[cheryl]

Ok, was sooooooooooo happy last month, had this rate going working like a dream everything going good, bg's were awesome got my avg's on the meter between 100-118 which I was highly happy about, ok boom the pms hormones hit, ok was watching kept the basal rate up and tweaked some stuff here and there, took extra bolus....woo-hoo think I got that down, ok got the period, everything looks good, I only got 3 200's that week, and only 2 200's on pms was totally happy right, ok, waiting waiting, I am on the rate, bgs start to plumit OK, pms hormones are over go back to the medium rate as a precaution, instead of my low rate, seems ok, working fine during the day, but having the most god awful issue's for dinner............or after into bedtime and waking up elevated ******.....usually by now everything is back to normal, blood sugars by now especially four or five days now after my period is gone, is usually good or it was last month last month as soon as I got my friend I dropped, this month, it waited till the fourth day of my friend to drop, now I am still on my medium rate, I had to drop my medium rate last month the day I got my period and by the time it was over drop to my low rate which i was on till my rise,

Ok, so what it looks like is one month I totally need only 9. whatever units of insulin a flippin day as basal, but the next month it wants it at 10.....since I been on the pump I notice this........one month is lower one month is higher and the month that it has been higher evening is a pain in the ***.....

so I come to this conclusion, well, I did well yesterday, I was 118 for dinner 140 post meal back down to 110 in four hours when I went to bed but 140 when I woke up.....grumble hiss, but then, most of the time this was only last night, whatever the number i fall asleep with is the number I will be when I wake up.....and if I have fallen asleep with a 180 correcting it of course that is what I will wake up with..........wtf....and the overnight rate is higher then it usually is for me.....at the moment, the only thing I can think of is I have to up my carb to insulin ratio, after 7pm, cause sorry I have fell asleep a lot before the four hour mark, and last night i ate at 6 and see the number were pretty decent.....but then i wake up elevated, drives me up the wall, because what if all of a sudden my body decides no no we want less basal again, ughh oyyy drive me crazy......

But I am thank ful that i havent' seen a lot of 200's during pms and period time that is a big accomplishment, ok I have to keep working I guess I am eating dinner early tonight about 5:30 and then I guess I am going to have to wake up all the time in the middle of the night and retest.....oyyy when does tweaking just stop i mean give me a few months LOL

cheryl

[duck]

Cheryl, establish you base-rate; the "everything is perfect" rate. Then we need to determine the "PMS rate" (sorry, I know guys aren't supposed to mention that) and then maybe a "stress rate". My advice would be, if you need the PMS rate, and once you think you are done, go back to the base-rate and determine if that is working. I think right now, you have thrown too much complexity into the mix.

In sports, when teams start to stumble, the best coaches often "dumb things down" or "simplify" things so the players can concentrate on executing and not thinking too much about WHAT they are executing...we need to do the same thing here, let's simplify a bit.

[cheryl]

That is what I did last month, I got this perfect rate, great awesome, then the pms rise, I started on what I had from the original month and tweaked a bit and had pretty good numbers, then I started to go low, so then well I go back to the rate, and ummm it sucks at night right now, but if I am still on pms rate at night I drop too much ughhh LOL...I know there has to be some tweaking going on for after bedtime, I know if I eat before 7 it seems my carb/ratio is fine after 7, I am on a rise, after 2hr post meal, so I got that to think of, so I just will eat earlier, then I will start testing the over night rate, and right now I am having really nice numbers as usual, till after I eat and thru the night it seems and waking up lately so, I have to start basal testing thru the night,

Just driving me crazy that is all.....I just see a pattern from month to month, and last month was totally stressful, and I was fine bg wise I am strange or just hormonally imbalanced but my doc says as long as I am reg. I am fine, so I dunno LOL

Cheryl

[grace girl]

Cheryl, if you have a regular rate and a pms rate and a period rate that you know all "normally" work, you can tweak from there for individual situations.
I know what you're going through...I'm still on mdi, but it's the same stuff. My normal stuff is the only one thats really constant...works month after month. The pms and period ajdustments aren't always the same no matter what, so I've found a middle ground and I just work from there.
And it seems like there's always something....I've been sick all week so going back to my normal isn't working at all...I've been running high and correcting like mad....what would normally drive me to the 50's is barely keeping me normal.
Don't get discouraged! Being a female with D seems like a MAJOR challenge to me!

[cheryl]

Amen grace, it is sucky being a female....I am on period rate still i guess I have the three rates going, it's just i am done now with my period and I seem to be stuck on that middle rate which is fine, but omg, darn freakin evening time, yea I found my middle ground too, my numbers aren't so perfect but they arent' bad i figure 120's-160 aint bad during the hormones, cause if i screw around too much during that time, I get either too high or too low, so I just give in to the numbers LOL.....

Cheryl