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Basal Changes
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<blockquote data-quote="donnellysdogs" data-source="post: 582008" data-attributes="member: 17713"><p>Agree with iHs. No way do I do the hour before the rise or drop...as on a pump the dose is delivered over the course of an hour so if you do a change 1 hour (in this case 6pm) that full hours insulin dose would not be fully delivered till 7pm and would not actually at its peak working until 8-8.30pm.</p><p></p><p>In the case of starting to rise or lower at 7pm, then this could be your 4pm or 5pm basal rate. </p><p></p><p>The 4pm takes until 5pm to get fully delivered...it can then take a full 2hrs to be at its peak working, but may be 11/2 hours.. So peak working could be anywhere between 6.30-7pm. If you are low by 7pm I would if it was me adjust the 4pm. </p><p></p><p>However, it depends how fast the insulin works in your body at peak...me personally altering 1 hour before is wrong. 2 hours before, does not allow all the insulin to have been fed effectively into me and lowering /rising just when I need it to. 3 hours catches the drop or rise before it actually occurs...</p><p></p><p></p><p></p><p></p><p>Sent from the <a href="http://www.diabetes.co.uk/app/?utm_source=sig&utm_medium=txt&utm_campaign=appsig" target="_blank">Diabetes Forum App</a></p></blockquote><p></p>
[QUOTE="donnellysdogs, post: 582008, member: 17713"] Agree with iHs. No way do I do the hour before the rise or drop...as on a pump the dose is delivered over the course of an hour so if you do a change 1 hour (in this case 6pm) that full hours insulin dose would not be fully delivered till 7pm and would not actually at its peak working until 8-8.30pm. In the case of starting to rise or lower at 7pm, then this could be your 4pm or 5pm basal rate. The 4pm takes until 5pm to get fully delivered...it can then take a full 2hrs to be at its peak working, but may be 11/2 hours.. So peak working could be anywhere between 6.30-7pm. If you are low by 7pm I would if it was me adjust the 4pm. However, it depends how fast the insulin works in your body at peak...me personally altering 1 hour before is wrong. 2 hours before, does not allow all the insulin to have been fed effectively into me and lowering /rising just when I need it to. 3 hours catches the drop or rise before it actually occurs... Sent from the [url=http://www.diabetes.co.uk/app/?utm_source=sig&utm_medium=txt&utm_campaign=appsig]Diabetes Forum App[/url] [/QUOTE]
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