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Type 1 Diabetes
How often are you high?
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<blockquote data-quote="KarenAdamson" data-source="post: 992483" data-attributes="member: 196746"><p>Hi Sophie louise. I did a four week course before deciding if I would get any benefit from a pump. We kept a daily food and insulin diary. To check our Basal insulin we had to check our overnight BG two nights during the first week. We got up twice during the night and checked our BG. We also checked or BG as soon as we got up. We had a small snack before bed of 15 to 20 gms carb which should mean your BG is about the same level as it was before we went to bed. If however your BG is too low then we adjusted the basal insulin down by a couple of units and repeated the nigh time tests until we had reached a good level before and after sleeping. Once your basal dose is sorted you can then check your bolus insulin ratio is correct. It's possible you need different ratios for different times of day and for every persons ratios are different. Being a woman your hormones can also affect your ratios when you are menstruating but if you know this you can adjust your ratio at that time of the month. You don't mention if your highs are at the same time of day or not every day, but keeping a food diary may help you narrow down where the problem is. I use the Aviva Accu-chek Expert meter which allows you to set different bolus ratios for different times of the day and allows you to set for different life events such as exercise or times of the month by either reducing or increasing the ratio by a certain percentage if you need it. It makes my life easier as once you set you correct ratios it tells you how much insulin you need according to your BG. To use this meter you need your correct ratios and adjustment doses first though so good luck getting it sorted.</p></blockquote><p></p>
[QUOTE="KarenAdamson, post: 992483, member: 196746"] Hi Sophie louise. I did a four week course before deciding if I would get any benefit from a pump. We kept a daily food and insulin diary. To check our Basal insulin we had to check our overnight BG two nights during the first week. We got up twice during the night and checked our BG. We also checked or BG as soon as we got up. We had a small snack before bed of 15 to 20 gms carb which should mean your BG is about the same level as it was before we went to bed. If however your BG is too low then we adjusted the basal insulin down by a couple of units and repeated the nigh time tests until we had reached a good level before and after sleeping. Once your basal dose is sorted you can then check your bolus insulin ratio is correct. It's possible you need different ratios for different times of day and for every persons ratios are different. Being a woman your hormones can also affect your ratios when you are menstruating but if you know this you can adjust your ratio at that time of the month. You don't mention if your highs are at the same time of day or not every day, but keeping a food diary may help you narrow down where the problem is. I use the Aviva Accu-chek Expert meter which allows you to set different bolus ratios for different times of the day and allows you to set for different life events such as exercise or times of the month by either reducing or increasing the ratio by a certain percentage if you need it. It makes my life easier as once you set you correct ratios it tells you how much insulin you need according to your BG. To use this meter you need your correct ratios and adjustment doses first though so good luck getting it sorted. [/QUOTE]
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