I had a hunch that I could use some fine-tuning. But overnight fasting basal rate testing sucks, so I kept putting it off. My doc finally convinced me to bite the bullet, and I'm actually very glad I did. The idea behind basal rate testing is to eliminate as many variables as possible, so that any changes you see in your blood sugar are most likely from your basal … [Read more...] about Overnight Basal Rate Testing
Is there something more than Dawn Phenomenon? The dawn phenomenon is typically described as the body releasing a handful of hormones overnight that cause some insulin resistance. You see this as higher blood sugars in the morning, even though you went to bed with a great blood sugar. I do experience the dawn phenomenon, and have been able to adjust my pump to deliver a … [Read more...] about A “Wake Up” Bolus?
I have heard from two different groups of people on this one. One group that does not bolus for protein at all, and another who boluses for a portion of their protein. Somewhere in the big "diabetes info" vault of my brain, I think I can recall something about 60% of the protein you eat gets metabolized into carbs over an extended period. Does that sound familiar to … [Read more...] about Do you bolus for protein?
Q & A time! Q) A question about your Symlin pump--do you use some basal Symlin as well as boluses at meals, or is that pump's basal rate set to zero? A) On my Symlin pump I run a tiny basal rate of 0.10u/hour. This was based on advice from Gary Schiener (who pumps Symlin too). Apparently Symlin is a little more prone to blockages or occlusions because it sticks to … [Read more...] about Pumping Symlin (part 4)