Oh pump gurus, I throw myself once again on your mercy
I was wondering what your widest range of basal rates was? All the information I have gathered from the web seem to show basal rates changing by maybe 0.5 maximum. (So lowest at any point in the day is 0.4, highest is 0.9)
The reason I ask is I’ve done my first lot of overnight basal rate testing, and I “think” in order to correct my dawn phenom I’m going to have to almost treble my basal rates in the wee small hours (1u/h is baseline, but looks like I need closer to 3u/h when DP kicks in.)
I’ve increased to 1.5u/h to little or no effect so far – the only way is up (so they say!) from here
I have a tendency to go low around 4pm (that’s the whole reason I went on the pump in the first place) so my basal rate for a few hours around there is a tiny 0.2 u/h.
My highest is 0.9 u/h, so a 0.7 unit range. I’m surprised by how high your ranges are – I thought my requirements were pretty large, though, proportionally, my highest IS more than 4 times my lowest, quite a difference. Perhaps that’s a more accurate way of determining how ;
I feel I should point out the caveat that I’m on steroids on the moment, and most of the swing I have is to deal with the massive peak of insulin resistance I get in the afternoon when they kick in. Before I started on the steroids my basals ranged from about 1.1 U/hr to 1.9 U/hr. I know other people who have a massive rise in the morning to cope with dawn phenomenon. My diabetes clinic are very much of the opinion that whatever level of insulin you need to keep your BG in range is what’s right for you, and everyone is different.
My god, @angie, that’s getting close to @teloz territory with that much insulin
I range (on my lowest basal setup – it changes with hormones by up to 50%) from 0.66 to 0.72 But I am quite sensitive to insulin. And my dawn phenomenon disappeared when I went on the pump (so was obviously caused by the Lantus effect).
So that’s a range of 0.35 over the day. It’s incredible the tiny amounts that make such a difference. And such a shame there isn’t a standard basal rate pattern that would suit us all, it’d save so much work!
I freak out about not eating, having never missed a meal for 40 years. I’ve tried, but I always break sometime round about 5 minutes after the start of my breakfast. I just can’t do without tea in the morning. Or grapefruit. It’s an addiction.
I just did basal testing one section of day at a time – nights first (to get them out the way ASAP), then mornings, then evenings. I took the view that I could probably live off my hump and safely not eat for twelve hours without dying, so it wasn’t much of a problem.