And when I have to deactivate the pod in the middle of the night, most of the time I will bolus Liam .25 to .40 before deactivating just to compensate for the basal that he would be getting for the next little while. Many times I will still have to change out the pod in the middle of the night when he sleeps but I try to prolong it for as long as possible.
The bolus prior to deactivating staves off any immediate rises.
You can silence the pod alarm manually with a paperclip if the PDM can’t deactivate it due to a communication error. There’s a hole in the back of the pod that if you push an extended paperclip in there, it turns off the alarm.
Although hitting it with a hammer can be fun, too.
@kpanda01, I keep two spare pods in my purse all the time. I’ve had more spontaneous pod failures, it seems, than what I read from other FUD’ers. And sometimes I have had them get ripped off my arm while crawling under my van looking for the most important Lego piece ever that my son dropped in the garage while we’re trying to get out the door in the morning. In that case, I went ahead and got him dropped off, got my other son dropped off, and then went about replacing the pod b/c I knew I’d only be without it for about 12 minutes.
Thanks to all you guys for such great feedback and advice! As it gets closer I’m getting a little more anxious about the switch but reading that so many of you have found pumping to be beneficial and are using it despite the hassles is reassuring.
Do you find there’s any difference between bolusing before deactivating or bolusing right after activating? Is it just personal preference or do you find you have different results?
Yes, the difference in the situation I’m talking about in my example is that I can SOMETIMES not even have to put on the new POD until the morning…or at least 3 or 4 hours after the old POD has fully expired. And I tend to give more insulin with a new POD because, for us, they aren’t as effective when first applied…it takes some hours/a day for the site saturation to get dialed in.
It’s a preference thing I guess, but during the night only (the only time we do this), we wouldn’t do it the other way because we aren’t wanting to put on the new pod immediately.
I always do an “activation bolus” on a new pod. Just a small amount to get it all started.
So this has me thinking. If things are going as expected (whatever that means) with your current pod, and it’s time to change it out but it’s also approximately mealtime…Do you bolus with the old pod, eat, then change? Or swap it out and start your meal bolus with the new one?
I may be an outlier, but I learned that for my body I’d bolus w the “old” pod, start the new one, but leave the “old” one on for an hour or two to avoid bolus leakage. Again, I might be an outlier, but the new one wouldn’t be “soaked” enough for a fresh bolus to work for a meal for me.
If the old one still has insulin in it, I would absolutely use it unless you think the site is compromised. Being the cheap person I am, I would probably still pull out what I needed from that pod and inject it with a syringe if it had enough insulin I could retrieve.
I concur with what these smart people said:
As long as it is still working well (meaning your BG has made sense for the last 24 hours), stick with it.
Hi guys… thanks for all your advice! I started the Omnipod this morning!! Was super nervous to get started, but so far, so good in my whopping 5 hours with it.
They dialed back my basal by a good bit, as expected, but I’m surprised to find I’m drifting low today anyway. I just had a few carbs to bring up a second mild one, so we’ll see if it tries to wander back down again.
I don’t usually stress over mild lows during the day, but I’m a little nervous to sleep later if I’m still drifting lowish at that point. Also, I have really poorly-timed fasting bloodwork scheduled for the morning (that I really can’t reschedule) so I ideally need to stay away from food late this evening/overnight if possible.
I don’t really want to start messing with things so soon, but I’m not sure what to do here. If it were you, would you just wait it out and see how it goes? Temp basal overnight to back it off a little? Something else?
Thanks in advance. I was really thinking I could make it longer than a few hours before I had questions
If you are still drifting low when you go to bed, try dialing it back a little. Maybe a 75% 8-hour basal while you are sleeping, until the tests are done?
Giving this a try! Thanks for the advice!
Yeah, those fasting tests suck for diabetics! No doubt!
Hey KP, how did it go last night?!
I’ve been meaning to pop on here today and let you know it worked like a charm. I hovered in the 70s all night, so I’m glad I reduced it and didn’t go any lower.
I ended up changing my basal rate this morning, because it was clearly too much. I havent been snacking away little lows all afternoon, so I think I’m headed in the right direction.
Hi guys! So after a week or two, things are going pretty well so far. I’m loving being able to bolus discreetly in restaurants and social situations, and the ability to use such precise doses is awesome. I’ve had two little pod/site “issues” in the last couple days though that I thought I’d run past you all and see if you have any advice.
First, I was 2 days into a pod on my outside upper thigh last night, when i noticed a small amount of blood on the adhesive on the end near the cannula. That made me nervous, and i was getting ready for bed and wasn’t sure i wanted to let it go all night before checking on it again, so i went ahead and removed that pod. I should have done some googling first because now it sounds like it was probably no big deal since my blood sugar didn’t seem affected by it. Just wondering if you guys would have let it go? Is that unusual or something that happens sometimes? I had gone for a run earlier in the evening and am wondering if the jostling and movement with it on my leg may have caused irritation.
So like I said, I replaced that pod before bed. I put the next one on my arm (I’m only on like my 5th pod, so I am still pretty much putting it in a new spots every time). I’m noticing this one is uncomfortable. When i put pressure on it/bump it/press down on the cannula end of it, it hurts, kind of like pressing down on a bruise would feel. It’s totally tolerable, and only there when it’s pressed on, but I’m wondering if it’s not good to just leave it? I don’t want to damage the tissue or cause a problem, but at the same time, it’s working and i kinda don’t feel like swapping it out again if I don’t need to. My very first one was also on my arm, but in a different part of the arm, and felt uncomfortable at times also. My arms are pretty lean and i wonder if i need to be doing something different with insertion if I’m going to use them.
I’ll be watching others’ responses, as well, but here are my two cents since I’ve been living in this same world of “do I switch the pod now or not?” pretty squarely for the last three months (it’s a lot better in the last month, though)…
- If your blood sugar is behaving as you would expect it to for the doses given, with pods leaking a bit of blood I tend to let them ride as long as I don’t have any indication of infection (warmth at site, fever, wonky blood sugar, etc).
- For painful pods, again, as long as there is no sign of infection and my blood sugar is behaving, I tend to let them ride. My last pod on my arm was pretty sensitive. It probably hit a capillary at insertion b/c insertion did not feel good, and then it hard failed on Day 2 and the cannula was full of blood upon removal. About 12 hours prior to the hard fail, I had a random spike to 325 (which is fortunately really rare for me), I woke up, took a correction dose, and it came back down. All I can think is that the blood was interfering with delivery already, but the heft of a bolus got the blood out of the way temporarily, and then it hard failed on me the next afternoon due to blood again.
- Pods that are in areas which experience more movement and jostling are probably going to leak more or cause a bit more bleeding on us lean types. I can’t speak for the non-lean types. I will say, though, that my pods on my butt can take a ton of abuse and haven’t leaked so far. So maybe the areas of more generous tissue just have better luck.
You’re doing such a great job acclimating to podding! Also, if my blood sugar is doing fine, I try not to change pods before bed time. I’ve had too many wonky things happen that way so I try to avoid doing that as much as possible, but YDMV!
I rarely wear dexcom or pods on my legs anymore, because they always have problems from running. The site just takes a lot of abuse. As you mentioned, the jostling around when running and stuff like that. Imagine putting a syringe needle in your skin and wiggling it for 3 days!
If you are not too sqeamish => dexcom-fail