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Re: [IPk] High sugars in early morning and after set change
I'd try and see what happens without the breakfast before altering the
basals. It does seem a rather sharp rise - but I don't eat cereal
(blagh!!) so I don't know what my body does with the stuff.
If going without breakfast would make life not worth living, try eating
half as much, and seeing if you get a smaller rise - but doing proper
basal testing is well worth it (i.e. going without food for several
hours, so eventually you have the whole 24 hrs pattern).
dm 30+, 508 1+, must type up her bg diary from her weekend in Boulder
In message <email @ redacted>
, email @ redacted writes
>I finally started on a pump two weeks ago, and am currently in the process
>of trying to get Basal rates stabilised. I have noticed two things which
>both affect me during mornings.
>Firstly, my BMs shoot up when I get up/after breakfast (I haven't yet
>determined what happens if I don't eat breakfast). One morning I tried
>testing regularly to see what happens and these were my results (My target
>BM at present is 10):
>06:40 Breakfast (Bran flakes + semi-skimmed milk) 75g CHO, 5.0 unit Bolus
>I wouldn't expect a meal like that to induce such a rapid rise in BM, but it
>is completely repeatable day after day. Has anyone else had a similar
>Secondly after a set change (9mm/43" Quickset) my sugars always go a lot
>higher during that morning and will usually require a couple of correction
>Boluses to get back into normal range. I am confident that I am doing the
>set change correctly, priming the set, and giving a 0.5 unit prime bolus to
>fill the cannula after insertion. Again has anyone seen anything similar
>and have any constructive ideas?
>The good news is that I have been fully funded for both Pump and
>consumables. This was all done for me by the Pump Clinic at Guy's, who
>contacted my health authority (Sth Essex) and arranged funding. This was
>all done before I could see Dr. Pickup for the first time (Which happened
>back in January). I had initially been referred at about this time last
>year. Since January, Guy's have tried tweaking a few things with MDI and
>using a Glucowatch and Minimed CGMS to look in detail at what goes on,
>before coming to conclusion that a pump would be appropriate. This decision
>was then made in May, which meant a new financial year and therefore
>re-applying for funding. Fortunately this came through fairly quickly and I
>started on Saline on 9 July, and on Insulin on 15 July.
> Colin - MM 508 2 weeks.
email @ redacted
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