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RE: [IP] Less Insulin?



Thank you Ted, 

I'm looking forward to better control instead of bouncing from the 70's up
to 200 or so throughout the day and needing to view food as 'medicine' !

Paul

		-----Original Message-----
		From:	Ted Quick [mailto:email @ redacted]
		Sent:	Wednesday, June 02, 1999 19:23
		To:	email @ redacted
		Subject:	Re: [IP] Less Insulin?

		"Whitaker, Paul" wrote:
		> 
		> As many of the list members know I am not using a pump yet
- the days are
		> getting closer.
		> 
		> There is one thing that is puzzling me - perhaps I am
being particularly
		> stupid today, but I cannot understand how I will use less
insulin with a
		> pump. At the moment I use 25 units of 70/30  and around 50
units of Humalog
		> daily.
		> 
		> How does my insulin need change with a pump, can someone
explain this for me
		> please?

		Your insulin need doesn't really change, but the mismatch
caused by 2 insulins
		working at different speeds to try to carry yyou evenly to
the next shot is no
		longer a problem. Wtih your current regimen you try to take
enough fast insulin
		to
		suit the current meal, and slow insuulin to hold till the
next shots, perhaps
		including lunch in that time span.

		What happens is that you will be going high at some time to
avoid going low
		later,
		and/or snacking between meals to keep an even balance. This
is like "bg by 
		committee", never correct, just somewhere around what it
should be.

		With a pump you take what you need now, with basals tuned to
your real needs, 
		not the needs of the insulins activity curve. Efficiency is
SO much better, 
		and the resulting bg level can be much closer to ideal.

		Ted Quick
		email @ redacted
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