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07-12-2007, 09:39 PM
|  | Junior Member
I am a: Type 1.5 | | Join Date: Apr 2006 Location: California
Posts: 99
| | | Need basal advice
My bg around 9am is now always about 20-30 above my pre-prandial target. At what time should I increase my basal to bring it down? In otherwords, how many hours ahead?
I'm pumping Apidra. I know I need to work on it but need advice on where to start. Would it be a little increase every hour for the 3-4 hours prior?
Would really appreciate your feedback.
__________________
Dx Jan 2006
Last A1c 5.5 Aug 2007 (2nd on pump)
First A1c 16.3 Jan 2006
Started pump 1/30/07
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07-12-2007, 10:00 PM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2004
Posts: 5,807
| | | If it was me I would try like 6:30 or 7-9 or so, but everyone is different. |
07-13-2007, 03:07 AM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Jul 2006 Location: Kapiti, New Zealand
Posts: 797
| | | I'm not a pumper, but I imagine the key would be to do some night time testing and figure out when the rise starts.
Start with maybe 1 - 3 hours before you normally wake up, and go earlier if you have to. (I'm assuming you've already tested as soon as you wake up to rule out the 'wake phenomenon' version of DP...?)
But as I said, I'm not a pumper and don't know much about it! Just seems like the sensible trick.
Good luck!! Morning highs are a real [insert swear words here]!
__________________ .,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,., .,.,.,.,.,.,.,.,.,.,.,.,,.,.,.,.,.,.,.,.,.,.,., Em Taking on diabetes one meal at a time. It wins the odd battle but I'm winning the war.
Addicted to my Lantus, Novorapid and medicinal chocolate *cough* .,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,., .,.,.,.,.,.,.,.,.,.,.,.,,.,.,.,.,.,.,.,.,.,.,., |
07-13-2007, 05:07 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Jun 2006 Location: Rothesay, New Brunswick Canada, eh
Posts: 7,116
| | How about your 8am, 7am, and earlier numbers? Perhaps you are high all night long? I would be basal testing as much as possible until I painted a clear picture.
Apidra runs about 6 hours with a spike one hour in: Aventis Pharmaceuticals -Apidra - April 2004 
Go slowly. Keep in mind that 1u at a ratio of 1u:10g of carbs should drop your BGs 50pts. It sounds like you may need a half a unit. But it could also be a timing issue. Adding 1/2u could drop you low anywhere in 10am to 1pm. I found some adjustments are simply moving basals earlier or later to even out the waves.
Basal test. One point is not a profile. |
07-13-2007, 05:16 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,367
| | | Normally I say 2-3 hours. However, Apidra works alot faster, therefore I would say only 1 hour ahead of when you want the change to take effect.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
07-13-2007, 08:00 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Dec 2006 Location: South Dakota
Posts: 661
| | | Apidra is fast, I would say 1 to 2 hours.
-Lloyd
__________________
If it is to be, it's up to me! -Lloyd
Average glucose 2008 92, 2007 97 2006 195
Pumping 20 months
10/6/08 A1c 5.1 8/11/08 A1c 5.2 5/12/08 A1c 4.92/18/08 A1c 4.911/2007 A1c 5.3
8/2007 A1c 5.5 6/2007 A1c 5.7 3/2007 A1c 6.9 12/2006, A1c 7.8 9/2006, A1c 8.5
6/2006 A1c 8.7 |
07-13-2007, 09:22 AM
| | Junior Member
I am a: Type 1.5 | | Join Date: Apr 2006 Location: California
Posts: 99
| | | I've done alot of testing and my numbers are consistent throughout the night holding at around 95. I'm about the same at 6am, rise slightly at 7am, rise some more by 8 and by 9am, I'm much higher than targe.
So the spike happens within 1-1 1/2 hours starting around 8 so by the time I bolus for breakfast at 9 I've gone from 95-100to 125-140.
__________________
Dx Jan 2006
Last A1c 5.5 Aug 2007 (2nd on pump)
First A1c 16.3 Jan 2006
Started pump 1/30/07
|
07-13-2007, 10:17 AM
| | Senior Member
I am a: Type 1 | | Join Date: Jun 2006 Location: Rothesay, New Brunswick Canada, eh
Posts: 7,116
| | | I'd add .1 units at 6am and .2 at 7am and see how that works. You may have to add a bit more at 7am and maybe even 8am. |
07-13-2007, 01:30 PM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,846
| | | Based on everything I've read and personal experience, 1 1/2 hours before the desired change for me...
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You may call me Locutus  |
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