My eight-year-old son has been Type One diabetic for one year and a half. Currently he has 6 basal rates. 3 am, 4 am, 5 am and 6 am share the same basal rates. The BG for 3 am is normal but there is a rise at 7. One physician says that the first thing to do is to raise the basal rates for 3 am, 4 am, 5 am and 6 am in order to make the BG for 7 am normal. Then might occur fluctuation between 3 am and 6 am. In this case macro-adjustment can be made hour by hour. Yet another physician suggests that we use continuous monitoring system to define the fluctuation, which can be followed by macro-adjustment. I am puzzled by their divided opinions.
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Basal adjustment
- Thread starter tiedou
- Start Date
@tiedou
Normally, it takes about 2hrs for any adjustment to have an effect on blood glucose.
You say that at 3am bg is ok. What is it at 4am, 5am, 6am? If you test those bg levels
first, you can then make yr micro adjustments accordingly, keeping in mind the 2hr adjustment.
Good luck......sleepless nights for you
Normally, it takes about 2hrs for any adjustment to have an effect on blood glucose.
You say that at 3am bg is ok. What is it at 4am, 5am, 6am? If you test those bg levels
first, you can then make yr micro adjustments accordingly, keeping in mind the 2hr adjustment.
Good luck......sleepless nights for you
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The CGM is a great suggestion and you can only go along with what your lads consultant has said, but they say to adjust the basal rate 2 hours before a bg rise as iHs has said, however the CGM will give a clearer picture of what is going on.
donnellysdogs
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I personally have to change mine 2 hours prior to waking up and for two hours after.....
Your son sounds as if he has dawn phenomen... A rising in bloods when he gets up. Just like me.
So long term if weekends he gets up later or earlier you may need a different profile. I get up at 5am weekdays currently, but 8am weekends.... So have to have two different profiles set up.
Have a look at how my basal rates change... Because I get dawn phenomenen. My levels through testing one night at 1,3,5 and 7am and the next night at 2,4,6,8am have really been fine tuned.....
If my levels rise at 5am when I get up I need more for 3 hours....
....
Your sons will vary to my example but:
1) don't worry if the level 2 hours before getting up actually doubles... What ever the insulin that is needed.. Is needed.
2) i would personally test for two nights...
- 1,3,5,7,9 am
- 2,4,6,8,10am.
You should only have to do this chore on these two nights... Not regularly....
Your son sounds as if he has dawn phenomen... A rising in bloods when he gets up. Just like me.
So long term if weekends he gets up later or earlier you may need a different profile. I get up at 5am weekdays currently, but 8am weekends.... So have to have two different profiles set up.
Have a look at how my basal rates change... Because I get dawn phenomenen. My levels through testing one night at 1,3,5 and 7am and the next night at 2,4,6,8am have really been fine tuned.....
If my levels rise at 5am when I get up I need more for 3 hours....
....Your sons will vary to my example but:
1) don't worry if the level 2 hours before getting up actually doubles... What ever the insulin that is needed.. Is needed.
2) i would personally test for two nights...
- 1,3,5,7,9 am
- 2,4,6,8,10am.
You should only have to do this chore on these two nights... Not regularly....
