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<blockquote data-quote="donnellysdogs" data-source="post: 593789" data-attributes="member: 17713"><p>The rule my consultant told me: if you are high or low within 2-3 hours of a food bolus and you have carb countrd correctly then it is the bolus. All other times it will be the basal.</p><p></p><p>What I meant is that if the same rule of thumb applied to basal then you would change the rate 2-3 hours before the high or low. Not the hour before. Like we have both said the insulin actually takes 1 whole hour from start of delivery to get in you, so why adjust that hour when effectively that insulin would only just have finished its delivery?</p><p>Don't forget that changing your basal one hour ahead will impact on your rates after that one hour according to how long your acting time is.</p><p></p><p>I think you are wrong about the 5hour for a eating bolus.</p><p></p><p>A correction bolus should bring you back to normal at 5 hours,. If I am back to normal at 2-3 hours I will go low within 5 hours.</p><p></p><p>If I'm not hungry, and don't fancy eating then I will just count that as my basal testing. However since going on to berries and full fat yogurt for breakfast it is very rare that I go for a 10hour stretch without eating.</p><p></p><p>We are all individual, as with how we are instructed by nhs guidelines for eating.. The advice we get from consultants varies. I know of somebody that was told to change the basal rate at the time of the high or low!! </p><p></p><p>Our bodies all have different metabolic rates too, so my insulin acting times and offset times will be different to yours. One size definitely does not fit all with diabetes, let alone pump set ups!!</p><p></p><p></p><p>Loving life</p></blockquote><p></p>
[QUOTE="donnellysdogs, post: 593789, member: 17713"] The rule my consultant told me: if you are high or low within 2-3 hours of a food bolus and you have carb countrd correctly then it is the bolus. All other times it will be the basal. What I meant is that if the same rule of thumb applied to basal then you would change the rate 2-3 hours before the high or low. Not the hour before. Like we have both said the insulin actually takes 1 whole hour from start of delivery to get in you, so why adjust that hour when effectively that insulin would only just have finished its delivery? Don't forget that changing your basal one hour ahead will impact on your rates after that one hour according to how long your acting time is. I think you are wrong about the 5hour for a eating bolus. A correction bolus should bring you back to normal at 5 hours,. If I am back to normal at 2-3 hours I will go low within 5 hours. If I'm not hungry, and don't fancy eating then I will just count that as my basal testing. However since going on to berries and full fat yogurt for breakfast it is very rare that I go for a 10hour stretch without eating. We are all individual, as with how we are instructed by nhs guidelines for eating.. The advice we get from consultants varies. I know of somebody that was told to change the basal rate at the time of the high or low!! Our bodies all have different metabolic rates too, so my insulin acting times and offset times will be different to yours. One size definitely does not fit all with diabetes, let alone pump set ups!! Loving life [/QUOTE]
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