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Re: [IPk] Variable insulin resistance etc

In a message dated 01/15/2005 19:12:06 GMT Standard Time,  
email @ redacted writes:

Plus, as  I've described, I think I have very different basal and bolus
needs when  I'm 5 or 8 or 11 or 16 ... and if I drift up from 7.5 to 8, I
don't stay at  8 (although the basal would have been fine, had I stayed
at 7.5, but  instead I flip up to 12.

Here are a few of my thoughts Pat. First and foremost, I would try to bring  
down your bgs to get your HbA1c lower. From what you have indicated it is 
 (9?), it is far too high. If need be take more tests and any result above 7
yourself a correction bolus. Would you consider running your bgs in the 
 normal non-diabetic range (4-7)? I wouldn't be too hung up on always correcting
basal  rates because as you know, there are so many variables (insulin 
 absorption, hormones, stress, insulin sensitivity, etc.) that can affect the
rate  from day to day that it is bound to change. Instead, I would suggest 
 testing more and using correction boluses. The other thing to remember about
particularly for type 1s, is that any test result is only what your bg is  at 
 that particular moment. If you were to test again in 30 minutes you might find
that it is either on its way up or down, perhaps due to your last insulin  
 bolus or food eaten rather than a sudden change in insulin sensitivity. Just a
thought. . . 
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