Hello guys, I've been searching about basal dose testing and I have some questions. How should one in a low carb diet test if his basal is correct? I'm using Lantus and Humalog, both with a pen, and the problem is that in meals I need to split my bolus dose, and apply them after some time, because of the delayed effect of protein and fat on the blood glucose. So what I'm questioning is, are those "extra" doses allowed during the test? Should I begin testing how many hours after the last meal? How many hours of fasting is necessary?
The simplest answer is no... whilst basal testing you don’t want any quick acting insulin on board or don’t want to be giving any.
I take a split dose of Levemir- morning and evening. They are roughly 12 hours apart and I often do a basal test.
Before basal testing I always make make sure that:
1. My last meal was at-least 4 hours ago. I try and make sure that this meal is low protein/fat as I too have to split my bolus for those because of the delayed effect.
2. My last dose of quick acting was also 4 hours ago, as this may effect my basal test.
How many hours you fast for is, is up to you. I tend to fast for 12 hours so I can measure one dose at a time. Other times I have done a couple of hours apart. From waking to lunch, then the next day from lunch to tea... etc
It is a pain... but is really telling. Good luck x
Edit: I also break the fast/basal test if my levels elevate higher than they should and likewise if I have hypo’d