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Re: [IP] correction factor/insulin sensitivity

Elizabeth Blake wrote:
> I've been having problems with lows again so I e-mailed my CDE.  I saw 
> her last on April 17th and she made a bunch of changes to my settings 
> at that time.  So, I e-mailed her on Wednesday night and yesterday she 
> replied.  One of the things I asked about was my sensitivity setting 
> on my 715, which is set at 45, so 1 unit of insulin should lower a 
> high BG by 45.  However I think that number is too low.  The only bad 
> high I've had recently was last month when my sisters & I visited our 
> mother.  We went out to eat (Olive Garden, not my ideal choice) and I 
> overindulged.  Pasta, bread, salad with an oil based dressing and 
> *cheesecake*.  I had some chocolate monster, which I shared with my 
> niece (she didn't eat much, though).  Then I had some of my sister's 
> cheesecake.  My BGs were in range for hours after but I knew they'd 
> rise during the night.  I meant to set a temp basal and totally 
> forgot, and woke up at 406 around 6am the following morning.  The pump 
> recommended 5.8 units to correct.  An hour later I was 202 and less 
> than an hour after that I was 43.  So in just under 2 hours I dropped 
> more than 350.
> My CDE told me that I should leave it at 45, but do the correction as 
> a square wave over an hour.  That doesn't seem to make any sense to 
> me.  It seems like I'll still go too low, but it will just take a 
> little longer to get there.  Whose thinking is wrong, mine or my 
> CDE's?  Mostly the highs I've needed to correct are in the high 
> 100's/low 200's and even then I'll find that I drop too much.  My IOB 
> time is set for 4 hours.  When I took the 5.8 units last month, that 
> meant I still had about 3 units left in my body and I was already at 43.
> -- 
> Liz
> Type 1 dx 4/1987
> Minimed Paradigm 715 5/2005 .
I too find I don't need as much insulin to cover a high as my pump is 
set at. It also depends on the time of day because In the mornings I am 
very insulin sensative and the afternoons, it takes more insulin to 
bring down my BS. So most of the time I do a manual adjustment until I 
see my new endo and correct it :-) . But I think it takes awhile to find 
the pattern, and then it just changes after awhile :-( . Oh well, good luck

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