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Re: [IP] Basal Rate of 0.0?



When I'm normal 2 hours a meal, I have to set a temporary basal of 0 for the
next 2 hours or I'm guaranteed with a low by the next meal.
- ----- Original Message -----
From: "Natalie A. Sera" <email @ redacted>
To: <email @ redacted>
Sent: Thursday, May 11, 2000 9:06 PM
Subject: Re: [IP] Basal Rate of 0.0?


> Laurie Wann wrote:
> >  2 hours after breakfast he is usually right in range
> > (100-200), but if doesn't eat a snack then, he will drop like a stone
> > within an hour!  His basal rate from 8 AM - 9 PM is 0.1- I'm wondering
> > if we either need to try diluting his insulin, or going to a basal rate
> > of 0.0 for an hour or two (sounds potentially dangerous to me!).  His
> > breakfast bolus is 1:10 - I've tried increasing that, but then he is
> > high after 2 hours and still drops during the third hour.
>
> I have a similar pattern -- I am in a normal to high range (180 - 220) 2
> hours after breakfast and then I plunge. When I was on shots, I HAD to
> eat a snack every morning, or a hypo would be guaranteed. So I do a 0.0
> basal every morning from 6 AM to noon. For me, it has worked great --
> I'm almost always in the 80 - 110 range before lunch.
>
> Since Humalog lasts 4 hours, it's not like suddenly cutting off all
> insulin supply. In addition, the bolus for breakfast is still there for
> 4 hours.
>
> You could TRY setting his basal for 0.0 for one hour right after
> breakfast and see what happens over the course of the morning. Then you
> can test him frequently, every hour or half hour and see what the trend
> is. Obviously, if he starts going too high, you can correct, and it will
> tell you that he needs more insulin. Or if he starts to plunge later,
> you can prolong the 0.0 rate for another hour.
>
> Seems to me that diabetes management is trial and error -- as long as
> you are checking frequently, and don't let him go into a dangerous
> situation, then a little information gathering is a valuable thing.
>
> Good luck!
>
>  ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c-
>
>  Natalie A. Sera, with all her ducks in a row!
>  Type Weird, pumping!
>  mailto:email @ redacted
>
>  ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c-._c- ._c- ._(` ._c- ._c-
>                               (
>                                
>  Can YOU find the ugly duckling? (Hint: it ain't the pumperduck!)
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