# Bad pod site or what?

**URL:** <https://forum.fudiabetes.org/t/bad-pod-site-or-what/10160>\
**Category:** Treatment\
**Tags:** omnipod\
**Created:** [August 22, 2020, 5:00pm UTC](https://forum.fudiabetes.org/t/bad-pod-site-or-what/10160 "2020-08-22T17:00:59Z")\
**Posts on this page:** 9\
**Page:** 1

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**Author:** ![John58](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/john58/32/147_2.png) [@John58](https://forum.fudiabetes.org/u/John58)\
**Post date:** [August 22, 2020, 5:00pm UTC](https://forum.fudiabetes.org/t/bad-pod-site-or-what/10160/1 "2020-08-22T17:00:59Z")

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Started a new pod yesterday in AM. Struggled with some lingering highs all afternoon that I attributed to sitting on my butt all day (got stuck working on my computer all day). Knocked the high BG down by dinner, went to bed fine and woke to a low alert at 2AM. Low BG 54 and starving. Had 9 grams quick carbs (candy) and 3 graham crackers (30 g carbs). Bolussed for the 30 g crackers and went back to sleep. Overslept, woke at 9am to BG 262. Dexcom says I rose quickly to 250 range by 3AM and stayed there all night. So far this morning I’ve taken 7.5 units correction and have doubled my basal as a temp basal. Slowly dropping BG but not dropping as quickly as I’ve come to expect.

This pod is around the back about 2 inches above belt line. I’ve used that zone in the past with no issues. There does not seem to be any leakage.

Any ideas why my 3 unit bolus for a 2 am snack worked out so poorly? Is there a way to diagnose whether the site or the pod is causing the poor insulin absorption? I plan to get back in good BG range before I swap out the pod.

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**Author:** ![CatLady](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/catlady/32/36_2.png) [@CatLady](https://forum.fudiabetes.org/u/CatLady)\
**Post date:** [August 22, 2020, 9:58pm UTC](https://forum.fudiabetes.org/t/bad-pod-site-or-what/10160/2 "2020-08-22T21:58:25Z")

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How are you doing? Hope you changed out your pod—that’s one of the most important things I’ve learned on FUD.

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**Author:** ![Beacher](https://avatars.discourse-cdn.com/v4/letter/b/a6a055/32.png) [@Beacher](https://forum.fudiabetes.org/u/Beacher)\
**Post date:** [August 22, 2020, 10:02pm UTC](https://forum.fudiabetes.org/t/bad-pod-site-or-what/10160/3 "2020-08-22T22:02:02Z")

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> [@John58](#):
>
> Any ideas why my 3 unit bolus for a 2 am snack worked out so poorly?

I usually find I need to double or even triple my insulin during the night, whether I’m compensating for overtreating or trying to bring down a high.

There’s a discussion here:

> [@Are you insulin-resistant and slow to respond at night?](https://forum.fudiabetes.org/t/are-you-insulin-resistant-and-slow-to-respond-at-night/5267):
>
> We have known for a long time that we (my T1D son) were slow to respond at night: from 45 minutes our response time to turning the corner goes up to 60-75 minutes. Over the past few months, we have also figured out that our CF (correction factor) doubles at night: we use twice as much bolus insulin to drop the same amount. It is not good for us because we are typically cautious at night with corrections: this CF doubling often causes us to be needlessly careful. We always thought that both of …

> [@John58](#):
>
> Is there a way to diagnose whether the site or the pod is causing the poor insulin absorption?

Inject instead. If that works, you’ve got a dud site.

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<div class="post-metadata">

**Author:** ![John58](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/john58/32/147_2.png) [@John58](https://forum.fudiabetes.org/u/John58)\
**Post date:** [August 22, 2020, 11:35pm UTC](https://forum.fudiabetes.org/t/bad-pod-site-or-what/10160/4 "2020-08-22T23:35:03Z")

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Well I gave those AM corrections more time and sure enough got back in range by about 10AM. I will look into the night time insulin resistance. Probably brought that on with a day of sitting at a computer…all my ratios are based on more normal days of being on my feet.

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**Author:** ![ClaudnDaye](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/claudndaye/32/5_2.png) [@ClaudnDaye](https://forum.fudiabetes.org/u/ClaudnDaye)\
**Post date:** [August 23, 2020, 2:15am UTC](https://forum.fudiabetes.org/t/bad-pod-site-or-what/10160/5 "2020-08-23T02:15:03Z")

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I’ll repeat one of the quotes @Eric introduced to us, “if in doubt, change it out!” Sounds like possibly a problem pod to me.

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**Author:** ![Trying](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/trying/32/4078_2.png) [@Trying](https://forum.fudiabetes.org/u/Trying)\
**Post date:** [August 23, 2020, 2:41am UTC](https://forum.fudiabetes.org/t/bad-pod-site-or-what/10160/6 "2020-08-23T02:41:16Z")

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Yes, I wish I could remember that when it is rea)y needed!!!

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**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [August 23, 2020, 3:37am UTC](https://forum.fudiabetes.org/t/bad-pod-site-or-what/10160/7 "2020-08-23T03:37:06Z")

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> [@ClaudnDaye](#):
>
> “if in doubt, change it out!”

Yep! And the nice thing is that they will replace the pod for you too.

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<div class="post-metadata">

**Author:** ![John58](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/john58/32/147_2.png) [@John58](https://forum.fudiabetes.org/u/John58)\
**Post date:** [August 24, 2020, 1:47am UTC](https://forum.fudiabetes.org/t/bad-pod-site-or-what/10160/8 "2020-08-24T01:47:34Z")

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Swapped out the pod and went to upper arm, back in business! Not sure if it was the pod itself or the placement but swapping both did the trick.

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**Author:** ![Beacher](https://avatars.discourse-cdn.com/v4/letter/b/a6a055/32.png) [@Beacher](https://forum.fudiabetes.org/u/Beacher)\
**Post date:** [August 24, 2020, 12:52pm UTC](https://forum.fudiabetes.org/t/bad-pod-site-or-what/10160/9 "2020-08-24T12:52:17Z")

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> [@John58](#):
>
> Not sure if it was the pod itself or the placement

Sometimes a site works and sometimes it doesn’t work so well. Recently I was thinking to myself that my arm sites were working really well, but then the last couple of arm pods have been both uncomfortable and poor absorbers. Even if I think I’m basically in the same insertion spot as a few weeks earlier, absorption can differ. I remember this inconsistency from tubed-pump days as well, so it’s not unique to pods, at least for me.
