finally getting somewhere!

[shabbie]

its been several weeks and ive been grappling with trying to resolve some small issues in Bg control. (i dont like not being in control ~ hey who does?)

always went low before lunch
always need a snack at 4pm
always went low before dinner
always have to correct at bedtime

i tweeked and nudged my basals in the morning but was still going low so tried a new daytime I:C ratio of 1:18..which is working a treat! i can go much longer before lunch now.

still need that snack in the afternoon...some old habits die hard! lol

lows before dinner resolved with the new daytime I:C ratio (1:18)

dinner~ spread my bolus out over a couple of hours i can now eat a pudding, and no correction needed at bedtime, even wake up with perfect BG in the morning.

i am so pleased. :)

ive posted this in case anyone finds it helpful in any way too ;)

[morrisma]

Nice when things work out, eh?
Good for you Sharon. Hope things remain in alignment!
How did you determine that 1:18 was right? What was it before?
Mike

[Jan B]

Sharon,

Your info is very helpful! I've been basal testing a lot, and am now the proud "owner" of 5 different basal rates. However, now I need to be looking closer at my carb ratio, and raise it a bit like you have done during afternoon-early evening hours.

Thanks! And like Mike said -- it's so fun to get a few things right, isn't it?!

[kgm0612]

Glad you've figured out something that seems to be working for you.

Karen

[shabbie]

thanks mike ;)

when i started pumping oct '07 i was told use 1:10, this was far too much, so i changed it to 1:12, still no good then thought id hit the jackpot with 1:15 but needed to confirm it with basal testing.
my basal testing showed a very tiny drop around midmorning, which i tweeked out, but i was still going lower by lunchtime, the only thing left was the I:C ratio.
as it was only a slow drop before each meal i decided 1:18 would a good place to go. and it worked!

:)

[morrisma]

Sharon
Good detective work and perseverance. Of course it makes things easier when you are your own guinea pig and stand to gain personally from the experiments! :D
Mike

[notme]

Wow Sharon, you got the hang of this very quickly. Keep up the good work.

[Gary_W]

Good for you, Sharon. Glad it's starting to come right for you.

[Subby]

Warms the cockles to hear of improvements! Well done. Hoping to hear more sometime. :)

Can you describe how your spread out dinner time bolus works a and the difference to before? That sounds quite interesting...

[shabbie]

thanks everyone :)

Warms the cockles to hear of improvements! Well done. Hoping to hear more sometime. :)

Can you describe how your spread out dinner time bolus works a and the difference to before? That sounds quite interesting...

i'm still experimenting with different foods but what seems to be working best for me is taking my bolus spread over 2 hours, its called an 'extended' bolus on my pump, last night i tried a multiwave but it was a bit of a disaster with rice so i think i'll stick to trying the 2 hour extended bolus for now.

the before pattern.....was eat dinner, take bolus 1:10, at 3 hours i would have to correct even for perfectly counted carbs! very infuriating!!! i still dont get it!
thing was though, i always needed something else to eat within 1 hour of my meal, so was i heading for a low at that time? the fact that my BG's didnt rise after that meal where i forgot the bolus showed me what was really happening.

to this day i dont think i would have sussed it out for myself without missing the bolus, it would have been another of those D mysteries lol :D