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The Question
03/03/10 12:56 PM

"When I wear my pump, my fasting blood sugars are higher in the morning than on the syringe. I've raised the basal rate severals times. Help."
Asked By: karenwhite34  
Category: Type 1

Background Info Hide
I have Type 1, and try to stay as active as possible.

Expert Answers (1)

03/07/10 11:25 AM

Dear Karen- Thank-you for contacting dLife with such a good question. I would recommend that you ask your MD for set you up with a trial continuous glucose monitor for 3 days. This will show the variations of glucose release from your liver during your sleep cycle. This is a normal hormone response during the night. Then with this information the MD or your pump specialist or CDE can assist you in setting your pump at different 2-4 hour levels in response to these results. So your basal rate will be variable throughout the day and night based on your normal activity, work, rest, sleep etc. Most people on pump therapy have up to 8 settings throughout the day for their basal rate. Increase demands naturally occur with the progression on the disease.

WIth the basal insulin by syringe, its purpose is to control fasting glucose which it was doing for you. You can get the same results with the pump with the help of your pump technician.

Stay well and Stay self managed as you are doing.

Answered By: Janet HowardDucsay
Accreditations: RN BSN CDE
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