I just read my last post about the pump. I realize that I left a lot of infomation out and many of you probably are thinking what the heck is she talking about.
With an insulin pump Tom receives insulin all the time. When he was having injections he would receive a dose of insulin all at once and this meant that he would have to eat at the exact right time or go low.
With a pump he receives a small dose every hour. We have programed into the pump what insulin Tom needs for each hour of the day. It is just a small amount. This is called the basal rate. Everytime Tom eat's carb's we give him some extra insulin. The amount is worked out by entering in his bsl (blood sugar level) and the amount of carb's he is eating. This is called the bolus rate.
The first couple of days we were testing Tom's sugars all the time. If his sugars went high we would check to see if he had ketone's. If he did then we knew that there was a problem with the pump and that he needed to resite the pump.
Monday Tom had the pump put in. Tuesday he had ketones and needed to have it resited. Wednesday the same. Thursday he didn't wake with ketones but was fiddling with the pump and pulled the attachment of. We weren't able to reattach it so had to resite it again. Hopefully this one will last until tomorrow.
We are still trying to get the basal rate right. I am doing a lot of bsl tests. I have to test him every night at midnight and 3am. It is wearing but it is getting better and I am sure we will know the right rate soon.