In the past six months I have been running average BS around 136 whereas prior to that I was running 115-120 or so. My a1c is 6.4 where it used to be in the high 5’s. My old tricks are not working to bring it down.
I have been less active due to a painful knee. My body fat has risen although weight is stable. I have upped basal rate about .5 to 1 above previous rates. I over bolus meals which does turn off basal and I just sit 135-145 after coming down from meal spike. I am fasting today to see what is going to happen. Oh, and I am currently running sleep mode 24/7 but have tried regular mode with no more success.
Do I need to continue to increase basal until fasted leaves me in the 110-130 range even though that feels like a lot more insulin for me???
Less active usually means you need less food/calories, and reduce insulin to maintain weight and insulin balance.
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My basal rates on Tandem are much higher than they were on Medtronic (manual mode) because of the way Control IQ works. I had to really increase my basal rates over all 24 hours, but with the CIQ adjustments I still only get around the same amount of basal I did on Medtronic. You said you’ve already increased your basal rates but you might have to increase them a little more until your numbers come down.
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