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Re: [IP] Skpping Meals (was humalog)

At 03:09 PM 5/30/2002 William Eddie Hollyfield wrote:
 >Sorry Sam,
 >You know what you did wrong:(1) not allowing for extra driving-1 bread/hr
 >driving, (2) not allowing for carry over of exercise effects for 6-12 hrs.
 >My CDE has a neat technique for testing Basal rate which is to skip a meal
 >and make sure BS is OK. This is done for all meals, one at a time. Come,
 >Sam, You know this stuff.

That wasn't me... I believe that it was email @ redacted who wrote the 
original message. I just replied to it.


 >> At 08:46 AM 5/28/2002 email @ redacted wrote:
 >>  >"I hate to blow your theory that skipping meals is okay just because 
 >>  >on the pump.  I drove alone from Maryland to Florida.  Since I was 
 >>  >in a hurry, I skipped my supper.  I reached a motel in South Carolina and
 >>  >hit the sack.
 >> <snip>
 >>  >That was the all time worst
 >>  >insulin reaction I ever had, and I must admit that I probably have 
had over
 >>  >1000 reactions in my 52 yr diabetes history!!  I suspect that my blood
 >>  >level was below zero that night!!
 >> In theory, if your basals were set correctly, you normally shouldn't have
 >> dropped so low... but unfortunately everyone is different. I know that 
 >> people (including myself) cannot rely on a constant basal rate from day to
 >> day. Every day is different. Probably your basals were set too high for 
 >> activity level that you had for that day. (I assume that you tested a few
 >> times before bedtime, and that you were normal at that time). Most of the
 >> newer pumps allow you to have multiple profiles to compensate for 
 >> basal needs in different situations. I suspect that carrying in all of the
 >> luggage, etc. was probably what did it.
 >> I do not think that it is possible for your BG's to go below zero. I
 >> believe that at zero you'd be dead (or close to it)... some of the medical
 >> professionals may want to chime in here. It was obviously pretty low,
 >> though... just not literally below zero.
 >> Sam
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