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Re: [IPk] Variable insulin resistance etc

Thanks - unfortunately I have the greatest swings in the morning
(anything from 3 to 15 when I wake up - actualy, rarely in the range 7
to 10 - always under 7 or 10-15).

Lows come from a random number generator, so I can't reduce the basals
(or rather, I do reduce basals, but then have to put them up again
because reducing the basals just reduces the results in the under-7
range, and increases those in the over-10, once the activity that's
necessitated the lower basals has ceased.

I don't understand why taking, effectively, basal in 3 separate lumps
through the day, gives you better control than a properly adjusted
basal.  Ideally, one would have one of the modern pumps, which would
allow one to adjust the level of basal at each bg measurement - I have
an old one (508) that only has three pre-programmed levels.  I can set
temp boluses, but these would have to be only for an hour or so, as my
basal needs change every couple of hours.  I simply don't have time for
that kind of management.

Sorry if this is difficult to understand - I have very _weird_ blood



In message <email @ redacted>, email @ redacted writes
>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
 > reduce your basals? Have you thought about reducing your basals and
>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.
>for HELP or to subscribe/unsubscribe/change list versions,
>contact: HELP@insulin-pumpers.org

Pat Reynolds
email @ redacted
   "It might look a bit messy now, 
                    but just you come back in 500 years time" 
   (T. Pratchett)
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