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<blockquote data-quote="irrationalJohn" data-source="post: 1006075" data-attributes="member: 187593"><p>Here is my opinion.</p><p></p><p>Yes, it's always best to wait and see if there is a pattern before making longer term changes to things like basal which lurk in the background and can get forgotten. Proceeding cautiously is reasonable, no?</p><p></p><p><strong><u>But</u> on the other hand</strong>, wasn't part of the purpose of getting a pump to have more flexibility and to break out of the prison of being forced to "eat to your insulin"? I think when it is obvious that you are going hypo low then you should set a temp basal to reduce your basal. Why on earth would you want to continue to push insulin into your body when you are already either going hypo or know that you will be hypo not too long from now?</p><p></p><p>Another approach which might not occur to someone new to the pump is to do a temp basal when your pump shows that you probably still have Active Insulin but you are already in your target BG range and do not expect your BG to rise from a meal. Rather than eat to cover that pending active insulin, you can just temp reduce your basal and let the Active Insulin cover the basal.</p><p></p><p>Based on my experience, the most attractive thing about a Temporary Basal is that it <strong>is</strong> <em>temporary</em>. You set a time period and after that time period your basal rate pops back to the regular setting at that time of day. <em>You don't have to worry about remembering to change it back.</em> This just happens automagically when the clock runs out.</p><p></p><p>Just sayin', with a pump you have (other) options. That's sorta the point, no? <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /></p></blockquote><p></p>
[QUOTE="irrationalJohn, post: 1006075, member: 187593"] Here is my opinion. Yes, it's always best to wait and see if there is a pattern before making longer term changes to things like basal which lurk in the background and can get forgotten. Proceeding cautiously is reasonable, no? [B][U]But[/U] on the other hand[/B], wasn't part of the purpose of getting a pump to have more flexibility and to break out of the prison of being forced to "eat to your insulin"? I think when it is obvious that you are going hypo low then you should set a temp basal to reduce your basal. Why on earth would you want to continue to push insulin into your body when you are already either going hypo or know that you will be hypo not too long from now? Another approach which might not occur to someone new to the pump is to do a temp basal when your pump shows that you probably still have Active Insulin but you are already in your target BG range and do not expect your BG to rise from a meal. Rather than eat to cover that pending active insulin, you can just temp reduce your basal and let the Active Insulin cover the basal. Based on my experience, the most attractive thing about a Temporary Basal is that it [B]is[/B] [I]temporary[/I]. You set a time period and after that time period your basal rate pops back to the regular setting at that time of day. [I]You don't have to worry about remembering to change it back.[/I] This just happens automagically when the clock runs out. Just sayin', with a pump you have (other) options. That's sorta the point, no? ;) [/QUOTE]
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