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htebazile

constant need to change basal rates?

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htebazile

Not sure if this is the right spot but I've recently started the ideal protein diet.  My question is I'm struggling to determine how/ how much to decrease my basal rates.  I haven't needed to bolus for meals in about two weeks.  However, I'm dropping like a lead balloon in the evening/night,  then suspending my pump for a couple hours then high etc.  I need to level out and I'm not to my endo til next week.  Pre diet I was up to 1.75 units an hour.  Now I'm trialing 1.25 for the day, dropping in the evening to 1.1, then at midnight to 1 unit/hr.  I realize this is quite personalized but wondering if anyone has any input.  Thanks in advance.

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Tanikit

I know this is an old post, but thought I'd put my experiences down in case anyone else is reading it later. I dropped from a very high carb to very low carb diet about a month and a bit ago and struggled a lot with hypoglycaemia (I still am) I was on about 25 units of insulin as basal at the time but I'll be honest it was covering some carbs at mealtimes too. I am now on 16.4U/day and I am still going low a couple of times a day. The most I ever bolus is about 0.4U of insulin at a time. My midnight to 4am basals are now at 0.4U/h which is the lowest the basals go and the most is now 1U/h between 08:00 and 12:00 but this is still a bit too much. Obviously it is not a very low carb diet though if I have to use 60g of carbs to treat lows throughout the day. Luckily I have a CGM now which enables me to stop the basal for a bit to prevent a low letting me have a lower carb diet.

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Montana

The best way to adjust basal rates is to pick times of day when you are not eating or have not eaten recently and watch how the basal insulin affects your blood sugar.  If it stays steady (this is the goal) then no adjustment is needed.  If it drops during that time then you could decrease by about 10-20% (in your case 0.1-0.2 units/hour) during that time.  It's best to do this every few days since there may be variation between individual days so you want to make sure it is consistently dropping or rising during a given time when you are not eating before making any changes.

 

Significant dietary changes can affect your basal rates so it is not surprising you may need much less insulin.  Also, if your basal rates are set high and have been covering some of your food/snacking (this is common but not ideal) then you may need significantly less basal insulin now that your food is different.

 

Keep in mind some providers like to help with adjustments or at least be made aware if you are making changes so make sure your provider does not mind you making changes on your own.

Edited by Montana

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zatff

I started the automated insulin delivery looping system a couple of weeks ago. Before that I spent many days checking my basal rates since that is considered a very important setting to run the Loop program successfully. I could not find much consistency in my basal rates except to note they are very low  at night and considerably higher during the day especially early evening. I selected a basal rate of 2.0 for an average of my basal rates and a maximum basal rate of 9.0 for the looping program. I notice when I check my loop program my basal insulin delivery varies from 0 to 8.0. My time in range has improved significantly and it seems my OmniPods are lasting a bit longer since I'm not wasting so much insulin doing frequent corrections for being way too high. I've also been able to avoid having to smack in the middle of the night to restore my blood glucose levels.

 

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