{"id":3422,"date":"2004-06-15T07:23:26","date_gmt":"2004-06-15T07:23:26","guid":{"rendered":"https:\/\/kweaver.org\/diabetes\/changing-basal\/"},"modified":"2004-06-15T07:23:26","modified_gmt":"2004-06-15T07:23:26","slug":"changing-basal","status":"publish","type":"post","link":"https:\/\/kweaver.org\/diabetes\/changing-basal\/","title":{"rendered":"Changing Basal Rates"},"content":{"rendered":"<p>Before the &#8220;Saturday binge&#8221; of Saturday a week ago, I was just experimenting with carb ratio of 11:1 (means I take the number of carbs in food and divide by 11) and it was working for most meals.  <\/p>\n<p>I went back to 10:1 because my insulin usage was up, and the 11:1 wasn&#8217;t working and I was chasing highs.<\/p>\n<p>Now I&#8217;m chasing lows&#8230; (I write this stuff so if I screw it up, I can go back and look at it, even print it out and show the CDE or Dr.)<\/p>\n<p>All weekend, two hours after I ate, I was in range of 120-130.  If I am that &#8220;low&#8221; &#8212; the goal is 140, I tend to go low within two hours.  I really don&#8217;t want to eat every two hours, it aggravates the GERD (the more often you eat with GERD, the more often you experience heart burn).  In fact, in a perfect world, like tonight, I eat about 5:00 and don&#8217;t eat again until morning, and I sleep better.  I ate enough slow carbs and protein to keep me going tonight, so far.  Though I&#8217;m keeping a close eye.<\/p>\n<p>SO, I think I&#8217;m going to try the 11:1 ratio again, though I hate that math (10:1 is the easiest, you just move the decimal point).  If I do a 7 day average, the 500 rule works out, it&#8217;s just that nasty 70 unit day that is causing problems.<\/p>\n<p>Besides, I&#8217;ll just be chasing highs rather than lows, and it takes less calories to chase a high &#8212; but more insulin.<\/p>\n<p>I really hate making two adjustments at once, but that&#8217;s the way it goes &#8212; when you reduce insulin usage, you reduce it all the way around, basal AND bolus.<\/p>\n<p>Fun stuff isn&#8217;t it?  <\/p>\n<p>And I decided to look this stuff up in Pumping Insulin.  Interesting facts:  According to Pumping Insulin, I should be taking 72.5 units a day, based on my weight.  So at an average of 44 units over the past 7 days, I&#8217;m doing REALLY REALLY good.  My exercising is paying off.<\/p>\n<p>The book says decrease or increase by 5% and recalcuate everything, but I honestly am afraid that&#8217;s too much too fast.  <\/p>\n<p>And according to the book, I&#8217;ve done two things that cause my TDD to go down:  changed my activity level (more weights, more time on the treadmill), and changed my weight &#8212; lost weight.  <\/p>\n<p>Anyway my goal is to make gradual changes without screwing up control.  I really hate chasing highs.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Before the &#8220;Saturday binge&#8221; of Saturday a week ago, I was just experimenting with carb ratio of 11:1 (means I take the number of carbs in food and divide by 11) and it was working for most meals. I went back to 10:1 because my insulin usage was up, and the 11:1 wasn&#8217;t working and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-3422","post","type-post","status-publish","format-standard","hentry","category-current-status"],"_links":{"self":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts\/3422","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/comments?post=3422"}],"version-history":[{"count":0,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts\/3422\/revisions"}],"wp:attachment":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/media?parent=3422"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/categories?post=3422"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/tags?post=3422"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}