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Re: [IPk] Variable insulin resistance etc

In a message dated 01/16/2005 11:01:38 GMT Standard Time,  
email @ redacted writes:

My  targets are 4 to 7.5, and I correct down to 5 for anything over 7.5.

I  cannot reduce targets down any further as I have frequent  hypos

What I _could_ do, of course, is narrow the target  to, say 4 to 6, and
give corrective boluses for anything over 6 - or even  for anything over
5.  Does anyone do that?

More testing and  more boluses (I average 5 measurements a day at the
moment) is a  possibility.

I think that if I was you I would narrow your target and give correction  
 boluses before 7.5. If you do get frequent hypos, do you think that you should
 reduce your basals? Have you thought about reducing your basals and increasing
your carb boluses. This is what I do but then I do eat 3 meals a day. For 
most  of the daytime hours, my basal rate is 0.1. The insulin from my meal 
 boluses tends to last a good 4 hours which takes care of my low basal rate
the  day. I also test mid-morning and mid-afternoon as well as before meals so 
that I  can give correction boluses as needed. I test 8-10 times a day. I do 
get  some slight hypos but these are easily taken care of. I find it much 
 easier to take care of a slight hypo than hypers. I would bet that you could
down  your HbA1c by testing more often.
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