RE: [IPk] Morning BG's
When you get a pump they make calculations based on your current insulin
dose. Generally they reduce your current dose by a certain percentage . I
cant remember if its something like 20%?. Then they divide the total and
give 50% basal and 50% bolus or possible 45 % basal. They always set the
basal rates lower than they think you will need in the first place then make
increases. You then do frequent tests for the first few days to make
adjustments. You will learn by trial and error.
For instance Sasha is only an 11 year old girl with very little dawn rise
until recently, but her basal rates are from midnight, 0.50 until 3.00am
then 0.45 unit per hour from 3.00am then at 5.00am it switched to a
higher basal rate of 0.65 which continues until 10.30. then there are
various other rates during the day.
You will probably find, that while your morning BG level results will still
vary a little from day to day, that the steadier control a pump can give
will make this less likely. You would obviously have to set the basal to a
level that would mean you were unlikely to have a bad hypo. We have found
that the morning results are usually pretty good, but more likely to be out
or range by being too high rather than too low, which is the safest way to
There are several pump companies which have on line pump school tuition
which are great for showing you what to expect and dealing with the
protocols for coping with problems.
Which pump are you thinking of going for?
Jackie, England UK
Mum of Sasha aged 11 dx 1999, twin sister Rebecca, both coeliac 2001
Mum also to Danni and Nicola, wife to Terry
> I need to test if I have the dawn phenomenon - most mornings my blood is
> at least 17, but then I get the odd 10 or 11. So I'm concerned that by
> increasing my nightime background (and my basal once I get a pump) that
> occasionally I will hypo in the morning as the results vary. What do
> others think about this?
> Hannah Lawrence
> Project Coordinator, BMJ Programme Management,
> BMJ Publishing Group Ltd, BMA House, Tavistock Square, London, WC1H 9JR
> Tel: 020 7383 6511
> for HELP or to subscribe/unsubscribe/change list versions,
> contact: HELP@insulin-pumpers.org
for HELP or to subscribe/unsubscribe/change list versions,