Basal profile

[bennyg70]

This is my basal profile, according to my first round of testing .. Its literally a join up the dots job as there are a few times missed, and a little inconsistant possibly due to the testing been done on 3 different days..

I inject my lantus at 10 pm.

I wondered if anyone had any thoughts.

I was surprised as I expected to see quite a rise somewhere between 6pm and 12am possibly when my lantus runs out.. But I wonder if it actually lasts a little longer than the 24 hours causing a double dose overlap and hence a drop around the 11pm mark.

Really appreciate any input.

Cheers - Benny

 

[trophywench]

That's thoroughly confusing to me Benny - are those positive BGs, not negative ones?

What does the 'Nil' line represent?

What I would expect to see (in that perfect world none of us live in) is a starting point of a BG of whatever it happens to be, don't care what! - 2 hours later the same, 2 hours later the same, 2 hours later the same ....

I'm unable to relate that to that graph !

 

[bennyg70]

Sorry, I re read the post afterwards and realised I hadnt explained that very well..

0 represents my starting point at each test I have done. For example... My evening test I started at 4pm - this was 6mmol and therefore = 0 for the test.

the test at 5pm = 6.2 so represented by +0.2. A 0.2 increase from the starting point in the test... and so on and so forth.

So the middle line is basically the starting point (Whatever that may be) and the shifts up and down would be where my bg headed hour by hour during the test.

Does that make any more sense lol (Probably not - I do try though!!)

 

[Kwaka1]

?????????????????????

 

[pgcity]

This is my basal profile, according to my first round of testing .. Its literally a join up the dots job as there are a few times missed, and a little inconsistant possibly due to the testing been done on 3 different days..

I inject my lantus at 10 pm.

I wondered if anyone had any thoughts.

I was surprised as I expected to see quite a rise somewhere between 6pm and 12am possibly when my lantus runs out.. But I wonder if it actually lasts a little longer than the 24 hours causing a double dose overlap and hence a drop around the 11pm mark.

Really appreciate any input.

Cheers - Benny

I think the accepted variation is plus or minus 1.7mmols. Did you go a whole day without eating?
Don't assume that the lantus is causing the fall late at night. It may be that you are naturally more insulin sensitive at that time. When I got my basal something like on a pump I was surprised that my basal needs were more than double from 4am to 10am compared to 9pm to 3am. The supposed flat profile of lantus had no chance mimicking that.

 

[bennyg70]

The information there is take over 3 or 4 stages, a morning fast, an afternoon one, and evenng one then random spot checks at night. So only small sessions with out eating.. The chart basically tells me that I stay within that 1.7mmol apart from at a couple of points where it drops off a little lower.

At no point does it raise itself above the starting point by more than say +0.5. So maybe there is a little bit of scope to drop off a unit or two of lantus..

Ignoring the chart...

My results were as follows..

Morning test
6am - 7.2
7am - 5.6
8am - 6.7
9am - 5.9
10am - 6.1
11am - 6.1
12pm - 6.9
13pm - 6.3
14pm - 5.4

Afternoon test

12pm - 4.7
13pm - 4.2
14pm - 3.6 - cancelled

Evening test

16pm - 6
17pm - 6.2
18pm - 5.6
19pm - 5.2
20pm - 6.3
21pm - 5
22pm - 4.3
23pm - 3.4

Nightime

11pm - 6.8
1am - 6.9
2am - 7.1
6am - 5.4

Sorry for the long post, but obviously cracking this part is key to cracking my managment i feel -

Again thanks for your help and support

 

[AJLang]

Hi Benny sorry that I haven't got any suggestions but I would be really pleased with those results

 

[pgcity]

Seems like a reasonable conclusion. I would be delighted with those fasting numbers.

 

[everydayupsanddowns]

They look pretty good to me.

In your shoes I suspect I would want to look at late afternoon and especially early-evening-into-bedtime again as you seem to be dropping then.

Ironically one might expect you to be beginning to rise at that point, since as you say, your last Lantus dose ought to be beginning to fade.

Anything up to about +/-1mmol/L I tend to pretty much ignore as meter/strip variability, unless it shows as being part of a wider trend (in your case, possibly a general drop from mid afternoon onwards - though you had less 'room for manouvre' in your afternoon test) and/or is repeated on at least one more test.

 

[bennyg70]

They look pretty good to me.

In your shoes I suspect I would want to look at late afternoon and especially early-evening-into-bedtime again as you seem to be dropping then.

Ironically one might expect you to be beginning to rise at that point, since as you say, your last Lantus dose ought to be beginning to fade.

Anything up to about +/-1mmol/L I tend to pretty much ignore as meter/strip variability, unless it shows as being part of a wider trend (in your case, possibly a general drop from mid afternoon onwards - though you had less 'room for manouvre' in your afternoon test) and/or is repeated on at least one more test.

I think a second round of testing is needed.. It certainly would be interesting to contrast and compare. Although I am fairly happy with the numbers, Im certainly tinkering with the idea that dropping a coupl eof units, may cut out a few evening hypos without sacrificing morning and overnight numbers?

 

[Phil65]

The information there is take over 3 or 4 stages, a morning fast, an afternoon one, and evenng one then random spot checks at night. So only small sessions with out eating.. The chart basically tells me that I stay within that 1.7mmol apart from at a couple of points where it drops off a little lower.

At no point does it raise itself above the starting point by more than say +0.5. So maybe there is a little bit of scope to drop off a unit or two of lantus..

Ignoring the chart...

My results were as follows..

Morning test
6am - 7.2
7am - 5.6
8am - 6.7
9am - 5.9
10am - 6.1
11am - 6.1
12pm - 6.9
13pm - 6.3
14pm - 5.4

Afternoon test

12pm - 4.7
13pm - 4.2
14pm - 3.6 - cancelled

Evening test

16pm - 6
17pm - 6.2
18pm - 5.6
19pm - 5.2
20pm - 6.3
21pm - 5
22pm - 4.3
23pm - 3.4

Nightime

11pm - 6.8
1am - 6.9
2am - 7.1
6am - 5.4

Sorry for the long post, but obviously cracking this part is key to cracking my managment i feel -

Again thanks for your help and support

I would have never achieved those figures on MDI....well done! I wouldn't change too much if I were you! 🙂