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RE: [IP] Testing...How Often is Too Often??



Sherry,

One of the benefits of the pump is ability to set up a better basal profile.
When you will optimize your basals number of BG tests will be reduced. My
average is 6 per 24 hours. I do not see any reason to do 10-14 or 20. If you
do that, your basals and may be your boluses are not set right. It takes
time to settle those basals. I did it after ~2-3 months.

Avner

-----Original Message-----
From: Sherry Webb Nolan [mailto:email @ redacted]
Sent: Thursday, December 09, 1999 3:26 PM
To: 'email @ redacted'
Subject: RE: [IP] Testing...How Often is Too Often??


I just started the pump on Monday and have tested about 20 times a day
since. ;)  But on MDI I was easily doing 10-14 a day.  The insurance company
hasn't said anything...yet.  Although the doctors office wrote the script
wrong and I only got 900 strips for 3 months instead of 1200. :)

-- Sherry

-----Original Message-----
From: Jennifer G. [mailto:email @ redacted]
Sent: Thursday, December 09, 1999 12:08 AM
To: email @ redacted
Subject: [IP] Testing...How Often is Too Often??


Hi all!

I wanted to get the opinion of other people who are using the pump.  Do you 
find that once you went on the pump, your need for blood testing increased, 
decreased or was there no change?  I've been on the pump for almost a year 
now, and have found that I'm testing much more frequently than I ever have 
before.  Part of the problem is that I've had Type 1 for over 20 years now 
and have developed hypoglycemic unawareness.  The other concern I have (and 
part of why I test frequently) is that I am very sensitive to Humalog, which

is what I'm using with the pump.  2 units will lower my glucose by about 
100.

Basically, I test before meals and 1-1.5 hours after meals.  If my target 
sugar after meals is high, I take another dose and test 1-1.5 hours after 
that.  I always test before driving and before and after doing any type of 
planned exercise.  I test again before bedtime and when I wake up.  And of 
course, if I have a low I take 15 grams of carbs and test again in 15 
minutes to check that I'm headed in an upward direction :)

I've heard 5-10 times per day is the norm, but I often add up my daily tests

and find I've exceeded that range.  My insurance company is trying to give 
me the old "diabetics test 4 times per day" business.  In my opinion, that 
sort of thinking is on par with "diabetics need only take two doses of 
insulin per day."  :P

So, can anyone give me the benefit of their experience and let me know if 
I'm being excessive?  My endo seems to have no problem prescribing me with 
the strips...it's just the insurance company balking at it.

Last bit of info: my last HbA1C was 6.5.

Thanks!

Jennifer



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