Quote:
Originally Posted by seacomp Usually people are started at 10 U and work their way up. The normal basal requirement is about 1 unit per hour or 24 units per day. Certainly evryone can vary from that but 9 units seems really low.
If you are going down after meals, I'd suspect the meal bolus (you do take a bolus per meal?) to be too big.
Skip a meal, and watch your Bg for a few hours If still goes down your basal level is still too high, but if the Bg goes up, the basal is low.
There is no a priori reason, BTW, why you couldn't have a dose as small as you can get it; half unit. It just wouldn't do very much. | My bloodsugars actually go way up after meals and then come crashing....so I've concluded (with the help of some suggestions on here) that it was my basal that was the problem. After reducing it by 2 units and seeing a drastic improvement in stability, I'm now convinced that was/is the right approach. If it was too low all morning or all afternoon, I would think it was the bolus, but I used to have to hit 15-17mmol/L (270-310mg/dL) after breakfast if I didn't want to be low by lunch. On my reduced Levemir now, I had a day last week where I was 8mmol/L (~150 mg/dL) two hours after breakfast, and 6 (~110mg/dL) by lunch. That's some progress! So I really do feel like I'm on the right track by reducing the basal. I just want to make sure I don't reduce it too much.
__________________ ~ Bethany ~ Type 1 since I was 3 (1981) - 26 years now
Pumping as of Sept. 13, 2007 - Paradigm 522 with NovoRapid (Novolog)
(Previously on Levemir and Humalog)
CGMS as of Apr. 2008
Laser treatments (scatter) on both eyes - Jul. 4, 2007-Sept. 12, 2007 |