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Type 1 Diabetes
Pumps - How Often Do You Need To Change You Basal Rate?
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<blockquote data-quote="kitedoc" data-source="post: 1839751" data-attributes="member: 468714"><p>Hi [USER=288591]@deborabaratto[/USER],</p><p>I am unsure of your age ( and it is no my place to ask a lady) but I do recall <strong>in teenage years </strong>(13 to 20) having lots of what my specialist called<strong> 'growth spurts'</strong>. </p><p>What that meant was<strong> hormones promoting growth</strong> would have a burst of activity,<strong> causing my insulin resistance to go up </strong>and hence <strong>my insulin dose requirement would double and more </strong>for some weeks along <strong>with an increase in appetite and need for more food</strong>, and then drop back (this was in the days before glucose meters, fancy insulins, pumps etc) - so the <strong>end of the growth spurt</strong> would announce itself <strong>by the beginning of hypos and the need for me to drop my insulin dose back pronto</strong>! (this was also before basal/bolus regimes and so it involved my short-acting and long acting insulin which was twice daily. (I was diagnosed at age 13 in 1966 and consider myself a grown up kid) I think of that time like <strong>sailing through an ocean swell</strong> and also related it to the music -<strong> Flight of the Valkyrie , by Wagner </strong>(also I thing theme tune for the movie; Apocalypse Now.</p><p>Being a guy I did not have the <strong>added ups and downs that I have heard are associated with monthly cycles</strong>.</p><p>Nowadays <strong>for exercise</strong> I will reduce my pump's basal rate by<strong> 20 to 30% for 4 to 6 hours</strong>, noting that hypos tend to be more likely to occur at the 6 + work mark. And 'top up' with something to eat if need be. <strong>BUT I do not exercise if my bsls are 13 mmol/l +</strong> as my liver tends to put out glucose at the level when I exercise, which only makes matters worse. (not sure why the body does this, maybe something to do with the body cells starving while all that glucose floats around in the blood).</p><p>I hope my 'sea faring' tale might ring some bells and provide some possible reasons for the mystery and frustration that is diabetes! Of course your doctor and dsn are invaluable members of the 'crew' from whom to seek advice about all of the above..</p><p>Best Wishes.</p></blockquote><p></p>
[QUOTE="kitedoc, post: 1839751, member: 468714"] Hi [USER=288591]@deborabaratto[/USER], I am unsure of your age ( and it is no my place to ask a lady) but I do recall [B]in teenage years [/B](13 to 20) having lots of what my specialist called[B] 'growth spurts'[/B]. What that meant was[B] hormones promoting growth[/B] would have a burst of activity,[B] causing my insulin resistance to go up [/B]and hence [B]my insulin dose requirement would double and more [/B]for some weeks along [B]with an increase in appetite and need for more food[/B], and then drop back (this was in the days before glucose meters, fancy insulins, pumps etc) - so the [B]end of the growth spurt[/B] would announce itself [B]by the beginning of hypos and the need for me to drop my insulin dose back pronto[/B]! (this was also before basal/bolus regimes and so it involved my short-acting and long acting insulin which was twice daily. (I was diagnosed at age 13 in 1966 and consider myself a grown up kid) I think of that time like [B]sailing through an ocean swell[/B] and also related it to the music -[B] Flight of the Valkyrie , by Wagner [/B](also I thing theme tune for the movie; Apocalypse Now. Being a guy I did not have the [B]added ups and downs that I have heard are associated with monthly cycles[/B]. Nowadays [B]for exercise[/B] I will reduce my pump's basal rate by[B] 20 to 30% for 4 to 6 hours[/B], noting that hypos tend to be more likely to occur at the 6 + work mark. And 'top up' with something to eat if need be. [B]BUT I do not exercise if my bsls are 13 mmol/l +[/B] as my liver tends to put out glucose at the level when I exercise, which only makes matters worse. (not sure why the body does this, maybe something to do with the body cells starving while all that glucose floats around in the blood). I hope my 'sea faring' tale might ring some bells and provide some possible reasons for the mystery and frustration that is diabetes! Of course your doctor and dsn are invaluable members of the 'crew' from whom to seek advice about all of the above.. Best Wishes. [/QUOTE]
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Pumps - How Often Do You Need To Change You Basal Rate?
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