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Thread: Basal changes
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  #10 (permalink)  
Old 06-18-2009, 01:30 PM
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Subby Subby is offline
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I am a: Type 1
 
Join Date: Feb 2008
Location: Melbourne Australia
Posts: 4,473
Quote:
Originally Posted by MJM View Post
Basal rates shouldn't be changed just because you get a variation in bs readings.
Basal rates should be checked on a reasonably regular basis, i.e. perhaps every 3 t 6 months. In reality, they should remain constant and only change for such things as exercise, illness, stress, etc.

What might happen is that bolus amount might be incorrect and should be looked at firstly.
In my opinion the most important thing for a diabetic is having a correct basal pattern, otherwise you will have unstable readings.
When you are satisfied with your basal pattern you will only need to adjust bs readings with a temp basal, but try to find out why the bad figure occurred in the first place, if at all possible.
I agree with basal coverage being vital.

I can't agree with this vision of a truly stable, static system you tend to encourage here, not for myself at least. Often I need to adjust basals on a systemic level, through basal testing. In general I might be making some changes every month or so, in order to maintain stability, that's before considering temp basals and the like to deal with event driving BG changes. Over the months my basal profile stays quite similar, but shifts around enough to need a lot of vigilance in changing the basic rates.
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