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Re: [IP] Having trouble
- Subject: Re: [IP] Having trouble
- From: "Michael" <email @ redacted>
- Date: Sat, 17 Oct 1998 10:58:49 +0000
> My sugar Monday was 960! Monday morning it was 64. I changed my
> pump out completely including the batteries. I just got progressively
> higher and it was like my body stopped absorbing the insulin. We even tried
> regular sub-q injections. Now my insulin requirements have gone from 129
> units a day to less than 50!
It is relatively easy to get into a pattern of over-insulinizing,
particularly if you suffer night time hypo's that you are not aware
of. I would suggest a few things.
First raise your control target bg to 120 - 130 range. This will
allow you to gently lower your insulin requirements in the event you
are over-doing it. Then, over a period of several weeks, profile and
adjust your basal rates. Only do a test every couple to three days,
and only if everything is 'very' stable for the whole day. Skip your
evening meal and test every hour until you retire. Thereafter, test
every two hours, try not to get out of bed. It is best to have
someone else wake you for the test, it will disturb your sleep
pattern the least. Repeat this procedure a couple of times to make
sure the profile is repeatable, alternating the odd/even hour to test
on so you have more data points when the results are consolidated.
You may have to do this for several weeks on and off, if you are
really out of whack. Make small adjustments in the basal rates as
required, until you get is stable. Review the HOWTO's on the web site
and also re-read the appropriate sections in Pumping Insulin. The day
time checks are similar, but can be done more rapidly since they do
not interfere with sleeping.
There is a tool on the website to adjust and project new basal rates
that you will find helpful
Insulin Pumper's Basal Rate Estimator on the HOWTO page.
If you need some assistance, I would be glad to look at your data and
make some suggestions.
email @ redacted
Insulin-Pumpers website http://www.bizsystems.com/Diabetes/