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RE: [IP] Mixing Humalog with Regular in the pump
> I read your e mail with interest and I've been reading into pumping
> insulin book as well but thought that the velosulin was to "thin"
> out the humalog and really didn't have insulin in it...
> My problem exists as thus so far as I can tell and I've been doing
> more testing to confirm this...my sugars drop very close to five
> hours after I've bolused instead of the two to three that everyone
> else does. I've tried bolusing before I eat, while I'm eating and
> after I eat but same results....
> My basals are ok and they are so small except for my pre dawn phen
> dosages that they could never cause a low....
> Where should I turn? Do you have any suggestions?
> Kathy B.
> PS., I'm not a very big eater and I don't take a lot of insulin
Let me preface my comments by saying that I am not a medical person,
just a dad of a diabetic child.... well, young woman now :-) From
what I have observed over the years a low several hours after a meal
is usually related to a insulin to carb ratio that is a little too
low. This is a difficult number to pin down as it is not straight
forward to test. I've seen my daughter have this problem occasionally
and our solution has been to adjust her ratio upward in one or
two tenth percent increments until it goes away. If the low is
consistent you can estimate the extra insulin by simply looking at
the carbs required to counteract the low and take that amount as a
percentage of the original bolus. Throwing out the top and bottom
5-10 percent of data points and averaging the rest will give you the
numerator of the fractional adjustment needed with the bolus amount
as the denominator. If you have a good CDE, they should be able
to help you determine the necessary adjustment from you
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