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Different sites and absorption rates
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<blockquote data-quote="iHs" data-source="post: 1111328" data-attributes="member: 8799"><p>Basal rate testing and adjusting them correctly is hard going if you dont know how much to adjust the basal rates by to achieve the target bg that you want so have a look at the Basal Rate Adjustment guide by Think Like A Pancreas (google it) as it explains the adjustment needed a bit easier than Pumping Insulin especially if a small daily dose is being used.</p><p></p><p>Regarding insulin absorption.......best to keep to using one type of infusion set inserted in the same area and basal test for that than changing set types and areas as it gets confusing. Try getting up in the night about 2am and then stay up until morning and bg test every hour while watching tv and then see what the bg levels do every hour. Remember that any basal rate adjustment will have an impact on bg control up to 4hrs later so some basal time slots you will need to adjust and some you wont. Much is trial and error just like using MDI</p><p></p><p>I only basal test if I am due to go in hospital and wont be able to drink any tea or coffee but otherwise I just tweak my basals according to when my bg levels start changing and the same pattern happens over 2 days. I then tweak the offending rates so that day 3 is a bit better but sometimes I have found it better to leave the basal alone and just alter the carb ratio.</p></blockquote><p></p>
[QUOTE="iHs, post: 1111328, member: 8799"] Basal rate testing and adjusting them correctly is hard going if you dont know how much to adjust the basal rates by to achieve the target bg that you want so have a look at the Basal Rate Adjustment guide by Think Like A Pancreas (google it) as it explains the adjustment needed a bit easier than Pumping Insulin especially if a small daily dose is being used. Regarding insulin absorption.......best to keep to using one type of infusion set inserted in the same area and basal test for that than changing set types and areas as it gets confusing. Try getting up in the night about 2am and then stay up until morning and bg test every hour while watching tv and then see what the bg levels do every hour. Remember that any basal rate adjustment will have an impact on bg control up to 4hrs later so some basal time slots you will need to adjust and some you wont. Much is trial and error just like using MDI I only basal test if I am due to go in hospital and wont be able to drink any tea or coffee but otherwise I just tweak my basals according to when my bg levels start changing and the same pattern happens over 2 days. I then tweak the offending rates so that day 3 is a bit better but sometimes I have found it better to leave the basal alone and just alter the carb ratio. [/QUOTE]
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