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We found 10 result(s) that match your search "basal patterns":

I haven't ACTUALLY basal tested in awhile (by that, I mean I haven't done it the right way, but surely I've watched my numbers fall in patterns). I usually eat the same things for breakfast, so to me basal testing for the morning hours seems a bit ridiculous. But the last few days of numbers have me thinking that a basal test is in demand.

 

I've been trying to check after meals more regularly so that I can see if I want to go on Symlin later. But these new numbers have me wondering what is going on inside this body of mine.

 

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I am a need-to-know person. You could call it curious or nosey. I'm an information junkie. All of which could explain my profession.

 

If I have high or low blood sugar, I want to know why. I want to know the reason behind it so I can adjust accordingly.

 

So, when I experienced nearly a week of pretty elevated blood sugars, I assumed it was due to my new infusion site. I have been trying (apparently unsuccessfully) to move my sites outward from the middle of my lower abdomen. After the first branch out recently, I tried to give the site some time to settle in. But after several days, I knew it was a lost cause. So I changed the site early and despite my desire to go back to where I knew I'd get good numbers, I moved outward again. Still, I got several days of unacceptable numbers.

 

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I woke up at 383 today. To say the least, I'm angry. I have a reason as to why it was so high, but it still doesn't make complete sense. I ate a late high-carb meal last night (back to college life) and thought I'd judged my carbs correctly. I actually figured to wake up low. But obviously, diabetes had another plan in store for me.

 

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It's the end of my logging week again, so I'm sitting down to examine the logbook that I hold so dearly close to my diabetes management's heart. The time that I set apart for this goes something like this. First, I update the logbook with my most recent numbers, Lantus doses, and any important comments including new prescriptions, strange food choices, or exercise. Next, I tally daily averages as well as averages for time of day. After that, I analyze those averages compared to the last weeks averages and look for any resounding patterns that might need changing.

 

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I think one of the things I hate most about my diabetes is that I never seem to follow any patterns. It seems like other people have these stable highs and lows, where it's so much easier to adjust basals or carb intake. But me...my body has a freaking mind of its own!

 

Before bed last night, my blood sugar was at 159. For me, I'm very comfortable with that number right before bed. It says that I won't wake up too high, but I probably won't drop in the middle of the night either. But I'd just jumped from 103 to 159 after a post-low snack (you know, the snack you eat after you've had the juice about an hour before). So I decided to bolus anyway.

 

About 4:30am, I woke up with a panic in my gut and a clammy feeling washing over my skin. The CGMS beeped at me LOW! I know! I tested. Sure enough, 60. I treated with 15 grams of orange juice and about 15 grams in graham crackers. Then I went back to sleep.

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I get a lot of questions about how I like my CGMS. And sometimes, I just don't know how to answer. I love the IDEA of my CGMS. I love that there is something out there that shows me a constant stream of blood sugar information. I love that it will alarm me before I get a crashing low or start soaring high.

 

But in the execution of it all, I really don't like it. Yes, I'm very grateful that I have access to this technology. Insurance pays for it, which makes it less burden and more blessing. But overall, it isn't as great as everyone thinks it is.

 

Let me just outline my most recent use of the CGMS so you can see and decide for yourself if it's worth the hassle:

 

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Logging. It is something every diabetic should do. It is important in terms of identifying patterns and making decisions about dosing - and it is vital to figuring out when you need to be paying more attention and where your problem areas are in the course of a day. I remember the bad old days of handwritten logbooks. They were cumbersome and not at all useful, even when they were kept up and brought to the doctor. Technology has come a long way and there are many great tools available for logging everything we need to be tracking. But, for me at least, logging is still an excruciating task. (READ MORE)

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I'm staring at my logbook right now. I have no idea what to do. My averages are still above 200, although my baseline numbers are generally running between 160 and 180. Yet I'm still seeing numbers like 302, 264, or 270 crop up.

 

I raised my Lantus to 33 units last night and I woke up at 96 when I'd gone to bed at 224. I'm hopeful that 33 units might be the golden number with all this. If I could get my basal numbers to drop back into a normal range (I'm looking for under 150 at the moment), then my post-meal numbers wouldn't be spiking so high. Plus I could keep working on the post-meal numbers more extensively if those basal numbers dropped.

 

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Yesterday's endo and CDE appointments left me with plenty of new techniques that I'm ready to put into practice. Even though my A1c finally bumped from 7.3% (which I'd been stuck at with the pump for over 6 months) to a 7.1%, I know that I can do better. And despite the better A1c, I'm not seeing the types of patterns that I prefer to see. So here are all the tips that I'm setting into motion over the next weeks.

 

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What you don't want to hear from your diabetes educator is "hmm, good question." That is, unless it's immediately followed by a good answer.
There has been a burning question of ours since Charlie started on the pump back in September of 2006. During that time, we posed the question to several different people along the way, but never really got a clear answer.
So I present this burning question to you - the true gurus of diabetes.
How can Charlie skip a meal if he wanted to? Is this a mythical notion or do people out there actually achieve this? If Charlie didn't eat something two to three hours after a bolus, he would most certainly go low. I'll ask you exactly what I asked the doctor and nurse practitioner the other day. (READ MORE)

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