With the pump you will be better able to adjust. Those .5 unit increments are tough on a young one (they are even tough on an old one, like me).
So as a general rule - if the food is completely gone and you had enough insulin to cover it but you still see a rise in BG several hours later, then higher basal is what you need.
But if the BG never came down from the meal, if it never leveled out, then you might not have had enough to cover the meal.
A very general guideline:
- A problem 1-4 hours after a meal = a bolus problem
- A problem more than 3 or 4 hours after a meal = a basal problem
If you want to share CGM traces along with the timing of the doses and meals, it can be helpful to troubleshoot that.
I am glad you are getting a pump for your daughter. Are you going to be using the OmniPod? This will help you a lot.
Don’t be afraid to make very small adjustments to basal settings with the pump until you get the correct settings figured out. Your endocrinologist or pump trainer may tell you to leave it alone for weeks and to contact them, but in reality, what you should do is wait a few days, make a small adjustment, try it, and readjust as needed. Always wait a few days to make sure, and then make only small adjustments. The settings the pump trainer or endo give you are just their best guess. You will know better after observing your results.
Also, with the pump you can set different basal rates for different times of the day. With the OmniPod you can set up to 24 different rates, in 30 minute increments. Don’t feel like you need to have the same basal rate all the time!
With the OmniPod you can give 0.05 unit doses as needed. Compare that to what you are currently limited to, 0.5 unit increments. That’s 10 times more granularity.
Also, one of the most important things is to make sure your basal rates are correct. That will make it so much easier. And the best way to do that is a little bit tough, but it is by not eating for several hours and closely monitoring the BG. So for example, after breakfast, make sure the BG is level and then just watch. Either skip lunch or have a late lunch so you can make sure that basal is perfect. I know this is difficult and not pleasant, but it will really help you. If you have to fix her BG with a bolus injection or a snack, then you know the basal was not right…
Let me know if you have more questions. I am happy to help you in any way.