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Re: [IPk] Any Suggestions?



Hello,

This is just my personal opinion and you should talk to your "experts"
before doing anything drastic - but maybe you could try fewer basal rates
- for instance do you need the gradual reduction to 0.5 and back up again
overnight - or the afternoon high rate?  Your BG seems to be rising in
the early hours against that low basal and falling in the afternoon
against the high one.  Would you be able to revert to one or two rates -
based on the average rate - and see what happens?  Are you making basal
adjustments early enough - 2 hours in advance for Humalog? So if the bg
starts rising at 4am you need to begin the higher rate at 2am. 

You might have some rebounds in there too - the 19 and 20 might be a
rebound from that 2.7 earlier on, caused by the post-hypo rather than
wrong basals.   For what it's worth I  need just 2 basals - .8 during the
day and 1.0 from 2am to 7am for the dawn thing. I used to think I needed
a high afternoon basal but I don't - I just need a higher ration of bolus
to carbs at that time.

Good luck!

K

 

>From: email @ redacted

>Reply-To: email @ redacted >To: email @ redacted
>Subject: [IPk] Any Suggestions? >Date: Wed, 27 Feb 2002 01:25:17 -0800 >
>I am a 38 year old male and weigh 12.5 stone. Below is a typical day for
me. What would an experienced user do to their basals etc? > >Thanks >
>Time Basal Blood Carbs Bolus >00-01 0.5 4.6 >01-02 0.5 9.2 >02-03 0.7
10.7 20g 2u >03-04 0.8 >04-05 1.1 >05-06 1.3 >06-07 1.5 >07-08 1.3 13.2
2u corection >08-09 1.1 30g 3u >09-10 1.1 >10-11 1.1 >11-12 1.1 17.3 4u
correction >12-13 1.4 15.5 >13-14 1.5 13.7 >14-15 1.5 12.1 >15-16 1.5 8.2
>16-17 1.5 4.9 >17-18 1.5 2.7 20g No bolus >18-19 1.3 10.7 60g 6u >19-20
1.0 30g 3u >20-21 0.9 >21-22 0.8 19.4 3u correction >22-23 0.8 20.2
>23-24 0.7 16.4
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