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<blockquote data-quote="Juicyj" data-source="post: 1863245" data-attributes="member: 53162"><p>Hello [USER=153387]@crumpy[/USER] As she's already exhausted the basal testing route, then keep a diary and record when levels are changing, this way you will be able to see for sure if it's connected to her menstrual cycle, I also have to increase basal rates around 3-5 day prior to starting my period however my total daily needs increase rather than just an overnight high, keeping a diary will check this for sure.</p><p></p><p>Yes tresiba does take around 3-4 days to see any effects from a dose change, a pump would give you greater flexibility in managing basal changes and a quicker turnaround on seeing the effect too, as your novorapid is acting as both basal and bolus, so should be ideal for her. There are criteria to meet with getting access to a pump, so have a read through the NICE guidelines beforehand, but as she is someone who has a good handle on things and is still struggling there should be some consideration for this, she should of also completed DAFNE too. <a href="https://www.nice.org.uk/guidance/ta151" target="_blank">https://www.nice.org.uk/guidance/ta151</a></p></blockquote><p></p>
[QUOTE="Juicyj, post: 1863245, member: 53162"] Hello [USER=153387]@crumpy[/USER] As she's already exhausted the basal testing route, then keep a diary and record when levels are changing, this way you will be able to see for sure if it's connected to her menstrual cycle, I also have to increase basal rates around 3-5 day prior to starting my period however my total daily needs increase rather than just an overnight high, keeping a diary will check this for sure. Yes tresiba does take around 3-4 days to see any effects from a dose change, a pump would give you greater flexibility in managing basal changes and a quicker turnaround on seeing the effect too, as your novorapid is acting as both basal and bolus, so should be ideal for her. There are criteria to meet with getting access to a pump, so have a read through the NICE guidelines beforehand, but as she is someone who has a good handle on things and is still struggling there should be some consideration for this, she should of also completed DAFNE too. [URL]https://www.nice.org.uk/guidance/ta151[/URL] [/QUOTE]
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