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[IPu] Fw: [IP] correction factor/insulin sensitivity



From: "Liz Davis" <email @ redacted>
To: <email @ redacted>
Sent: Saturday, June 03, 2006 3:03 AM
Subject: Re: [IP] correction factor/insulin sensitivity


 There is a straightforward, step-by-step procedure on how to calculate your
 insulin sensitivity on the IP Web site at
 http://www.insulin-pumpers.org/howto/bgi.html.

Liz

 At 09:07 AM 6/2/2006 -0400, you wrote:
>I've been having problems with lows again so I e-mailed my CDE.  I
>saw her last on April 17th and she made a bunch of changes to my
>settings at that time.  So, I e-mailed her on Wednesday night and
>yesterday she replied.  One of the things I asked about was my
>sensitivity setting on my 715, which is set at 45, so 1 unit of
>insulin should lower a high BG by 45.  However I think that number is
>too low.  The only bad high I've had recently was last month when my
>sisters & I visited our mother.  We went out to eat (Olive Garden,
>not my ideal choice) and I overindulged.  Pasta, bread, salad with an
>oil based dressing and *cheesecake*.  I had some chocolate monster,
>which I shared with my niece (she didn't eat much, though).  Then I
>had some of my sister's cheesecake.  My BGs were in range for hours
>after but I knew they'd rise during the night.  I meant to set a temp
>basal and totally forgot, and woke up at 406 around 6am the following
>morning.  The pump recommended 5.8 units to correct.  An hour later I
>was 202 and less than an hour after that I was 43.  So in just under
>2 hours I dropped more than 350.

>My CDE told me that I should leave it at 45, but do the correction as
>a square wave over an hour.  That doesn't seem to make any sense to
>me.  It seems like I'll still go too low, but it will just take a
>little longer to get there.  Whose thinking is wrong, mine or my
>CDE's?  Mostly the highs I've needed to correct are in the high
>100's/low 200's and even then I'll find that I drop too much.  My IOB
>time is set for 4 hours.  When I took the 5.8 units last month, that
>meant I still had about 3 units left in my body and I was already at 43.

>Liz
>Type 1 dx 4/1987
>Minimed Paradigm 715 5/2005 
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