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How long can you wait after bolusing before eating? LinkBack Thread Tools Display Modes
  #31 (permalink)  
Old 04-13-2008, 12:00 PM
MinimedPumper07's Avatar
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Quote:
Originally Posted by Eddy View Post


Extrapolating, that's a daily drop of about 100 mg/dL. That's not normal. That's excessive.

What do you see overnight?



Ultimately, that's the bottom line. If you are happy with what your approach provides, that's what counts.
Its not a 100 point drop in one day. My bgs usually hit about 70s if i dont eat for a really long time and then sometimes they actually start bouncing back. It would not just fall to 0 by the end of the day, thats silly. And my night time basals are good. Last night went to sleep at 103, woke up at 104.

I am happy with what I have so far. I think I will try super bolusing next time I am high.
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Pumping with Animas IR 1250 from December 18th, 2006-January 25th, 2007 (I don't like stinging boluses)
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  #32 (permalink)  
Old 04-13-2008, 09:17 PM
Eddy's Avatar
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Quote:
Originally Posted by MinimedPumper07 View Post
Its not a 100 point drop in one day.
"Extrapolating", dude. You missed the key word.

Quote:
Originally Posted by MinimedPumper07 View Post
My bgs usually hit about 70s if i dont eat for a really long time and then sometimes they actually start bouncing back.
That's probably due to glucagon telling your liver to convert glycogen. Run out of glycogen, and things get "interesting" if the insulin is still flowing.

Quote:
Originally Posted by MinimedPumper07 View Post
It would not just fall to 0 by the end of the day, thats silly.
I wasn't going to respond to your post, but the above is dangerous and needs to be addressed. You claim that one's BG "would not just fall to 0". Really?

Substantiate your claim that a drop just can't keep going. Yes, you'd probably convert glycogen, then have gluconeogenesis if you ran out... blah blah blah.

Drops can continue. People die. You'd be well-advised not to disregard or mock that fact. During my first sub-20 mg/dL drop, I consumed enough sugar to raise my BG by 400 mg/dL. I ended up at 225 mg/dL. Are you trying to claim that I'd have been fine without taking sugar? Sorry; I doubt my invincibility.

Let me reiterate my point: Your fasting drop was excessive. Full stop. If you don't like extrapolating, go the other way. Take a normal person's 24-hour drop -- say 20 mg/dL -- and work backward. Six hours? Maybe a five-point drop.

At any rate, about half an order of magnitude smaller than what you observed. Something else was at play. If you have that big of a fluctuation as "background noise", then try eating and bolusing on top of that, what do you expect?

Quote:
Originally Posted by MinimedPumper07 View Post
And my night time basals are good. Last night went to sleep at 103, woke up at 104.
That tends to indicate your night time is correct, assuming no fluctuation at night or shortly after awakening.

Quote:
Originally Posted by MinimedPumper07 View Post
I am happy with what I have so far.
Then perhaps I've lost sight of the original question. I interpreted it as dissatisfaction with the numbers you had. My apologies; perhaps I was painting your world with my brush. If I hit 130+, I'm off by more than a unit, and consider that a serious screwup.

Quote:
Originally Posted by MinimedPumper07 View Post
I think I will try super bolusing next time I am high.
Fine. My point, and I believe the point of several others, is to figure out why you were high... and that there may be other, better alternatives than super-bolusing.
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DXed 2007/04 = presented with advanced-stage DKA, A1c of 12.9%, and BMI of 21.3 kg/m^2
Post-DX A1c = ?.?% @ 2008/07; 5.2% @ 2008/04; 5.3% @ 2007/12; 5.3% @ 2007/08
current BMI = 26.0 (86kg on 182cm); want to get back to 23-24
basal = 2U human N @ 0630, 6U detemir @ 0630, 8U detemir @ 1130, 18U detemir @ 2030 (tweaking again/still as of 2008/07/03!)
bolus = 1:15 I:C ratio; varying mix of aspart, human R, human N

not a low-CHO eater... not even close!
last updated 2008/07/03

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