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Re: [IP] Sliding Scale Insulin Dose



I've posted on this already, but I've had some 2nd thoughts. Another diabetes
specialist I see in London explained it to me like this: the body's hormone
system is very complex, and not well understood, but it works in a 24 hour
cycle. The body can withstand interuptions to it's cycle (being woken in the
night, missing a meal, that sort of thing) but we all function best when we
are in a routine. If your body is used to receiving 10 units of insulin at
midday, then it grows to expect it. So as midday approaches, all sorts of tiny
and subtle changes take place in the body, in preparation for it's insulin
bolus and food. If you suddenly give it 6 units or 14 units instead, you upset
it's balance slightly. So in general it's best for the body to set up a
regular cycle of insulin injection, and stick to it.

That was his view, and he seemed to know his stuff. Perhaps there's something
in it, but personally I believe it's irrelevent compared with the damage to
your body's cycle that high and low bg's do. I've been on my pump 2 months
now, and have never felt so happy and well before, but then I now have both
stable bg's AND a stable basal dose. It's just my boluses that vary with what
I eat, and that varies with everyone, diabetic or not.

John Neale
Type 1, 21 years, MiniMed507+Humalog for 2 months and still in "euphoria" stage.

Insulin-Pumpers website   http://www.bizsystems.com/Diabetes/