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Old 04-24-2008, 11:12 PM
Eddy's Avatar
Eddy Eddy is offline
Senior Member
I am a: Type 1
 
Join Date: Jan 2008
Location: Kansas, US
Posts: 911
making sense of basal/bolus ratio

I've posted a few times that I question the "50/50 basal/bolus" rule... largely because it doesn't work for me.

Yet there does seem to be some correlation between basal and bolus amounts. I recently have had a few large lunches (estimated 200-250 grams of CHO). Bolusing is easy enough. Yet 5+ hours later, I end up needing corrections... and then tend to run higher during the night.

I don't know whether it's insulin resistance (and needing a larger basal), or if I'm simply releasing more glucose after being a glutton. It's interesting, though.

What's ironic is how steady my BG tends to be. If my numbers are good, yet I still feel stuffed: I mix a little Novolog with some N (about 1.5U of each), bolus, and check again in three hours.

That said, I tend to become sleepy and feel "ketone-clouded" (haven't checked for actual ketones, as BG is in range and I don't keep strips on hand) after such large meals. I generally avoid them; but, having had a few recently, thought I'd share my ramblings -- er, observations.
__________________
Eddy


DXed 2007/04 = advanced-stage DKA, A1c of 12.9%, and BMI of 21.3
post-DX A1c = 5.4% @ 2008/07; 5.2% @ 2008/04; 5.3% @ 2007/12; 5.3% @ 2007/08
c-peptide = 0.0% @ 2008/07
current BMI = 26.0 (86kg on 182cm); want to get back to 23-24
basal = 3U human N @ 0630, 5U detemir @ 0630, 8U detemir @ 1130, 18U detemir @ 2030 (still tweaking @ 2008/07/07!)
bolus = 1:15 I:C ratio; varying mix of aspart, human R, human N

not a low-CHO eater... not even close!
last updated 2008/07/07

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