FLATLINERS CLUB

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FLATLINERS CLUB

A club to share your successful and not so successful trends (graphs) from your CGM or Glucose Meters....

Members: 215
Latest Activity: 23 hours ago

The most elite Diabetes club on the net ;)

Below you will find FIVE different discussions to chose from to post your trends (Please do not post them on the main page)....

 

1. Flatline 12-24 hours (trends that you are proud to share).

 

2. Flatline 1-11 hours (trends that you are proud to share)

 

3. Rocky Mountains (low and high blood sugar peaks).- Days where we have very low blood sugars and the highest of high blood sugar peaks.

 

4. Rollercoaster- "lines that aren't flatlines, but aren't exactly Himalayas/Rocky mountains either" this is the in between area

 

5. What in the World? This is the area for those things that just are'nt right with your CgM trends.

 

Post your trends, don't be bashful. There's not many things better in a diabetics life than discussing glucose trends (good or bad) with other diabetics. Remember, the bottom line is this group is for support, not in anyway a competition.

 

 


Diabetes Forum

12-24 Hour Flatline

Started by Danny. Last reply by _Danny_ May 30. 2175 Replies

The below 24 hr trend is from Nate, a 15 year old type 1 Diabetic... with a little help from his mom Emily, they are achieving some of the most inspiring trends to date. A 15 year old producing 24 hr Flatlines??? wow! Need I say more?"WOW, a little…Continue

1-11 Hour Flatline

Started by Danny. Last reply by Terry May 29. 546 Replies

Kate, AKA Queen of the 1-11 hour Flatline area strikes again. She has managed to pull off a perfectly level 3 hour Flatline this time.... not an easy task to achieve. Good morning Sunshine indeed!Reply by Kate on May 24, 2011 at 4:44am"Good Morning,…Continue

Rocky Mountains (low valleys and HIGH peaks)

Started by Danny. Last reply by Terry May 18. 652 Replies

70-140 Range 11/14/2010 I had friends and family over and went a little crazy. I'm human! Does it look more like the Himalayas or Rocky Mountains? Hmm..  Post your not so flatline (low and high peaks) like photo's within this discussion. I…Continue

Rollercoasters

Started by FHS. Last reply by Terry May 28. 490 Replies

So, there has to be a category for lines that aren't flatlines, but aren't exactly Himalayas either. I thought, maybe, Appalachians, but I'm not sure if I'm even spelling the word correctly. How about just, 'Rollecoasters". Here's my attempt to…Continue

What in the world??

Started by onesaint. Last reply by Terry Jun 5. 153 Replies

This is the area for those things that just are'nt right. For instance from yesterday to today my Dexcom sensor has been off. If I fingerstick 100 the Dex says 180, if Im 150 the Dex says 260! So, the PG expression is "what in the world?" Normally,…Continue

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Comment by acidrock23 23 hours ago

Let us know how it's going yeagen!! I thought I posted that earlier but seem to have "whiffed". I had sort of an interesting day, I'd prefer to have avoided the AM turbulence but oh well, I got it smoothed out overnight:

Comment by yeagen on Tuesday

Thank you, Terry. I will try some of your ideas.

Comment by Terry on Tuesday

Hi yeagen - Welcome to the flatliner's club. I prebolus about 45 minutes to one hour in the morning but always keep an eye on my CGM if I need to eat any earlier due to dropping BG. For other meals I prebolus about 30 minutes.

I use an extended bolus for every meal; an immediate one to cover carbs and an extended one to cover fat and protein. I eat a lower carb diet, usually < 70 grams most days.

I like to walk when my insulin is peaking, about 1-2 hours after taking my dose. This chops off BG mountain-tops. I'm retired, so this is easier for me than someone with other committments.

Comment by yeagen on Tuesday

Thank you Acidrock.. Good info.

Comment by acidrock23 on August 25, 2014 at 4:13pm

Welcome to the Club!! Thanks for posting! Many of us are "around" but drift away so it's great of you to ask a good question! It sounds like what you are doing is exactly right!

I've found that aiming lower makes it easier for me to stay lower, if that makes sense. I try to spend as much time as possible in the 80-90 range so if something happens (food), I will be able to keep the spike to the 110-130 range. I also have a CGM, which makes it much easier. I also like to keep an eye on things and, if it looks like it might be going up, say 110-113 on the CGM, I might redline my basal to 200% to head it off and put a little bit more insulin in the mix. If it goes 110-113-115, I figure it's "done" and I just turn it off but if it goes 110-113-119, suggesting it's going up more steeply, sometimes it seems to help me keep it from getting carried away.

I also mostly do a lot less food corrections for minor "nudging" of BG that might be a bit low but is not messing with me too badly, like 5-10G of carbs instead of 15. This keeps me from flying up higher than I want to be and I think it also helps.

There's a doc I've run into on FB, Dr. Stephen Ponder, T1 since like 1966. He is very friendly (I'm also friends w/ his pet, Rango the Bearded Dragon...) but has a group called "The Power Within". He's conceptualized it as waves and is in the process of working on his book called "Sugar Surfing" which, I presume, will lay out a plan. He posts a lot of annotated CGMs showing things like "you can see my BG, here [arrow] is where I ate the Mexican food and here [arrow] is where I corrected..." that are pretty simple and easy to follow but he gets very good results, I think he reported a 5.4 A1C but is very lighthearted and fun to chat with in that environment. I think I figured out a lot of what he did but not shying away from little corrections where necessary is a big part of being successful and helps keep your BG flatter than if you pound things too much.

I do a bit lower carb than typical AMA dietary recommendations but am way above the low carb folks here. Not that there's anything wrong with either one but I think that you can work more carbs in if you want to, you just have to be aggressive in monitoring BG, correcting issues and "recycling" the data to change your dosing if it's warranted!!

Comment by yeagen on August 25, 2014 at 4:03pm

What are some of the tricks you have learned for keeping down spikes? I eat a vegan diet, bolus 10 minutes before eating and try to exercise regularly. T1 since July '13

Comment by Terry on June 2, 2014 at 8:05am

Great job! I've had a bad run of BGs the last 24 hours, but you inspire me to get back into the game!

Comment by 2hobbit1 on June 2, 2014 at 2:46am

Doing the happy dance! Got my last A1C back and it was 5.4!

Thanks to all of you who have posted over the years and the info I found here in this group, I was able to get there without going low.

Comment by 2hobbit1 on May 27, 2014 at 4:39pm

The tslim lets you set a different basal rate, IC and CF for each time segment in a program/profile. The duration of action stays the same for all time segments in a program but can be different for each program.
It gives a lot of flexibility, I have been able to dial in my carb sensitivity variations through time of day, for me it varies a lot if I'm on my feet all day and hence more sensitive vs home and hanging out and needing more basal as well as a lower I:C. Since I have Dexter I can do those little tweaks when I see a pattern in a particular time frame. Some times it works better to tweak the basal rate while at other times its an I:C , CF that needs adjusted.
As I get things fine tuned I really don't need to think about much other than carb counting, and how do I want to correct for a misscount or delayed/persistent rise due to higher fat/protein. Some times I just add in a rapid bolus for an extra 5- 10carbs, other times I crank my basal up with temp rate for a few hours. Sometimes I do a combination. It will let me run a temp rate for as short as 15 minutes and as long as 70 hours at which point it will revert to the regular program.
Always run a 200% temp with site/cartridge changes or time off for showers etc.

Comment by Terry on May 27, 2014 at 4:17pm

I think I get what you're doing with the pump to accommodate your use of various insulin concentrations. When you say "program" you're actually referring to a basal profile. I s that right? I only use one basal profile but some people set up a few to cover things like "weekend."

My pump. however, only has one I:C setting and one ISF (insulin sensitivity factor). Does the t:slim "program" permit you to store more than one of those settings?

In any case, you know how to make that pump work for you and that's the only thing that counts.

 

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From the Diabetes Hands Foundation blog...

Diabetes Among Hispanics: We’re not all the same

US Hispanics are often portrayed in the press as a single, monolithic group. But anyone who has spent any time in San Francisco’s Mission District or the Bronx can tell you, we’re not all the same. Now we’re finding out Read on! →

Diabetes entre los hispanos: no somos todos iguales

Traducido por Mila Ferrer.    A menudo los Hispanos en Estados Unidos son retratados en la prensa como un solo grupo, monolítico. Pero cualquiera que haya pasado algún tiempo en el  Mission District de San Francisco o el Bronx se Read on! →

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