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Type 1 Diabetes
Basal testing
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<blockquote data-quote="derivadow" data-source="post: 2481431" data-attributes="member: 515468"><p>Hi, this might not work for you but this is how I run the test...</p><p></p><p>- I was told I needed to run the test over multiple days otherwise your body will start to release extra glucose;</p><p>- If you have a hyper or hypo then you need to stop the test, that's ok because it has shown your basal rate is off so tweak your rates and test again on another day;</p><p>- You need to run the test when you are in range and have no IOB nor food releasing glucose so you need to start the test 4 hours after your last bolus and meal + ensure your last meal wasn't too high in fat nor protein.</p><p>- Finally avoid testing when you are running about / doing exercise etc.</p><p></p><p>I then test in four time slots:</p><p></p><p>Morning - 6am to 12pm (i.e. no breakfast, no food nor insulin from 2am)</p><p>Afternoon - 12pm to 5pm (i.e. no lunch, no food/insulin from 8am)</p><p>Evening - 4pm to 10pm (i.e. early lunch, late dinner, no food/ insulin from noon)</p><p>Overnight - 10pm to 6am (i.e. early dinner, no food/ insulin from 6pm)</p><p></p><p>You need to test your BG every hour (easier with a Libre/ CGM). </p><p></p><p>If your basal is at the right level, in theory your BG shouldn't fluctuate by more than 1.6 mmol/L. </p><p></p><p>I think work on the following rule of thumb:</p><p>If BG values rise more than 1.6 mmol/l: increase your basal rate by 10-20%</p><p>If BG sink more than 1.6 mmol/l: lower your basal rate by 10-20%</p><p></p><p>However, unless you are on a pump you might not be able to find the right level for the whole day. I suffer dawn phenomenon and could never find a dose (even my moving the timing of my basal insulin) that corrected for that without also pushing me into Hypos in the afternoon.</p><p></p><p>Hope that helps a bit. Good luck <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="derivadow, post: 2481431, member: 515468"] Hi, this might not work for you but this is how I run the test... - I was told I needed to run the test over multiple days otherwise your body will start to release extra glucose; - If you have a hyper or hypo then you need to stop the test, that's ok because it has shown your basal rate is off so tweak your rates and test again on another day; - You need to run the test when you are in range and have no IOB nor food releasing glucose so you need to start the test 4 hours after your last bolus and meal + ensure your last meal wasn't too high in fat nor protein. - Finally avoid testing when you are running about / doing exercise etc. I then test in four time slots: Morning - 6am to 12pm (i.e. no breakfast, no food nor insulin from 2am) Afternoon - 12pm to 5pm (i.e. no lunch, no food/insulin from 8am) Evening - 4pm to 10pm (i.e. early lunch, late dinner, no food/ insulin from noon) Overnight - 10pm to 6am (i.e. early dinner, no food/ insulin from 6pm) You need to test your BG every hour (easier with a Libre/ CGM). If your basal is at the right level, in theory your BG shouldn't fluctuate by more than 1.6 mmol/L. I think work on the following rule of thumb: If BG values rise more than 1.6 mmol/l: increase your basal rate by 10-20% If BG sink more than 1.6 mmol/l: lower your basal rate by 10-20% However, unless you are on a pump you might not be able to find the right level for the whole day. I suffer dawn phenomenon and could never find a dose (even my moving the timing of my basal insulin) that corrected for that without also pushing me into Hypos in the afternoon. Hope that helps a bit. Good luck :) [/QUOTE]
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