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Re: [IP] correction factor/insulin sensitivity



Dear Elizabeth,

While I know this does not directly answer your question, FWIW, I 
thought it might shed some light on your problem. 

I have found that for ME, when I am extremely high, say in the 300's to 
400's, I need just a tad less insulin to correct than for just a 
"regular" high of like 200 or 240, if that makes any sense.  Since I 
don't run THAT high that often, I haven't really been able to test out 
this theory, but perhaps this is what you are experiencing.  If your 
correction factor works most other times, perhaps it is just when you 
are really high that slightly less correction is needed.

Antonio in LA
Age 40, Type 1 since 1993
MiniMed Paradigm 515, OneTouch Ultra
MiniMed Carelink and PAL software



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 .
.
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