| Welcome Gina Glad you are doing much better and hope you do well on the pump. Living with diabetes is not easy but the pump does make life alot better. The only thing I don't like about the pump is, if it stops in the night or you possible do not get the carbo right and your blood sugar rises--you get or at least i do --get ketones fast. but it is easy to get my sugar down with the bolus.
One thing does strike me as odd. I count my insulin and carbos different then most everyone. If anyone else does it this way--please let me know. This is how my doctor and MiniMed prescribed it for me-but it may be this way because I had such radical highs and lows.
The amount of basal is based on the amount of insulin I took daily with shots.I have four different basal rates. I count the carbos I eat for my bolusfor food, Say I have 40 carbos for breakfast. I divide that number by 20--ALWAYS use 20 for dividing carbos ---no matter what the number. So I 40 divided by 20 is 2. for my meal. Now --my sugar ratio is 80 to 140 but I am allowed to go to 170 at night because I still drop in my sleep but not too low now. That means my level of sugar when I test should be between 80 and 140 during the day. At night It can go to 170 and will be OK. If at any time it is over these amounts --say I do a finger stick before a meal and it is 220-I subtract 120 from 220 which gives me 100. Then I divide 100 by 65 which is 1.5 but I bolus 1. to cover the high sugar. Then bolus my regular carbo count for lunch by 20. Say 60 divided by 20 is 3. It sounds confusing but works great.
Most everyone I know divides like tony said in his post.
Thanks
Suzie |