Sick day rules: recovery stage

[Diabetic_Aspie]

Ok, first of all, Sue, Mike, Jenny, Juliet, and other forum"oldies": your pumping advice just....WOW! I mean, WOW!!! Sue, thank you so mfor recommending John Walsh book - it totally blew my mind. Why, oh why don't they teach us this in pumping classes??? Why didn't my consultant or my specialist nurse ever EVER mention that the problem might be with my basal? Why didn't they say that all very nice, but my chances of bringing my postprandial under control without bolding at least 30-40 min early ain't gonna work????!!! And why didn't it occur even to me, a doctor, that it is a bit naive to expect effects of basal rate changes right away, instead of giving it an hour or 2? AAAARRRGGGHHH!!!!!

well, on the brighter side, I'm happy to report that in 2 weeks since my last post (and your advice), my glycaemic control has got to be the best it has been so far:

1. I have eliminated dawn phenomenon

2. My boluses have become more uniform, as has my CarbF, throughout the day.

3. I have reduced the number of lows AND crazy highs

Now, to rain on my parade, I got some evil cold over the last few days. I JUST managed to bring the ridiculously high BG levels under control, by increasing my temp basal +30% and doubling my boluses (actually, multiplying them by 1.7).

When should I start easking off these silly numbers? And how: do I just drop right back to my normal settings, or reduce gradually?

Thanks!!!
L x

 

[Sally71]

Just keep monitoring your BGs and react to that, when you start finding you are dropping lower than you'd like then start reducing your insulin. I think we usually find in this situation that once we start getting in or near hypo territory that we can just go back to normal pretty much instantly.