I am having a hard time coming up with a correct basal calculation. Based on the initial training I had, I know how to set the Basal rates on the pump but how can I calculate how much to take.
For Ex: Say my readings are out of the normal range wven without having a meal how much should I increas my basal by to get it back in the normal range
Based on some google search I got that the total basal should be 40-50% of your TDD.
then avg hourly rate is TDD/24 hrs. But my understanding is that just keeping it at a constant rate through out the day will not help much as the body requires different levels of basal based on your activity levels at each time of the day.
Any help is appreciated !
Hi Sultansfam, the short answer would be to use the Bolus Wizard. It will calculate your correction bolus for you, assuming you've set-up your carb ratios/times with in the "Bolus Wizard Setup." Hope that helps.
Thanks for the reply. I was basically looking for an approach to calculate my basal.I think you are refering to the Bolus calculation.
here is what I do for basal testing... I usually start on a weekend. Check your fasting BS and recheck every hour for 4 or 5 hours. I log everything down. Even if you drop quickly, only treat if you NEED to. Then I eat lunch or a late breakfast and check BS every hour. When it seems like I have hit a plateau (no changes greater than 30 in readings) I will test every hour again for 2 or 3 hours at a time. When I do need an increase I only increase by .5 or decrease by .5 until I feel comfortable it is sufficient.
Make all changes slowly and remember it will take a while to get it right.
good luck! Let me know if this helped.
Also, the stinky part is it may be necessary to pull a sort of all nighter to get the overnight basal correct. BUT if your fasting numbers closely resemble your bedtime number, it's probably fine.
Thanks all for your inputs.
Phishery, Do you know if "Think Like a Pancreas" is available on itunes. Well Iam not into reading but If this helps, I will definetly read it.
Tracy, I think i will try your regime to see how it works out. I did test my fasting and then before lunch BG to be off all the time. Thats how I figured that my basal is not acurate enough. Even without eating anything, my numbers are high. The revel 723 lets u increment in .250units at a time. So for the time being I will try increaing .500 and see how it goes.
After almost 30 years of using a pump I find the basal rate to probably be the most powerful tool in a pump's arsenal. It can have a massive effect on your overall diabetes management. As such it's worth the time to explore the techniques referenced here and elsewhere to try to make it work best for you.
As for me, I have found that because I tend to snack way more than I should, but only at certain times, that adjustments of the temp basal work best for me. When I hit it right it's like magic!
So you may want to play with the temp basal too...
Thanks for the reply Dave.. Even I have the habit of having snacks all the time, thats wat is making it difficult to get the basals right.