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Help with overnight/morning basal rates

donnellysdogs said:
How did the dinner and movies go?
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Good :) Turns out my friend had a big lunch and wasn't very hungry so we just got some snack food. I was able to do the basal testing because I decided to skip dinner.

10:46pm = 4.5 = 8g
11:12pm = 6.0
11:26pm = 6.8
12:00am = 8.0
1:02am = 6.4
2:02am = 5.9
3:01pm = 5.5
4:21am = 6.0
5:01am = 5.3
6:02am = 5.8
7:01am = 5.3
7:59am = 5.3
9:01am = 4.5 (i think this drop was because I slept in an hour longer than usual)
9:30am = 5.0 = 4g (coffee)
10:15am = 7.1

YAY! No hypos!

Rates:
00:00 = 0.600
05:00 = 0.700
07:00 = 0.900
08:00 = 0.700
10:00 = 0.500

I lowered them by quite a lot because I was so worried about going low in the night again. It seems like I lowered them just the right amount :)
 
Brilliant results......

So this looks magical set up.. Was 8g at 10.46 for coffee??

Only wouldn't just be because of the rise at 11.00 but of the drop by 1.02.

They are hugely flat, well done.

Watch to see if return to weekday will cause probs or if it may indeed have been hormones....
 
donnellysdogs said:
Brilliant results......

So this looks magical set up.. Was 8g at 10.46 for coffee??

Only wouldn't just be because of the rise at 11.00 but of the drop by 1.02.

They are hugely flat, well done.

Watch to see if return to weekday will cause probs or if it may indeed have been hormones....
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It was half a muesli bar. I didn't feel comfortable going to sleep at 4.5 since I'd been having so many hypos.
 
Good results there.

I guess now its establishing the reason for the lows.. It may have been workdays or ovulation etc. its just to enable you to keep a 2nd profile going and swop if necessary.

At least you are getting experience of adjusting before you get pregnant -lol..

Well done on getting the morning risings down too.
 
I'm so frustrated. I thought I had the rates sorted...

8:44pm = 2.8 = 20g
8:52pm = 2.6
9:03pm = 3.1
9:28pm = 4.3
10:08pm = 6.6
10:25pm = 8.0 = 0.25 units (over-treated hypo?)
10:42pm = 9.2 = 1 unit
11:00pm = 10.0
1:36am = 11.1 = 2 units
3:03am = 10.2 = 1.9 units
6:02am = 5.3
7:19am = 6.4 = 6g = 0.5 units

I'm hoping this was an issue with my correction doses and not my basal rates. It seems like my needs are changing daily and I'm getting so frustrated.
 
Are you back to weekday now?

I think this maybe a weekend / weekday difference in requirements.. I change to my workday profile at 6pm Sunday night. If they are the Sun/mon morn I think you can change the 2nd profile more.
 
donnellysdogs said:
Are you back to weekday now?

I think this maybe a weekend / weekday difference in requirements.. I change to my workday profile at 6pm Sunday night. If they are the Sun/mon morn I think you can change the 2nd profile more.
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Ok thanks, I'll increase everything slightly for my weekday profile and see how that goes.
 
I wouldn't say you overtreated hypo as that was a long time to
Stay low until your levels raised.
Did you eat prior to the lows?
 
10:25 to 3:03 you were stacking corrective doses. Please remember you are not yet in a position to trust the pump IOB and use it for stacking corrections. Nothing went wrong, but still.
 
donnellysdogs said:
I wouldn't say you overtreated hypo as that was a long time to
Stay low until your levels raised.
Did you eat prior to the lows?
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I have a feeling the drop followed by the rise could have been due to the fat content of my meal. I probably should have done a combo bolus.
 
Spiker said:
10:25 to 3:03 you were stacking corrective doses. Please remember you are not yet in a position to trust the pump IOB and use it for stacking corrections. Nothing went wrong, but still.
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I was only taking about half of what the pump suggested until 3am when I got frustrated that my levels weren't dropping enough so then I went with the suggested dose.
 
Janelle123 said:
And now I've shot back up to 10.0 :/
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You may have "wake up" phenomenon as well as "dawn" phenomenon. Apparently many people don't see it until they go on a pump.

How are you getting any sleep with all those blood tests?
 
Spiker said:
You may have "wake up" phenomenon as well as "dawn" phenomenon. Apparently many people don't see it until they go on a pump.

How are you getting any sleep with all those blood tests?
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I'm pretty certain I do have "wake up" phenomenon. When I was on MDI I had to take 1 unit of fast acting as soon as I woke up.

I'm not - I'm exhausted lol
 
Janelle123 said:
I was only taking about half of what the pump suggested until 3am when I got frustrated that my levels weren't dropping enough so then I went with the suggested dose.
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That was smart. Even if IOB was perfect, you should still under correct (insulin) for a while after a hypo, otherwise you can get into a cycle of rebounds. (After a hypo your blood sugar drops due to restocking of glycogen.(
 
Spiker said:
That was smart. Even if IOB was perfect, you should still under correct (insulin) for a while after a hypo, otherwise you can get into a cycle of rebounds. (After a hypo your blood sugar drops due to restocking of glycogen.(
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I didn't know that - thanks :)
 
I know you are very committed but I would really suggest that you stop the frequent testing and changing, and just do it every 3 days or so. Get the week day right perhaps before you try to get the weekend right. It very soon becomes an impossible nightmare if you change more than one thing every 3 days.
 
It does indicate wake up. That is what happens to me.. My pump settings are timed to get up at certain times. If I don't wake up at that time but an hour later my levels will go low. Its actually waking up that shoves my readings up. Thats why I have 3 different rates..
Spot on Spiker....
 
Spiker said:
I know you are very committed but I would really suggest that you stop the frequent testing and changing, and just do it every 3 days or so. Get the week day right perhaps before you try to get the weekend right. It very soon becomes an impossible nightmare if you change more than one thing every 3 days.
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I felt like I HAD to change my rate to stop all of the hypos I was having.

I usually test every time I wake up which is usually twice a night. As for the night before last when I tested every hour through the night, I could of sworn you told me to do that when basal testing - maybe I imagined it though :s
 
donnellysdogs said:
It does indicate wake up. That is what happens to me.. My pump settings are timed to get up at certain times. If I don't wake up at that time but an hour later my levels will go low. Its actually waking up that shoves my readings up. Thats why I have 3 different rates..
Spot on Spiker....
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Yeah, I think thats why my levels dropped a little yesterday morning when I got up at 9 instead of 8
 
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