Pumpers, how many basal rates do you use?

#1

After reading Karen’s post she mentioned that she uses 12 basal rates. I currently use 3 basal rates. My Medtronic training nurse said the average is somewhere around 5. Where is everyone else at and why?

Dave

#2

12:00 am - 3:00 am 0.30 - to prevent overnight lows
3:00 am - 8:00 a.m 0.40 -
8:00 am - 1:00 pm. 0.45- to help counter dawn phenomenon
(considering dropping this back to 6 or 7:00 am)
1:00 pm - 6:00 pm 0.30 - to compensate for lunchtime workout
6:00 pm - 12:00a am 0.40

I readjust every once in awhile using the guidelines in ‘Pumping Insulin’ by John Walsh. I am considering experimenting with two separate basal ‘patterns’ - one for workday and one for days off. My morning bgs seem to be easier to control on a day off. go figure.

#3

I have 4 rates. When I see people have 12 or even my 4 I wonder how we ever lived with long acting insulin, hoping it knew what to release & when.

#4

I’m currently at 3 rates, down from 5. It varies from person to person, but I’ve always been told by my endo that once you get up in the 8-10+ basal rates zone, you’re making it more complex than it should be, making trends hard to control without constant adjustment.

As an aside, I’d be interested to hear if anyone has had long term success with, lets say, more than 6 different basals at one time.

#5

I use four rates at the moment. And I disconnect for my workouts, so that’s a veiled fifth rate.

This is way too much math for an English major like me. :slight_smile:

1 Like
#6

I have three rates:

  1. 12 am - 0.6
  2. 4 am - 0.7
  3. 8 am - 0.6
#7

I take my pump off as well when I exercise as well. It gets in the way and I can just see it skidding across the pavement while I am out biking. I don’t have six grand for a new one at the moment and I don’t think the insurance company would pony up the cash either!!!

#8

My son has 6 basal rates. He also requires a 60% decrease in his basals for 3.5 hours after a site change and a 40% basal decrease when very active

#9

I use 6 different basal rates

#10

12am-2:30am 1.20
2:30am-6:30am 1.35
6:30am-10:30am 1.10
10:30am-9pm .75
9pm-12am 1.05

#11

5 rates

12A - 0.8
3A - 0.95
5A - 1.0
8A - 0.55 <- that’s the weird one
6P - .75

#12

My morning bgs seem to be easier to control on a day off. go figure.

Terry - less stress on your day off! Happenes to me every Saturday. I have to change everything when I go on vacation or I’ll die of lows! lol I guess work is bad for us!

#13

I guess I’m avearge; I have 5.
12a .60
3a .65
6:30a .85
3p .50
7p .75

Also anythime I exercise I decrease 50% an hour before up to an hour after.

#14

I currently use 7 basal rates. It’s amazing how my insulin needs vary at different times of the day.

#15

I am at 5 currently, but still adjusting, so it could go up or down. What I really need to do is to figure out my rates for that certain time of a month, otherwise it’s hypoglycemia city, baby.

#16

Hmmmm… you guys are making me feel guilty for not having done any basal checks in a long time. My rates are pretty basic:

Regular profile (2 rates)…0.5 units except for 3am to 5am = 0.6 units

Temp rate for cardio exercise = 50% of regular profle for two hours (one hour prior and during exercise)

Temp rate for weight lifting = 75% of regular profile for one hour

#17

Man, I’m a bit of a heavy hitter with the daily insulin dosages! Here are my rates:

12am - 8:00am: 1.75U
8am - 5pm: 1.00U
5pm-12am: 1.5U

That’s a whopping 33.5U/day for me! I’m a bit larger than average, 6’2" 200lbs, but I feel like I’m sucking up more juice than most people here for whatever reason!

#18

Tim,

I am 5’11" and use a ton of insulin as well. I have put on a lot of weight in the last two years so my requirements went up, also I think I have become a bit insulin resistant with my 41 years of diabetes.

12A-2A .6
2A-4 .8
4-5 1.5
5-7 2.00 ( my adjustment for my highs of over 200 at 7:00a.m. and still not working)
7-8A .7
8-10A .8
10-11A .6
11-12:30 .8
12:30-2P .4
2-4P .5
5-7 P 1.50
7-12 1.00

Carb ratio 1:5

Any basal suggestions to fix that 7:00 a.m. spike

#19

Mine are currently:

12A-2A - 0.75
2A-9A - 1.00
9A-6P - 0.85
6P-10P - 0.90
10P-12A - 0.75

During exercise I do a temporary basal rate of 50-75% for the duration, or take my pump off completely, followed by a 90-95% basal rate for eight hours afterwards if it’s heavy exercise.

#20

Right now I’m only using 1 and have been for 20 years but it seems like after these problems I’ve been having the last few weeks that will probably change!!!