Insulin sensitivity interesting ...will ask at my review in December ta ... Also say this morning was 6.7 BG before drive to work ...had no food ...got 2 work and was 9.6???? Basal goes up from 6am ...6.7 BG at 7 am then 9.6 BG at 7.45...ate nothing ...you start to think how do you control random problems ???@Jeannie3 a jump from 9.9 to 13 is a little bit much but there's too much going on here to make any suggestions.
Did you have lunch at 1.30pm, so were 13 two hours later?
Did Bolus Wizard give a correction at lunch? (It should have, unless you still had active insulin from earlier).
You say your bolus ratio is 7g carbs to 1 unit of insulin. You say this is 1:13 but it is actually 1:7. (You can check by going to Menu, Insulin Settings, Bolus Wizard Setup, Carb Ratio).
Not everyone has the same carb ratio throughout the day. Perhaps you could ask your DSN if she thinks a change is necessary at lunchtime.
Also, if you did have a correction this morning and it didn't bring you within target, it could be your Insulin Sensitivity Factor needs to be changed. (We can also have different sensitivity factors for different times of day.)
I presume you have done a basal test by fasting at lunchtime. If not, check that before anything else.
If there's anything you're not sure of, check with your DSN.
Thank you so much for your advice ..will ask Consultant in AprilI also "suffer" dawn phenomenon and used to be on Novorapid until almost a year ago
Asked my diabetologist to switch me from it to Fiasp (which is Novorapid with an added vitamin which makes it work much more quickly from 2 mins right up to 5 hours).
I can't understand why people who are on Novorapid aren't changed to Fiasp.
Maybe a change to Fiasp after consulting your diabetologist might help you get the effects of dawn phenomenon back into target range more quickly
Can i ask what you increased basal by at lunchtime and was it only 30 min blast?When I was working, my BG used to jump to high teens 2 hours after breakfast but when I increased bolus I would go hypo later in morning. My DSN suggested using an increased temporary basal for 30 minutes at breakfast, instead of the increased bolus. It took a bit of trial and error (starting low and working up) but eventually I found a level that worked for me. Maybe you need something like this at lunchtime.
@Jeannie3 do you mean you don't know how to do a lunchtime basal test or how to adjust your Insulin Sensitivity Factor?Thank you ...not sure if im replying to you ...wanted to follow your advice but not sure how i can do this ...will have to try n find info
Everyone is different. I started with a temporary basal of 120% for 30 minutes and worked up. I kept it at 30 minutes, though tried an hour once and went hypo . . . but I am insulin sensitive, so have to be very careful.Can i ask what you increased basal by at lunchtime and was it only 30 min blast?
Thanks for that ...see what u mean ...used it this morning as 9.5 BG was 6Bg at 12.00 noon so ok in morning ...think my probs are always lunch time ....will try 30 min basal increase slightly n note thinks ...thank you for your help@Jeannie3 do you mean you don't know how to do a lunchtime basal test or how to adjust your Insulin Sensitivity Factor?
I presume it's the 2nd one. The insulin sensitivity factor is found in Bolus Wizard (Menu, Insulin Settings, Bolus Wizard Setup, Insulin Sensitivity Factor,)
you will have at least one entered there (I have 3). This is the number of mmol/l that 1 unit of insulin will reduce your blood glucose. For instance, if you have 4 entered, this means that one unit of insulin will reduce your blood sugar by 4. If you consistently find that you are still high hours after correcting, then maybe you need a higher correction, maybe 3.5 (that's 1 unit of insulin will reduce your blood sugar by 3.5) or lower.
You will notice there is a time section, so you can, if necessary, have a different correction factor for different times of day.
Insulin sensitive ??? What is that...poor uEveryone is different. I started with a temporary basal of 120% for 30 minutes and worked up. I kept it at 30 minutes, though tried an hour once and went hypo . . . but I am insulin sensitive, so have to be very careful.
They are quite good in that only have to inject the cannula every 2 to 3 days ...however its a task to get your overall rates of insulin input right and get overall good BG control ...everyone is different tho im sure you will find it good
They are quite good in that only have to inject the cannula every 2 to 3 days ...however its a task to get your overall rates of insulin input right and get overall good BG control ...everyone is different tho im sure you will find it good
I use small amounts of insulin. Big changes to basal or bolus cause havoc. When on injections, I had to use a half unit pen, as increases of one unit sent me hypo. At the time they only made half unit pens for children, so I had a nicely patterned NovopenInsulin sensitive ??? What is that...poor u
Hi @Jeannie3, It sounds like your basal in the morning may need adjustment. Mind you the stress of driving to work may increase BSLs. Most of us pumpers, whatever pump find that we need more insuin for boluses (and therefore lower carb g per unit than later in the day.Insulin sensitivity interesting ...will ask at my review in December ta ... Also say this morning was 6.7 BG before drive to work ...had no food ...got 2 work and was 9.6???? Basal goes up from 6am ...6.7 BG at 7 am then 9.6 BG at 7.45...ate nothing ...you start to think how do you control random problems ???
They are quite good in that only have to inject the cannula every 2 to 3 days ...however its a task to get your overall rates of insulin input right and get overall good BG control ...everyone is different tho im sure you will find it good
Thats an added horror for you ...people dont realize how hard it is to control ehI use small amounts of insulin. Big changes to basal or bolus cause havoc. When on injections, I had to use a half unit pen, as increases of one unit sent me hypo. At the time they only made half unit pens for children, so I had a nicely patterned Novopen
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