So anyways… I have been having a couple of good-for-me weeks with diabetes and thought it may be interesting to compare my current 2 week performance to past performance from a random 2 week period in the past.
2 week period November 2016 - MDI Humalog + Levemir 2x per day
Last two weeks - June/July 2017 - Pump (Omnipod) + Fiasp
(with a 5 to 10 minute pre-bolus for carbs + extended bolus for 50% protein)
Red Line is 4.0 mmol/l (72 mg/dl) and Yellow line is 8 mmol/l (144 mg/dl).
I am probably eating the same amount of carbs now as I was in November (somewhere between 50g to 80g meal-carbs a day + exercise and correction carbs), but the big differences in “treatment” since November is a switch from MDI to a pump, using Fiasp, and doing an extended bolus for protein, which was made possible by now having a pump.
Changing from Levemir to the pump basal allowed me to “flatline” with my basals. With levemir there was always a time when I had either too much basal (always late afternoon) or not enough (between breakfast and lunch and after dinner). With the the adjustable basal rates on the pump I now can pretty much remain flat when I am not eating. Having good basal profile to build on help made everything else (all those ratios) easier to get in the right place.
Overall with my current practices, I seem to have gotten a much flatter line during the day and I find there are not very many corrections anymore during the day. My current problem is the evening “highs” (I use that term to mean anything over 8 mmol/l (144mg/dl) which is more of a personal goal) which have either been caused by exercise (either over correcting for lows, cutting back the basal too much), site problems, omnipod change weirdness (highs after a pod change), bad carb counting, or just life.
I had really be dithering over whether to switch to a pump, but the results show that adjustable basal rates and extend boluses for protein have been a bit help. Should have switched sooner