basal, every four hours. But at that time I was on humalog. Is the protocol different for Apidra? Is there a more current, different method? My basal rate is 0.200U/hr, I take a total of 4.8 units a day for basal, which means less than 1 unit for a four hour timespan. Would it be better to split it into a half unit every two or three hours, to guage how it hits me? The last thing I need right now is to take a full unit and have the whole thing hit me at once. DH doesn't get home until 6pm, and the only other ones here are my boys. ETA: In the middle of typing this, they called and told me to take a unit, if I wanted to, at some point before 8pm, but to make sure I eat a whole lot to prevent going low. Great advice. This is why I don't call and ask for help, ever. I keep picking winners. I told her the whole "pump is only using fast-acting insulin, in five hours I'll like be in the beginnings of DKA, how is the extra insulin optional?" speech, and she couldn't understand what the issue was.