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Basal Dose Woes
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<blockquote data-quote="tim2000s" data-source="post: 1621579" data-attributes="member: 30007"><p>Hi Joe. Depending on your who is in your diabetes team, this may never be brought up. There are a significant number of DSNs that have little or no idea about the need to bolus for protein or the timeframe in which it converts to glucose, so it's worth giving it some thought and experimenting.</p><p></p><p>As with all dealings with T1, the key thing to learn and remember is that you need to take the active role in managing it, so if you aren't seeing optimal outcomes, you have permission and the right to make changes on your own without referring back to any HCP (and if your Healthcare professionals tell you otherwise, they aren't necessarily acting in your best interests).</p><p></p><p>So let's have a look at you. You're using Levemir. Your dose sizes are similar to the size of the ones I used to use when I wasn't on a pump. LEvemir has an interesting profile that is very dose dependent, and lasts anywhere from 8 hours to 24 hours, purely based on dose. </p><p></p><p>The second thing is that we are often taught that there is only one Carb Ratio and correction factor. Sad to say it, but this is actually wrong thinking on the part of diabetes professionals, designed to make it easier for those who can't cope to live with the condition. Most people see different ratios at different times of the day, and it's worth doing the sums to work that out as it will make your early morning correction much easier if your CF turns out to be 1u:1.5mmol/l instead of 1u:3mmol/l. </p><p></p><p>They key thing in all of this is that if you want to see change in shorter timeframe, you have to grab it all with both hands and make the decision that you're in control. Many DSNs find it hard to allow that to happen, but you'll be better placed going forward if you can make that jump.</p><p></p><p>Finally, many of us have found that using the Abbott Freestyle Libre gives us much more insight into our condition, what happens around food, overnight, etc. Whilst they are still not being prescribed by most CCGs, it might be worth paying the £48 for a sensor, if your phone works with it, or asking the hospital for a trial package, so you can get a much better picture of what is really going on.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1621579, member: 30007"] Hi Joe. Depending on your who is in your diabetes team, this may never be brought up. There are a significant number of DSNs that have little or no idea about the need to bolus for protein or the timeframe in which it converts to glucose, so it's worth giving it some thought and experimenting. As with all dealings with T1, the key thing to learn and remember is that you need to take the active role in managing it, so if you aren't seeing optimal outcomes, you have permission and the right to make changes on your own without referring back to any HCP (and if your Healthcare professionals tell you otherwise, they aren't necessarily acting in your best interests). So let's have a look at you. You're using Levemir. Your dose sizes are similar to the size of the ones I used to use when I wasn't on a pump. LEvemir has an interesting profile that is very dose dependent, and lasts anywhere from 8 hours to 24 hours, purely based on dose. The second thing is that we are often taught that there is only one Carb Ratio and correction factor. Sad to say it, but this is actually wrong thinking on the part of diabetes professionals, designed to make it easier for those who can't cope to live with the condition. Most people see different ratios at different times of the day, and it's worth doing the sums to work that out as it will make your early morning correction much easier if your CF turns out to be 1u:1.5mmol/l instead of 1u:3mmol/l. They key thing in all of this is that if you want to see change in shorter timeframe, you have to grab it all with both hands and make the decision that you're in control. Many DSNs find it hard to allow that to happen, but you'll be better placed going forward if you can make that jump. Finally, many of us have found that using the Abbott Freestyle Libre gives us much more insight into our condition, what happens around food, overnight, etc. Whilst they are still not being prescribed by most CCGs, it might be worth paying the £48 for a sensor, if your phone works with it, or asking the hospital for a trial package, so you can get a much better picture of what is really going on. [/QUOTE]
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