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[IPu] Ex tract from V6 496
Please send any response to your branch, that is ip-aus or ip-nz.
Date: Tue, 30 Jul 2002 14:48:50 -0800
From: "Michael" <email @ redacted>
Subject: Re: [IP] after meal BG tests
> My 13-year-old daughter has been pumping about 2 months, so we are
> still getting a feel for patterns. We test before meals, at
> bedtime, some in the middle of the night, before, during, & after
> exercise. She dances several hours 4 days a week in the summer.
> She tends to be a "grazer" when eating-small meals, lots of
> snacks-always has been that way-so the pump has been sooooo much
> better for her eating and exercise patterns. However, I'm having
> a problem getting a feel for her real level of control because I
> have a hard time finding 2-3 hour spans when she doesn't eat
> anything, so I can get accurate BG readings for post meal times.
> She is high very often because it has only been an hour or so since
> she ate or snacked. Morning and middle of the night counts are ok,
> but I'm questioning the carb. ratio for food, and can't adjust until
> we get better readings post-meal. I know I could make her stick to
> a better schedule for eating, but we just got rid of that with
> injections(hate to burst her bubble!) and the dance schedule makes
> it difficult, too. Any suggestions?
To do basal profiling, you need to do half day fasts every now and
then and repeat them until the shape of the curve matchs in a couple
of the trials. Repeat this for night -> lunch, morning-> evening,
evening->morning as needed if there is an observable and repeatable
lack of control. Most adjustments are up or down only a tenth unit.
Basal change times rarely change by more than 30 minutes (if at all)
once established unless there is a big change in daily schedules.
email @ redacted
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