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Where do I start with making changes?

Discussion in 'Insulin Pump Forum' started by Dragonflye, Mar 30, 2012.

  1. Dragonflye

    Dragonflye Type 1 · Well-Known Member

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    Hey all!!!

    I was wondering if anyone could help me?

    I have recently found out I am pregnant again (unplanned but happy) and wont be seeing my DSN for another week. I can now explain what has been happening to my sugars over the last couple of months but I have now idea with where to start making changes.

    During the night seems easyish to handle, though its the day im struggling with. I cant really do fasting tests now so how do i figure out if its the basal or bolus that needs changing?

    Im pretty much hypo 80% of the time now but cant figure out where to start. Im figuring ill probably need to drop both basal and bolus, but which do i do first? basal and see how it goes over a day or so, bolus and see how it goes or both? its just ive had ketones which is worrying me now (MDI on previous 2 pregnancies and didnt have these same problems) so dont want to drop insulin so much and risk running high!!!
     
  2. MushyPeaBrain

    MushyPeaBrain Type 1 · Well-Known Member

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  3. phoenix

    phoenix Type 1 · Expert

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    Never been a pregnant diabetic so am quoting from Walsh's book,
    reduction in insulin needs is normal during weeks 7-12
    basal and boluses may need to be reduced.
    A reduced basal and a large snack may be needed to keep the blood sugar dropping during the night
    not really much help; so the answer is phone your doc!
     
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