| Starting on a pump Basal/Bolus question Got the Cozmo for my daughter last Thursday with the hope of
starting the next day, but we had to wait for Monday (which
was very upsetting for me but it is water under the bridge now).
So the diabetes Educator started her on a 0.2/h basal and 1/30
ratio for bolus, even though her numbers from the night before
starting on the pump, with no Lantos, were constant - showing
her own insulin production (yes, still in honeymoon) is covering
for basal.
Over the last 2 days we saw these numbers:
12A 3A 6A 9A 10A 12P
Mon 92 86 124
Tue 150 132 108 199 134 84
Wed 172 142 118 233
12P 2P 4P 6P 7P 9P
Mon 124 129 95 72 107 163
Tue 84 144 70 118 179
Wed
To me, this shows that the bolus for meals (6AM, 12PM, and 7PM)
need to increase (we already did that and went from 1/30 to 1/25)
and basal reduce.
Any ideas/observations/similar experiences from anyone?
I would probably not make any drastic changes, at least during the
first 3 days on the pump, without the approval of the DE, but after
that...
Also, my daughter used to get twice the dose of Novolog in the
morning compared to the evening dose and now she was told to
use the same insulin to carb ratio throughout the day, which is probably
the main reason for her numbers. Any comments/info about this to
will be great.
Thanks |