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Originally Posted by mcgriff  Also, I checked my BS 4 hours after lunch and I was 333!! That was the highest reading I've had since diagnosis. Well, I gave myself a 4 unit correction and checked 30 minutes later....125...uh oh. I rechecked on a back up meter and got 127. I ate 35 g of carbs (should have had 60). Just an hour ago I was having sweats and weakness and I knew I was hypo. Checked and I was an all time low of 31. I drank a whole can of Coke which brought me to 169 in 30 minutes.
I'm just going to pretend like today never happened it was so wild. I learned a hard lesson today. |
The biggest lesson is that unless the pump has reasonably correct settings, it's going to be way worse than well-worn MDI. It sounds like the guesses your medical team for I:C, sensitivity, and basals, are pretty far out. Oh well, you just need to get right onto correcting those settings. But until you start adjusting, the rollercoaster will probably continue!
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As to setting a pattern I'm sure I will get tips from my trainer. I'm curious to hear what you guys and gals do for a general purpose basal pattern. The flat rate I'm on is causing lows. Also, I'm getting spike at the 2 hour mark after eating. This is unusual as on MDI I was usually in the 130s. 4 hours after eating I am near my target of 115 on the pump. It's only been a day and I can see this is like starting all over again.
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Sure is... it's like learning to drive after you've been riding a bicycle (and being the mechanic who tunes the car, too). A bit more complex to learn the ropes but once you get used to it, possibly a lot more effective at getting where you want to go.
Basal rates: Here are mine.
12am 1.80
2am 1.65
4am 1.70
6am 1.70
8am 1.80
10am 2.10
12pm 2.30
2pm 2.25
4pm 1.80
6pm 1.75
8pm 1.90
10pm 1.95
Looks like a fine mess right? On a line graph it's more a sinuous curve, having these 2 hour rates and those gradients for me has made a huge difference in avoiding lows and highs. Then again, I have a strange basal profile and I'm very variable through the day!
You might find that going to at least 4 or 5 will be effective: however the only real way to get down and dirty and get good rates is: Basal testing. That's how I discovered my strange basal curve. Look around and ask about it, it's a slightly involved but pretty straightforward way to discover an effective basal profile. It's the only way you can see what's really going on.
Even if you don't fully basal test at once, minimising your boluses for periods at a time will help reveal your basal profile and suggest basal changes in the meantime.
It's worth saying: until your basal rates are starting to "Get there", being on the pump's going to be a bit miserable, really. And it becomes important to move your emphasis away from I:C (ie, meals, boluses) for troubleshooting problems (unless really clear), until your basal, the foundation, is good. If you keep changing both Basal and I:C significantly, at the same time, you've just got two shifting elements that muddy and confuse things beyond belief.
