1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2021 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Fasting.....

Discussion in 'Insulin Pump Forum' started by Debloubed, Mar 1, 2010.

  1. meela83

    meela83 · Well-Known Member

    Messages:
    84
    Likes Received:
    0
    Trophy Points:
    26
    Hi Deb
    I completely agree fasting is hell! I need to do mine again as I know my basals aren't right but just can't bring myself to do it. Running after 30 kids all day and no food is a bad combination lol :wink:
     
  2. Debloubed

    Debloubed Type 1 · Well-Known Member

    Messages:
    828
    Likes Received:
    126
    Trophy Points:
    83
    am going to do the easy option tonight, bed at midnight, test and set the alarm for 2am, 4am and 6am - heck, I get up at 6am anyway so shouldn't be too hard! am leaving the 10am-6pm one til a day when I am not hungry.............which should be on the 12th of never gonna happen!!! :lol:
     
  3. sugar2

    sugar2 · Well-Known Member

    Messages:
    833
    Likes Received:
    10
    Trophy Points:
    38
    Candlelight! ermm, watch out for the hot wax!

    I do have a question though. I am new to pumping too, and have tried the midngth to 5am fast..and have been trying to tweak my basal to get this right. In your experience, should I
    a try and get this time period right, before moving on to the next one or
    b move through the day, making gradual improvements to each time period in turn, before returning to the orginal timeslot and repeating teh process?


    I have years of mdi experience, and know that sometimes an injection you did yesterday, can affect what happens today, but as far as I know, withteh pump, and teh rapid insulins go, it is all over in about 4 hours, so there is no reason why I shouldn't focus on this time perios first?

    I want to get this one nailed, as i am due to go away with work for a week, and don't want things to go wrong, whilst on my own in a hotel when I am asleep,

    Any advice or experience, very much appreciated!
     
  4. Debloubed

    Debloubed Type 1 · Well-Known Member

    Messages:
    828
    Likes Received:
    126
    Trophy Points:
    83
    Hi ya, not sure I am the best person to offer advice being a newbie myself but my plan is to take each time slot at a time, as perhaps each change will have a knock on effect? I guess the main thing is we are all different so what works for me may not work for you, unfortunately! I am waiting til my next appt next week before I make any tweaks as I am just not confident enough yet :?
     
  5. kegstore

    kegstore · Well-Known Member

    Messages:
    771
    Likes Received:
    3
    Trophy Points:
    38
    I tend to deal with each fasting slot separately, I don't necessarily do them in strict order or even on consecutive days. What you change - if you need to - depends to a great extent on the insulin you're using, because there will still be a delay you need to account for.

    For example with Apidra if I got a high reading at 2pm I'd want to increase basal at 1pm to counter it. For NovoRapid I'd probably make the change an hour earlier at midday. Also remember that insulins affect people differently, so you need to work with your situation which is unique (and the most important!).

    If you haven't got it already, there's a very good book worth buying and reading (several times): "Pumping Insulin" by John Walsh, contains some very useful info on this topic and many others.
     
  6. Brava210

    Brava210 Type 1 · Well-Known Member

    Messages:
    139
    Likes Received:
    52
    Trophy Points:
    88
    I did a fasting last night from 00:00 to 06:30, i had a slight peak at 4-5 should I adjust for this.
    My readings were a steady 9.2- 8.9.

    Also is it ok to carry on fasting until 13:30 therefore doing 2 back to back :?

    Gary
     
  7. Debloubed

    Debloubed Type 1 · Well-Known Member

    Messages:
    828
    Likes Received:
    126
    Trophy Points:
    83
    Hi, I guess it depends on what your targets are? 8-9 would be a bit high for me, but did you set some target levels with your DN? Can you call him/her to double check?

    as for continuing the fast, I don't see why not but I am not particularly experienced (or competent!) at fasting. I'm sure someone else who has done more fasting will be along in a minute :D
     
  8. jopar

    jopar · Well-Known Member

    Messages:
    2,222
    Likes Received:
    104
    Trophy Points:
    83
    Hi Gary

    Can see from your siguture that you only just gone onto the pump...

    At the moment I would be tempted to leave the night -time adjustments, until you've looked at what your day time basal is doing..

    Your blood glucose is maintaining itself very steady, all be it a tad on the higher side.. What you need to do now, is suss out what the day time is up to as this will give a better picture for any adjustments that you might need over-night... If you are running at a good steady level, throughout the day, but this is around the 9ish mark or you get a period of time in the day, that you increase then I would change here first.. Then see how this effects your night readings, it might pull these more into line naturally..

    As to fasting, well you can do a 24 hour fasting if you really wanted to.. As long as you took the prcautions of adbandoning if Blood Glucose goes too high or too low and take the appropiate actions... Spliting fastings into sectors is really done so that it's easier for us to carry them out.
     
  9. Brava210

    Brava210 Type 1 · Well-Known Member

    Messages:
    139
    Likes Received:
    52
    Trophy Points:
    88
    Thanks Jopar, I managed another 6 hour fasting from 6:30 to 13:30 blood levels were at a steadyish 9.5. my current basal rate is 0.750.. I am just keen to tweak to get the level a bit lower.
    I had a 70 g carb meal at 13:35 my pre level was 7.2 but 2 hours later it was 14.4 which is a bit steep

    Gary
     
  10. jopar

    jopar · Well-Known Member

    Messages:
    2,222
    Likes Received:
    104
    Trophy Points:
    83
    Ouch..

    Could be that you might need to change your dinner-time ratio's, but the only real way of telling is to carry out an afternoon fasting to see whats happen, to determin if it's the ratio or the basal rate.. But don't try to alter too much as one go otherwise you won't know which did or didn't do the trick or not...

    I would wait a couple of days, and monitor your levels closely over dinner, might give you a notion to whats happening..
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook