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Re: [IPk] more (slight) problems



Diana , answers follow : Morag
-----Original Message-----
From: Diana Maynard <email @ redacted>
To: email @ redacted <email @ redacted>
Date: 26 April 1999 13:45
Subject: Re: [IPk] more (slight) problems


>>
>> Hello Diana ,
>> Do you have any areas of scar tissue that could be causing poor
absorption ?
>> You may find that you have some areas that absorb well  and give great
>> control and others that don't .
>
>how do I know if I do? USUALLY THESE WOULD BE VISIBLE AS AREAS OF SCAR
TISSUE WHERE THERE IS REDUCED BLOOD FLOW AND POOR ABSORPTION .
>Could be, although I'm trying to use areas I've never used before for the
moment.
>i did overuse my stomach for injections for a while some months ago, so
that could be the case.
>
>> Do you have a sliding scale for giving supplemental doses of insulin for
>> when you are high ?
>
>I've got that one figured out pretty much.
>I seem to be OK on getting that one right and being able to bring down high
Bgs safely.
>
>> I can provide you with a simple method for calculating the amount of
extra
>> insulin that you need to bring you down to your target range .
>> How many units per day do you use on average ?
>
>At the moment about 35-40. IN THE USA THEY USE THE RULE OF 1500 TO
CALCULATE INSULIN SENSITIVITY .
GIVEN YOUR DAILY INSULIN USAGE [ CALCULATED ON 35U ] 1 UNIT OF INSULIN
SHOULD REDUCE YOUR B/G BY 42mg/dl = 2.3mmol/l. THIS IS JUST A GUIDE BUT IT
WORKS WELL .
>
>> It does look as if you need a second basal rate at night but we would
need
>> to have B/G readings for a few nights to establish this .
>> The recommendation would be to add a second rate starting at 2-3am until
>> approx. 9am .Usually you would start the second rate at 1.5-2 times rate
one
>> .
>
>Oh really? I didn't realise it was that much.
>
>thanks
>Di
>----------------------------------------------------------
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>



----------------------------------------------------------
Insulin Pumpers website http://www.insulin-pumpers.org/
for mail subscription assistance, contact: HELP@insulin-pumpers.org