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Every doctor and nurse I see says that my basal rate should be about double the amount of insulin I take for carbs. I actually take only 13.47 units per day for my basal and about double that for my carbs. However, everytime I fast to check my basal rate, it's good. Is anyone else like this? My A1c is 8% right now and I'm really trying to figure out how to fix this. Any suggestions would be appreciated!

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In theory your basal should keep you Bg's steady if you don't eat - it shouldn't drop rapidly or raise rapidly. So fasting is a way to see if your basals is correct. If the BG goes up of falls the basals should be adjusted accordingly. This you do when you set up your basals. In the perfect world if the basals is perfectly set one should only bolus for meals and if the carb ratio is correct one's Bg should not raise or falls too much !!

My son is in puberty which means he needs more insulin. I think my doctor is checking the % to see if we do not bolus too much for high BG's (This is specifically correction bolusses for high bg's not meal bolusses) So if bolusses is too much it means that his basals are too little. So a high percentage bolus can be that the basal is not correct and should be adjusted. (The rule of thumb with a boy in puberty is that his total insulin usage can be as high as 1.4 units per kilogram bodyweight.) Our total insulin usage at this stage is more or less 60 units per day!!! This will hopefully comes down after puberty. I hope you understand my explanation (english is not my first language)
Riette I understand this perfectly. Being a women every month I go through the great sugar chase with basal getting set up higher and higher to keep up. Then comes the great hypo when hormones mellow out so I wish the best for your son. Your English is fine :)
Be loved
My basal is about 46% and my bolus is about 54%. My pump trainer set that is a great setting to be at. My A1C is in the 5
I am wondering in reading everything if the percentage difference has more to do with what you eat. Since I have ot be on a certain diet my bolus is always going to be much more then my basal so maybe it is why I am having a hard time understanding.
Be loved
Hi Kim, I have wondered the samething not because the Dr is telling me it should be that way but when I enter my info on Mini Med's Care Link you Basal is almost always in red my Basal rate is 19.8 and I am using between 30 and 50 units a day. Look at the numbers as I am writing them I see the numbers is about 50% most days I am in the low 30s units total.

My a1c has been 6.5 for the last year.

Just read Joe's commit and was going to ask the samething about when you were high?
I have been pumping for about 12 years now, and have never heard of this. My basal rate is always higher, but never even close to double. It usually falls between 50/50 to 60/40, depending on my blood sugars.




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