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[IP] shot of R to replace basals was (disconnecting for sports)



In a message dated 98-05-28 18:32:08 EDT, you write:

<< Michael wrote
 > an injection of regular with a dose equal to the basal for 4 -5 hours 
 > will easily replace the pump for that period of time.
 
 True, except that injecting X amount of insulin at one time is NOT the same
as
 spreading it out over 4-5 hours.  If I take all the basal insulin at 2pm for
 the next five hours...I am gonna be LOW LOW LOW at 330, probably dead by 400,
 and if I ate at 3:45 to prevent impending death, then I will be HIGH  HIGH
 HIGH at 7pm.  
  >>

I've been wondering about this, too and Sara did an excellent job of
expressing my concerns as well.  With Kayla starting the pump on Monday
(FINALLY!) I want to give her last NPH dose Saturday evening.  This gives 36
hours for it to clear her system so it won't interfere with setting her
basals.  I figured out all of her ratios (thanks to the excellent FAQ's) and I
know what doses she'll need for the next 24 hours after the last NPH shot: 3
units every 6 hours and .5 units for each 15gCHO.  But, she'll need an
injection at 2:00am to carry her through the rest of the night.  If I give her
3 units of R at 2:00am, she'll bottom out.  I realize that in "theory" the 3
units are supposed to cover her insulin requirements for the next 6 hours, but
the insulin peak will cause her to go really low.  So...any advice????

Kasey
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