I normally have very tight numbers, but have been 350 and feeling like garbage for the past few days. I did all the troubleshooting (changed site, changed insulin, etc…) and after speaking to my Omnipod rep she seemed to think it was because I am day shy of my period. I reached out to my doctor for help with the adjustments (who is getting back to me) but in the meantime I am curious what other women have experienced. Is this something that will happen most likely each time I get my period? What sort of tweaks did/do you make? Did you change basal and fast acting? When did you know when to change them back so you don’t go crazy low? I played tennis for over an hour this morning and had a hard boiled egg and was 300 the entire time. As if this is not SO ANNOYING already!!!
I know @Jen adjusts her basals depending on where she is in her cycle. we probably have more than one topics on this here, but just using the magnifying glass, this one popped up on top
Yeah…I looked at that thread
I find this hard to manage cos I definitely need more insulin before my period, but how long before and how much extra, seems to vary for me anyway. I have a basal rate that I switch to when I notice the highs rather than sticking to a particular day of the cycle and this helps to some extent.
Does your I/C ratio change as well or just basal?
No just my basal but if I looked closer it might be that it could do with adjusting too! Not too sure.
I had the opposite problem and ran super low a few weeks before my period started. The YDMV (your diabetes may vary) is so very true. My other problem is I wasn’t very regular, unlike those women who had theirs every 28 days. It would always take me a day or so to put it together and switch to a lower basal rate for that week or so. But always hard to figure if it was that time of the month coming soon or just because diabetes doesn’t always play fair. But I did have a separate basal rate for that week or so before.
Unfortunately this just is what it is to be a female diabetic. Fluctuating hormones mess with BG. I have often said life as a diabetic would be much easier 1-2 weeks per month if I were male.
If you can track your BG trends and your cycle close enough, you might be able to set a special basal pattern for this time as someone else did. I heard somewhere that hormonal birth control sometimes helps. My OBGYN didn’t want to do that however because I had already had vascular complications set in with my eyes, so I was put on an IUD. Because it has basically caused me to stop flowing altogether, I do feel like it has helped with BG control. (This was done for birth control, as my now husband and I had already decided child bearing was not in the cards for me, for my own safety. Your decision on that may vary and I think the BG control is a mere side effect, so your diabetes may also vary.)
I frequently run 350-400 during my period. Although, lately, I’ve run closer to 250. Its variable. If you see that the numbers are pretty consistent, you could set up a separate basal program on your pump, but I usually just increase my temp basal and play it by ear. I am likely to increase my I/C ratio during that time.
I usually end up having to double my basal rate using a temp basal for the 2 days before I get my period and the first day with it. It helps to track my cycle so I know when it’s coming, but I won’t increase basal until I see high BG that I can’t explain, because it does vary month to month. This month I only had to increase for 1 day leading up to menstruation.
I’ve only been paying close attention to this for about 6 months so hoping it gets more predictable…
I don’t know your particular situation, but I had lots of issues going all over the place during my cycle, so I went on a permanent birth control. Most friends can control it with just the typical pill that gives you a cycle every month still but only lasts 2-3 days. I would also get very nauseous so it made sense for me to basically take the 3 month package of birth control without ever taking the “white” pills that would allow my cycle to continue. I have never had issues since. As an important side note, this does not cause any complications. The only issue my doc told me about was that if I wanted to get pregnant, I would need a little extra time to get back to a normal cycle than someone taking both the pink and white pills. If you’re open to the idea, I’d give it a shot, because just that simple change decreased my A1C by 0.8%!