You can do an increase for the morning, the nice thing about the pump is you can have the increase be for only a couple hours and then drop it back down to the lower rate to help deal with the morning spike, just remember to make the change about 1 1/2 hours before the increase or decrease is noticed due to the time it takes to insulin reach peak activity.
I agree about wanting to hit the 120 too. One way I think of it is to break the basal down into chunks of insulin and maybe 1-2 hours of an increase of 100% might be enough to "Cover" the bump from DP? I've had a hell of a time lately w/ DP, it was running low in the AM for awhile, then I turned by basal down last night (really in the morning, but the rates didn't go into effect until the night...) and it was up again this AM.
The only way to know is to try. Everything with T1 is so trial and error. I would give it a go, but test every couple of hours and keep juice and other treats handy in case you go low.
I change basal when my CGM still shows an upward trend 2 hrs after i eat, in addition to when my IOB is nearing zero. +20 is often what i do.
Haven said that,I think the essence of putting a number on BG, Carb etc is to help us stay within a range where future complications will be minimum. It definitely is not an academic, empirical competitive exercise. In my opinion, deciding to stay around 100 at all times will not decrease your chance of complication much more than someone with an average of 145 or 150 at that.
the truth is that T1 people are not anatomically normal regardless of how much carb- hermit a life we choose to live
I know that's how Pumping Insulin describes it, but I don't think so much in terms of amount of rise (or drop) but staying in target.
I see you are very recently diagnosed, Benjamin. While I admire that you want to have the best possible numbers, you might be setting yourself up for unrealistic expectations once you get past your honeymoon. "Staying around 100 most of the time" is not something many Type 1's can aspire to.
If your basal is making you start out too high and then spike after breakfast, you have a couple options: you can do the basal change you are contemplating (you won't know if it works until you try, just test to make sure you don't go too low and treat it if you do). If you are higher than you like before breakfast you can add a correction. (Like my target is 110 so if I am 120 before breakfast I will add a small correction to my bolus). Or you can change your I:C ratio for breakfast to reduce spikes.
Zoe. I think staying in an absolute target is not natural for the human body. For even normal people (folks w/out diabetes)have spikes after they eat. There is often a lag time. What i think we should aspire to is taming the spikes. spike w/out being too spiky!
Oh definitely; I was commenting on your "I'd like to be around 100 most of the time". For me if I could be between say 70 and 135 most of the time I'd be in heaven! Of course, Type 1 often has its own ideas.I think it's important to qualify the use of the word "spikes" - sure we go up when we eat, but the idea is to minimize that rise by matching insulin to carbs and to ultimately stay under whatever your personal target is for pp. (Mine is under 140, some people use 120). One thing I've also found to be important is testing and correcting promptly. Since it is the amount of time spent at high numbers that can lead to complications I "nip it in the bud" pretty promptly (taking into account the IOB of course)
I aspire to staying around 100 most of the time. I guess I don't hit it as my A1C is > 100 but I still ASPIRE to it? I suspect I'm closer to hitting it by aspring to it than if I aspired to 140 or whatever the ADA/ AACE goals are? I don't want to "do OK" w/ diabetes, I want to kick its ass.