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<blockquote data-quote="MinaRotter" data-source="post: 1661738" data-attributes="member: 461913"><p>I am 49 and male - so hormones shouldn't be as much of a problem to me <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> - but I am exactly the same as you. I have had a pump for 10 years and initially spent more time adjusting the basal rate than not. I ended up setting 5 different basal patterns that I can now switch to as soon as things go pear shaped (they do - often!). My patterns range from 23u/day to 27.925u/day. So for example if I start getting a lot of lows, I will reduce to a lower daily basal pattern and vice versa. Despite this I still often find that I need to tweak the basal but sometimes I can go several weeks on the same basal. I have stage 4 CKD and my eGFR is quite variable. My previous consultant in Liverpool thought this may be the cause. I am not so sure as I think my insulin requirements have always been variable - at least I find it much more controllable on the pump than on daily injections (where it was impossible). </p><p></p><p>Obviously intercurrent infections will significantly affect your insulin requirements - symptomatic or not. This was one of the first things I was checked for when I first started pump therapy and my frequent basal rate adjustments became apparent. UTI's are a classical cause of increased insulin requirements despite being a "silent" infection.</p></blockquote><p></p>
[QUOTE="MinaRotter, post: 1661738, member: 461913"] I am 49 and male - so hormones shouldn't be as much of a problem to me :) - but I am exactly the same as you. I have had a pump for 10 years and initially spent more time adjusting the basal rate than not. I ended up setting 5 different basal patterns that I can now switch to as soon as things go pear shaped (they do - often!). My patterns range from 23u/day to 27.925u/day. So for example if I start getting a lot of lows, I will reduce to a lower daily basal pattern and vice versa. Despite this I still often find that I need to tweak the basal but sometimes I can go several weeks on the same basal. I have stage 4 CKD and my eGFR is quite variable. My previous consultant in Liverpool thought this may be the cause. I am not so sure as I think my insulin requirements have always been variable - at least I find it much more controllable on the pump than on daily injections (where it was impossible). Obviously intercurrent infections will significantly affect your insulin requirements - symptomatic or not. This was one of the first things I was checked for when I first started pump therapy and my frequent basal rate adjustments became apparent. UTI's are a classical cause of increased insulin requirements despite being a "silent" infection. [/QUOTE]
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