| My opinion is that humpy basal patterns need humpy insulins like NPH. A humpy basal with a flat insulin creates gaps. These gaps in coverage can manifest themselves many ways, but typically we'll need to eat extra to cover some of them. My spiral worked (20/20 hindsight) something like this
- wake up high due to DP, take a correction bolus
- BGs naturally fall as did my basal need. I now have way too much insulin and need to eat.
- eating takes me too high, so I correct again (sometimes)
- my basals drop in the night and I took extra food to keep from going low.
Extra food, extra insulin. It's viscious and difficult to identify and stop when you don't know what's going on.
Significant controlled basal testing is the only way I know to really tell what you need and when.
__________________ Michael Pollan on CBC
In Defense of Food with Michael Pollan T1 1975, MM 722 pump
A1C 4/08 6.0%
Called John, plus many other things
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