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Re: [IP] basal question



Leesa, 
my name is Bill.  I "just" joined this pump forum 2 days ago.
If you want to look at my profile > see Bill Winslow, in CA.
........
as  you know ALL diabetics are a bit different, depending
on several things.   The following is how "my doctor & I "
found a successful basal rate for ME.

we picked a 9+ hour segment of the day / nite and then tested
"hourly" WHILE FASTING.    (I'm assuming your doctor AND you
have already established a 24 hr basal rate).
You will see a curve develop.    WE adjusted the basal + / - .1 unit
per hour where needed.    THEN tested again the next day / nite.
(NOTE, I use Humalog insulin, like most pumpers).

the DOCTOR or diabetic specialist "should" advise you WHEN
and how much to "adjust" your basal rates, according to those
hourly tests.   NOTE, if you get low sugars > Record how many
glucose tablets you take to bring sugar up, AND time.

you keep working on this time period a few days until curve is
pretty flat, fasting during that time, AND I refrained from eating
something 3 hours earlier, so as not to hurt my test.

Its a bit of a hassle BUT I was able to REALLY get my "normal"
blood sugars to flatten out.   WE found I had a big need for
additonal basal around 230am-430pm.  Its NOT irregular,
to have different basal rates 4 to 6 times / 24 hr.

IT COULD TAKE A COUPLE WEEKS to fine tune each time period.
BUT ITS WORTH IT.   THEN ALL YOU HAVE TO FOCUS ON is how
many carbs you eat each time > so you can give the right bolus.
ASK YOUR DOCTOR how many carbs = 1 unit / insulin.
......again it depends on your age, activity, weight, metabolism.
YOU WILL learn with practice (when eating the SAME thing)
how many carbs = 1 unit insulin.   
MY requirement varies between 9-10 carbs = 1 unit.

TIME ZONES the "my doc and I" worked on :
    1000pm - 800am        then    600am - 1200pm (noon)
    .....1100am - 600pm        .....500pm - 1100pm
ANY areas that are still unsure > just keep testing.

NOTE > we only tested every hour the FIRST time we did these
tests.  AFTER that I tested every 2 hours.    It doesn't bother me
to test a lot.  I sort of enjoy this like a science project.

THE REWARD AFTER ALL THIS IS > you can eat meals ANY time
OR not at all.  the basal rate is your background insulin.  WE have
NO MORE nph or lente peaks coming at us...

AGAIN  >>> YOUR DIABETIC SPECIALIST SHOULD WORK
WITH YOU ON FINE TUNING YOUR "VARIABLE" BASAL RATE
DURING THE 24-HOUR DAY.   AND THE ABOVE INFORMATION
IS WHAT " I " DID.   WE ALL HAVE DIFFERENT VARIABLES
WHICH EFFECT US INDIVIDUALLY...

hope this helped.   bill w   (email @ redacted)

On Mon, 10 Jan 2000 22:29:34 EST email @ redacted writes:
> Leesa here still trying to get my basals right after 3 months. I had 
> a low 
> sugar today at 3pm 4pm 5pm 6pm and 8pm where.. at what time does my 
> basal 
> need to be lowered?? I thought I'd have it figured out by now   but 
> no 
> dice!!! Any input as always is greatly appreciated!!! Leesa  
> email @ redacted
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