lely
Well-Known Member
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How did you find it all Gaz-MNever took any Tresiba in the end, blood sugar was okish at 8.5 this morning
Back home now with the pump fitted
How did you find it all Gaz-MNever took any Tresiba in the end, blood sugar was okish at 8.5 this morning
Back home now with the pump fitted
If you aren't comfortable with adjusting (lowering) your actual pump basal settings but instead want your DSN or equivalent to do all the actually mucking about with settings, then I suggest you use the temp basal feature to lower your basals during the night. If you temp basal at 75% or 50% or whatever sounds right from your previous life, then you limit your risk of a hypo during the night, no?I dropped down to 3.9 at 4.15 so not a good start and the basal settings for me are higher during the night so doubt I'll be having much sleep for the next couple of nights
With all of these things, it's always worth making sure you have a pattern before adopting a change. I've found that 24 hour Novorapid results in a slightly different insulin use profile from Levemir, so I'd recommend taking a few days to identify patterns during the same period.So first night sleeping with my pump, I think I need to give it a name if we are gonna be this intimate, I woke a few times to check it was were I put it. It was. Anyway. Bedtime BG was 13.4 had 16g carbs and bolus for that including the correction dose woke on 9.8. So my question is. can I adjust basal straight away, I'm on a flat rate for now, 21u over 24h 0.875per hour. can I adjust to say 22u over 24 or is it like MDI when you should wait for 2/3 days to see if there's a pattern. Or shall I take this as an opportunity to see this as a separate increment that needs just a bit more for overnight.
Thanks in advance for any help.
My carb ratio hasn't changed from MDI. it's 1:10. However when i did the calculation for it from the ' think like a pancreas ' book it worked out 1:11 so I figured I use that later as a fine tuner once I'm confident with the pump. So it's a good idea to get that fasting BG in the morning right first then?@lely
Unfortunately, probably none of the pump settings will be correct at the moment and until you are able to get the TDD okish, then the correction dose will be a bit hit and miss and the carb ratio might not be correct either, but no one can be expected to get perfect results just like that.....it takes time. Like MDI, it's a mistake to eat food when bg is high even with a correction dose and normal bolus dose. Instead, deliver the correction dose and then wait 1 or 2hrs for the dose to start lowering bg back to single figures again and then do bolus for food. Has the carb ratio on pump changed from what you used on MDI?
I find it odd as some of my ratio's had already been reduced, maybe my body getting used to not have any "long acting insulin" in it perhaps?I did that in my first 24 hours @Gaz-M. Could have happened to anyone!