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Message: <blockquote data-quote="catapillar" data-source="post: 1568854" data-attributes="member: 32394">I think us TBR or apply a pmt basal profile is probably the best advice you are going to get.Certainly pre pump I would increase my levemir dosage for a few days when I worked out I was ovulating and then for 5-7 days before coming on, because for those sections of my cycle I was more insulin resistant. Of course, as soon as I came on all the hormones would change and I would drop through the floor and need to make sure the levemir was dialled back accordingly. I wasn't regular enough to pre empt that well enough so first day of my period caused a few pretty severe hypos.The fact is, how hormone through a cycle impact on insulin sensitivity and insulin requirements are going to be different for every diabetic, some won't notice any impact and some will really fight with it. It's not unusual to notice increased insulin resistance immediately preceding a period, but apparently it's quite unusual to be able to know when you are ovulating from changes in insulin requirements. It's way too individual for you to expect any further advice from your DSN. And I doubt anyone's cycle is going to be that predictable that you can rely on it to be increasing basal rates like clock work and not inadvertently causing hypos - you just have to be flexible, keep an eye on blood sugar results and increase with a TBR or switch to a higher basal profile when necessary.The hormone testing might actually help you to confirm that changes in insulin requirements do correlate to changes in hormones - if the hormone testing will map out what hormones look like through the month. The other thing I looked at to try and plan when I might need more insulin according to my cycle was the app Natural-cycles - it's really a contraceptive app that tells you when you are and aren't fertile my tracking your period and regular temperature monitoring, but essentially that's telling you when you are ovulating (because obviously that's the time when you are fertile) and when you are going to come on. Although I've not tested that yet because a change in diet caused 12 month with no periods and very irregular periods for the last 6months and I've not noticed such an insulin requirement impact from my cycle since it started again because I don't think the hormonal cycle has really established itself yet.</blockquote>

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