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RE: [IPk] musing on diet [long] ,varying night time basals

dear elizabeth,
I think my 6 yr old son  has similar changing basal insulin needs after 
midnight.its interesting that you have correlated this to your total daily 
insulin.ive been assuming it to be related to the time he last eats.
generally if he doesnt eat after 6pm his basal requirements are 0.2U up to2 
am and then he needs onlt 0.1U up to breakfast.if he last eats before 9pm 
then he needs 0.4U up to midnight,then0.3 up to 3 am and then 0.1U. If he 
ever eats later than that then the 0.4 has to continue to 3am.
this is something that im not 100% about, but it seems to be, kind of 
,working  most of the time just recently. i do check his sugars in the night 
because im nervous of these high basals.
also just as you said daytime basals never seem to change.
i was beginning to think this was unique to his age group.
i wonder if anyone else has other strategies for dealing with this.
all the best,

>From: "Elizabeth OShea" <email @ redacted>
>Reply-To: email @ redacted
>To: <email @ redacted>
>Subject: RE: [IPk] musing on diet [long] Date: Fri, 13 Jun 2003 16:48:45 
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>Nanette asked:
>But I'm also curious - are there any other people out there whose
>insulin requirements are so sensitive to blood glucose levels, is this
>common or rare??
>And Elizabeth replies:
>My insulin requirements are sensitive to blood glucose levels, mainly
>overnight. For example, ... let me do some math ... one unit usually lowers
>my BG 3.3 mmol. If I go to bed high, I have to figure that one unit will
>lower my BG 2.2 mmol. Actually, it's the same in the late afternoon, but
>that's because my basal rate drops at 4.30 to accomodate me cycling home.
>But if my BG is anyway high, I have to have a bolus before cycling home, or
>if I'm not cycling, I have to use 2.2 mmol/unit rather than 3.3 mmol/unit.
>Here's the really fun thing: my overnight basal needs are completely
>dependent on how many units of insulin I've used the previous day. If I use
>fewer than 25 units, from midnight I need a total of 12.6 units of basal. 
>I use between 25-28 units, I need a total of 12.8 units of basal. If I use
>over 28 units, I need to turn my pump up to .8 u/h for as many hours as I
>deem appropriate - it depends on when I'm going to bed, what I've eaten
>recently, and what time I'll be waking up. My daytime basal needs never
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