Been on pump since January so still learning BG was 7.4 at lunch time 12.30pm had 58g carbs at 4pm blood sugars at 12.9 had to do correction. Current basal rate was 1.7 per hour on fiasp. Was on 38 units of tresiba before pump current basal on pump is currently 40.05 any information would be gratefully appreciated
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Basal
- Thread starter Dazza 2
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Hi @Dazza 2 and welcome to the forum 
Your insulin needs do change over time, however see if there is a repeat pattern first today before checking your basal and doing some basal tests, I tend to look for repeat patterns before taking action, as it could of been down to what I was eating or another reason.
Your insulin needs do change over time, however see if there is a repeat pattern first today before checking your basal and doing some basal tests, I tend to look for repeat patterns before taking action, as it could of been down to what I was eating or another reason.
kitedoc
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Hi @Dazza 2, Welcome.
As far as determining what effect your bolus dose of insulin (before meal such as before lunch in this case) is having the usual time to test BSL after a meal is about 2 hours but to suss this out further maybe a 2 hours, 3 hours and 4 hours to see what is happening to BSLs due to that 58 g of carbs.
Are you carb counting and using an insulin to carbs ratio to determine your bolus dose before meals?
Some of us use continuous glucose monitoring devices to obtain a continuous type of graph of BSLs to save on finger pricks.
But meantime the above 2. 3. 4 hours would help you see what is happening. If you do that you have information to discuss with your nurse /doctor to see whether there is a need to alter diet, bolus dose or both. Same for after breakfast and after dinner meals.
To see what your basal insulin pump program in doing there is a suggestion: look at the Home page and type into the question box upper right 'basal testing' to see how that is done.
Just to warn you that in my experience when i tried to do a 24 hour fast, that is skipping 3 meals and just relying on my basal insulin pump program, I started to develop ketones * at about the 16 hour mark. Those ketones seemed to cause my BSLs to rise as they tend to interfere with the effectiveness of the insulin and so the resulting BSLs would not be accurate.
So that is why I do the basal testing in lots of 6 hours or 12 hours at the most.
* some blood glucose meters can measure blood ketones with special strips as well as blood glucose with the usual strips
I hope that starts to answer your question, but as always please keep asking about this or anything else.
Best Wishes
As far as determining what effect your bolus dose of insulin (before meal such as before lunch in this case) is having the usual time to test BSL after a meal is about 2 hours but to suss this out further maybe a 2 hours, 3 hours and 4 hours to see what is happening to BSLs due to that 58 g of carbs.
Are you carb counting and using an insulin to carbs ratio to determine your bolus dose before meals?
Some of us use continuous glucose monitoring devices to obtain a continuous type of graph of BSLs to save on finger pricks.
But meantime the above 2. 3. 4 hours would help you see what is happening. If you do that you have information to discuss with your nurse /doctor to see whether there is a need to alter diet, bolus dose or both. Same for after breakfast and after dinner meals.
To see what your basal insulin pump program in doing there is a suggestion: look at the Home page and type into the question box upper right 'basal testing' to see how that is done.
Just to warn you that in my experience when i tried to do a 24 hour fast, that is skipping 3 meals and just relying on my basal insulin pump program, I started to develop ketones * at about the 16 hour mark. Those ketones seemed to cause my BSLs to rise as they tend to interfere with the effectiveness of the insulin and so the resulting BSLs would not be accurate.
So that is why I do the basal testing in lots of 6 hours or 12 hours at the most.
* some blood glucose meters can measure blood ketones with special strips as well as blood glucose with the usual strips
I hope that starts to answer your question, but as always please keep asking about this or anything else.
Best Wishes
LooperCat
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Morning
Getting your basal right is the key to all of this, try this link: https://mysugr.com/basal-rate-testing/
Getting your basal right is the key to all of this, try this link: https://mysugr.com/basal-rate-testing/
Chas C
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As already mentioned you may need to test in 6-8 hour blocks with no food. Your BG's need to be stable before you test and you need to be less active if you can for each session. Spread them out over a week or so. Its very likely you will need to repeat this a good few times over a 2-3 month period, after which your basal's should match your needs. I found that a CGM significantly helped/helps me when needing to adjust basal levels.
Thanks for reply@Dazza 2 it does seem like a lot of effort and needs a bit of will power but you will see the results once your done.
