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Basal test no. 2

Indiana91

Well-Known Member
Messages
706
Location
UK
Type of diabetes
Type 1
Treatment type
Insulin
Can you basal test if you've woken up high?

Ate a bit more carbs last night to avoid another hypo. Woken up 14.5 after doing a correction at 4am when it was 18.9. Thought I'd bolused enough because I went to bed at 8.4.

Feeling I'll and annoyed now!

Getting p*ssed off with trying to be honest!!!!

Indiana x


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I'd say that's too high. Ideal you want to be in range when you start, but personally I aim for under 10


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That's what I was thinking!

Will have to try AGAIN tomorrow.



Indiana x


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Agree with Hale. If you basal test after erratic readings you may not get a true result.
 
I think I already knew the answer, was hoping someone was going to tell me I could so that I can get it over with! Haha

Will have to try again tomorrow then.

Really fed up today, haven't had bg above 10 in a good few days and the day I need it to be in range and don't have a hypo it throws this at me!

Thanks for your replies.

Indiana x


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Dont think of it as a negative... Did you return to your target level at 5 hours after your correction. If uou did then you know your correction bolus works out right..
If you went low within 5 hours you gave a bit too much correction.
If it didnt bring you down to your target level then you needed a bit more bolus.

You should aim to be at your target level at 5 hours after you have given a correction bolus.

See it as an opportunity to test your correction bolus....


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But wont correction bolus alter after any basal changes (if any) made.
Thats the point of getting basal correct, then work on bolus/correction ratios.


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It finally came back down this afternoon. It can be funny like that sometimes.

I'll try again tomorrow.

Indiana x


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Thanks guys!

Indiana x


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I would continue with a basal test if my bg was under 10 but not with bg reading of 18.9mmol.

Just remember when you do a basal test to keep the fat down in your meal as a high-fat meal can raise bg many hours after eating, also just drink plain water and avoid all other drinks if possible.
 
Okie dokie thank you.

Fingers crossed for the morning!

Indiana x


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Brett

It depends how skew whiff your basal rate is... Whether you can determine whether correction bolus needs to be adjusted. If I did a correction at 3am and didnt come back to normal target range till mid afternoon, I would not forget that...I would bear it in mind after I did basal test and saw results...
MDI is harder I think to basal test than pumps that I am now on, but I did do the same basal testing on mdi pre pump for a few days.

To me its pointless though!! Pre pump that is, because of the greater flexibilty to change every basal rate hourly and new users are put on less basal rate anyway!!


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That's what I was thinking! My consultant seems determined to get my basal right before he puts me on the pump. Like I've said before, my injection sites are that bad that I don't even know how much insulin is actually working anyway!
I think that he's seeing it as if I put the effort in with this then I will put the effort in with my pump. He said that there's no point me having one if I'm not wiling to put the effort in with what I'm doing now.
I can understand his point but I test about every two hours and try my hardest but my bg is never within range no matter how hard I try.

Indiana x


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if you did a correction at 3am and took that long to get in range whats wrong, correction or basal?
Or both. Without doing basal test no idea.
Definately helped me on mdi as till my basal was right for the day, too little bolus ended in a high, too much bolus would give me a good reading post prandual but hypo after. to get in range within 4 hours wasnt an issue could do that but would still mean too high reading in Between. Once it was sorted for the day, could not sort out dp, resulting in me getting a pump. Without the knowledge of that and showing results I wouldn't of got my pump. To me, being in range after 4/5 hours isnt enough. I always test at 2 hours after eating, and like to be <9, more often than not <7 with no hypo cause basal is correct.

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The past two or three days (apart from today) my bg has been around 7. However, at around 2am I've had hypos and then another one at around 4am.
I did have a cold last week so maybe my 'good' levels have been because of the virus lowering them.
I really don't know!
I've upped my basal by 6 units am and pm so now I take 30 units am and 36 units pm. That's a lot and sometimes it takes two injections just to get the whole dose in.
I don't know how I'll cope if I have to increase it some more!

I'm taking on average 7 injections a day because of corrections. If I have to increase basal then it will probably mean having to do half of it in one area and the other half somewhere else. That will still be 7 injections without corrections!

The whole reason I want a pump is because my sites are so bad, I really don't think that increasing my dose will help me

Indiana x


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It certainly does!

Indiana x


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