I was getting irritated right before Christmas because my bolus wizard wasn’t cutting the mustard on my meals when counting carbs correctly. My endo/NP made my rates a lot more conservative in October, just as I was starting to feel comfortable with them because they saw some lows and I’m a new patient with them.
The basal bolus rate was 50:50 on Tidepool with my total insulin average at 40ish units, give or take 2 units.
Then I was 58% in range, 29% above range 180-250 and 11% above 250. Sort of ridiculous. my average blood sugar was 165. Average daily carbs were 115g.
So I adjusted my active insulin time to be shorter by 15 minutes, my insulin sensitivity I took down for correction calculations and carb ratios were lowered (more aggressive, from 11:1 all the time to 9.7:1 during the day and 11:1 at night to help with night lows.)
Y’all I’m getting LESS insulin now than I was before Christmas!!! (While eating at least 5 more carbs, probably more per day. On average 5 more. Some are big holidays including Christmas/NYE/My 40th Birthday…which btw, I didn’t even eat cake because I had too high of BGL.)
How in the ever-loving heck did this happen?
Now I’m getting an average of 35.1 units daily, my basal v bolus ratio is 44% basal to 56% bolus.
Not what I wanted. I’m getting less units in automode 15.5 units daily, and my boluses are exactly the same. But I need them to be more aggressive because I’m running around at 300 for 10% of the day…usually between 3-6 p.m. And my freaking kidneys ache.
Tell me if you have any suggestions on how to adjust now. This makes me feel so helpless/angry. I don’t know how to describe how the backward regression can be so frustrating. I’m going low carb for a while starting tonight to curb it.