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When are your highest basal rates

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spiritfree

spiritfree

Well-Known Member
Relationship to Diabetes
Type 1
Hello. My basal rates are having their playing -me-up time again.
What time of the day are your basals highest and lowest?
 
I make one step-up from 530 am to 3 pm........which means my "hopped-up" basal starts before I wake and is in effect for breakfast & lunch.......then back down to baseline for dinner on-thru to 530 again.

midnight - 530am | 0.45 u/hr
530am - 3pm | 0.625
3pm - midnight | 0.45
 
Everyone is so different, I don't think it matters what works for anyone else - apart from the 'Oh really... that's completely the same/different to mine' factor!

My biggest 'push' is timed for when I get out of bed (different pattern/timing for weekends!). I have a mini boost an hour or so before that, but my liver seems to get a little over excited when I emerge from under the duvet :D
 
I'm constant from 6 pm to 7 am- then approximately 30 % boost for 3 hours- til 10 am- then halves til 6 pm. Currently 0.45 u/ hour til 7 am then 0.6 u/hour til 10 then 0.3 u/ h til 6pm when back up to 0.45 u. At more insulin sensitive times e.g. hormonal influence or during/ up to one day after a long strenuous walk I need 0.35/ hour from 6 pm til 7 am, 0.5 u/h til 10 am then 0.25 u/h til 6 pm. Tiny requirements from approximately 8.5 to 10.5 per day total basal. Bit odd after having type one for almost 26 years- and during walking I eat loads of extra carbs and reduce bolus as well - I'm a bit concerned about such low basals and don't want to cut back further as I read that with lower rates there is more of a risk of occlusion
Fasting check today - woke at 6.8 rose to 7.9 and sitting there since 10 am. Cheating by having eaten a pack of pork crackles- almost pure fat so should be BG neutral!
 
Hee Hee Abi - most of mine are below yours!

I range between 0.36 to 0.48, with various slight ups and downs throughout the day and night. Biggest leap is at 9am, from 0.36 to 0.48 for exactly one hour, then 0.42 over lunch, down a bit, up a bit, (left a bit, Fire! LOL) TDD is 9.58. Used to be 18-20 on Levemir. (14/15u am, 4/5u pm)

I started off 15 months ago on 0.46u/hr - that's only a TDD of 11.04. There were 4 ladies all getting our pumps together - and it wasn't much different for any of us because our TDD of B & B, were all around 32u.

Have only had one occlusion so far - a fold in the tubing when it got wrapped round a belt buckle not done up properly - ie a 'real crease' - so that went in the bin and start again.

I wouldn't worry about it meself.
 
PS - thought you weren't sposed to fast for consecutive mealtimes, cos it throws your body out?
 
I prefer to get the whole obnoxious business out of the way in one day ( brekky and lunch that is).Caved though and had about 1/6 of a red pepper and a couple of spoonfuls of vinegar out of the picked onion jar ( might have some sugar) when I was fishing them out to chop up in a salad!
As for fasting evening tests- I pretend that doesn't exist. Go to bed on an empty tum? Me?
What I tend to do is early lunch then test between 4 and 9ish then have late pm meal and check the time between 9 pm and overnight on another occasion when I've had an unusually early pm meal
Trying desperately to look for an excuse not to do the evening test at all
Can you tell I like my food
 
I so know how you feel Abi! Basal testing is my most hated thing about D and pumping. Well done for doing as much as you are, though - I have to confess it has been months and months since I last basal tested at any time of day 😱

In answer to your intital question I am exactly the same as Mike - 'feet-on-floor syndrome' resulting in twice as much basal first thing as at any other time of day. Lowest rate is late-afternoon when I'm normally travelling home from work.
 
Lowest is 0.025 from 8pm - midnight.
Highest from 10am - 1pm coinsides with steroid dose hitting the system.
 
Wow- those all make my basal rates seem huge! 😱 My higest is 1.04 (the wee small hours to combat DP) & the smallest is 0.6...although saying that I've been trying to basal test / tweak for a couple of weeks due to lots of hypos & so far think I need to tweak down by about 10-15% at night & maybe as much as 20% during the day. I lost a stone earlier this year due to stress but it only seems to have affected my basal rates now, a month or two after things have settled a bit. Funny old D! :confused:
 
My basal pattern is complex and I aim to make it a little simpler but I have 3 u/hr from 6-9am 2u/h till 12 then 1u/hr til 5pm then 1.5 till 11pm then 0.5 til 3am then 2u/h from 3 til 6am! 🙂
 
Well - we each need exactly what we need; no more and no less!

Twitch - I had to cut everything (basal and bolus) down by 20% earlier in the year, hypo city at all hours of the day and night. Madness.

It's gradually gone back up again to what it is now, with my basal now just 5% less than originally and back on 1u for 10g.

It gobsmacked me at the time and I was scared to reduce it that much, it seemed wrong. But hey! - it worked so I'd do it quicker next time!
 
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