It's a must-have book IMO. You said elsewhere that you're new to pumping and can't get your daytime numbers in the 100s. Do you mean all day, or just when you wake up? Are you working with a CDE or pump trainer?
I would say do what you normally do for dinner, he suggests while you are basal testing, don't do any corrections til you go over 250 so you see what happens. Whether you go to bed at 100 or 130 doesn't matter so much as you see what happens to your readings over time.
Yeah - Like Acidrock says you have to wake up and check a bunch. Drink water or something to wake every couple hours... Then tweak the rate up a couple hours before you're seeing the rise. My basal now goes 12am - .3; 3am - .325; 6am - .350; 8am - .6.... just an example. I get mine right, then it shifts on me so I keep having to boost a little here or drop it a little there... apparently due to freaking menopause! Grrrrr - but it can be done. And once you get yours right, it'll probably stay there.
I highly recommend a CGM for this. I got one and it has helped me see the trends of what happens over night. After wearing it for just two weeks I was able to identify the time my dawn phenomenon kicked in (for me around 4:30am) and I have been able to tightly adjust my basals so i fluctuate only 20-30 pts from bedtime to fasting numbers. I use to fluctuate 70-90 pts! They are expensive, but some insurances will cover it. It took me a year of going back and forth with BCBS to get it covered, and ultimately they did. Good luck!
2) Kidney Failure
3) Passing it on to my children (when I have them)
4) The UK is slowly moving towards a USA style of healthcare, which means disparity in quality of care based on income, increased cost and a reduction in service quality.. Profit over healthcare. ££££
5) Night time hypos, dead in bed..
6) Erectile Dysfunction! Been diabetic since 12, would still like to be able ot have a decent sex life when I am older.
7) Being old and not being able to manage my treatment anymore..
8) Having a hypo whilst on my motorbike and stacking it into on coming traffic and killing myself and injuring someone else.
I obviously try to minimise the risks, I test before during and after I take my bike out. I take ALA vit d, I test 14 times a day, I excercise and so on..
It really is a devil of a disease though, slow and steady..
I am complication free at the moment and my last HbA1c was 6.2, but I am sure diabetes will bite me in the bite in years to come, either financially or in terms of complications.
Happy Wednesday Ha.
I'm terrified of the complications and having a hypoglycemic episode at night which could put me into a coma..
perhaps a bit OT but I have always classified "coma" as hyperglycemia, leading to shutdown and death (e.g. Jerry Garcia...:-() vs. hypos which are sort of different. Over the years, a lot of night hypos I had seem to have self-corrected, waking up w/ sweaty sheets @ 200+? Not "good" by any means but well, here I am?
My ringtone comes from the same album :)
What scares me the most? The fact that anything can change your sugar/insulin dependency levels. I hurt my shoulder not to long ago, and my diabetes changed from needing 20 units of novolin to about 15 with meals. In other words I crashed a few times before I adjusted. Now I know, things like scraping your knee, anxiety, lack of sleep and many other "normal things" can change you either up or down. Definitely test.