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Type 1 Diabetes
Persistent high blood sugars
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<blockquote data-quote="StewM" data-source="post: 2474102" data-attributes="member: 538114"><p>I had an illness almost identical to this recently. </p><p></p><p>The fact you’re having to give your Bolus extra time to start working is a classic sign of Basal being too low.</p><p></p><p>I do understand your DN’s worry about going too high with your Basal. One thing you can do, even though it’s not ideal either, is increasing your Bolus ratios. Bolus really isn’t supposed to do the Basal’s job, but it would at least take some of the “edge off”. You may find you’ll still need corrections on top, as it’s likely going up between meals as well as because of meals. However the advantage with this method is it’s easy to switch back to normal doses quickly once your usual needs reassert themselves. </p><p></p><p>You might also consider temporarily reducing your correction factor, as if your Basal’s insufficient it will take more Insulin to bring you back to normal.</p><p></p><p>If you can even get back to the 10s from 20s you’ll probably begin to feel a lot better to.</p></blockquote><p></p>
[QUOTE="StewM, post: 2474102, member: 538114"] I had an illness almost identical to this recently. The fact you’re having to give your Bolus extra time to start working is a classic sign of Basal being too low. I do understand your DN’s worry about going too high with your Basal. One thing you can do, even though it’s not ideal either, is increasing your Bolus ratios. Bolus really isn’t supposed to do the Basal’s job, but it would at least take some of the “edge off”. You may find you’ll still need corrections on top, as it’s likely going up between meals as well as because of meals. However the advantage with this method is it’s easy to switch back to normal doses quickly once your usual needs reassert themselves. You might also consider temporarily reducing your correction factor, as if your Basal’s insufficient it will take more Insulin to bring you back to normal. If you can even get back to the 10s from 20s you’ll probably begin to feel a lot better to. [/QUOTE]
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