If your child eats a typical meal, you bolus (and micro-bolus if it’s part of your regimen), and you don’t see any decline in BG after some time; instead the BG’s continue to rise and rise inexplicably…don’t sit around with your significant other (or alone) and theorize on what could have caused it…maybe we bolused too soon? Maybe we bolused too late? Maybe he’s sick? Maybe, maybe, maybe…
First, check the POD (or w/e pump site) to make sure the cannula hasn’t unseated with the cannula not even under the skin…so he or she is getting zero insulin. 
We bolused Liam…micro-bolused as we always do and he just continued to rise. I just piled on more insulin thinking something isn’t quite right (maybe it was the 5 Pringles chips he ate (which he doesn’t usually have, but we bolused him for them)…so I ended up putting 1.5 units “into him”…and after an hour, …for the first time EVER, we got a “HIGH” reading on his actual PDM…which means, at a minimum, his BG was 500.
I couldn’t understand so I just started checking his site and sure enough, the front of it had come unstuck and the cannula wans’t even under his skin; it had popped out. So Erin and I quickly changed it out (it was expiring anyway) and bolused him 1 unit to start…it’s not gone down yet, but I just wanted to throw out the comment that, just like computer problems…always start with the EASY fixes first (restart the computer…and always check the physical pump site.)
His earlier meals looked GREAT for breakfast and lunch…but between lunch and dinner, he went outside and played with his brothers. Somewhere during his running around, the cannula came out.
I checked his ketones and they were only small/moderate, so hopefully we’ve caught/fixed this before it became too big a problem (DKA).
Here’s what it looks like. It’s been a rough week for his sugars this week.
