Yea, I like my doc been with him since late 70. But he didn’t diagnose it, was my sister in law and brother. Over thanksgiving the both saw how much water I drank and said I was diabetic. Called doc he told me to go do lab at hospital (live 2 blocks away) and come in. At which point he said yep your diabetic. But said i was t2 becuase of my size (6’4" 280lbs, but not fat ex special forces). No tests, wasn’t until endo that I found I was t1.
Know I am asking a lot of questions but have one more, or perhaps statement. Was 79 at 430 at 26g now at 5:53 I am 120. Haunt taken insulin since 12:30. Been using insulin to carb. Ratio of 1:15 sound close. Or mabey I can’t use this for that. Confused myself now.
If you have been on a pump you probably know the terms basal, bolus and correction. You could go low because you have given too much insulin because of any of these. First you should get your basals right. Mostly you figure this our when you are fasting. If you basal is right you BG should remain mostly level. If you BG is rising you basal is too low. If you BG is falling your basal is too high. After you get your basals close to right you can figure our carb ratio and correction. If you are at 200 and you want to correct it to 100 and you overshoot and you end up at 70 then your correction is too much. I think that is what you were asking originally. I have a target of 100 all day but 130 at night. So if I am 200 I try to correct it to 130 because I am concerned about going too low while sleeping. Unfortunately you need to work on all three to have the best control possible as any of these can cause you to be too high or too low.
Yea amen to that, are working hard at it, but tend to eat dinner late and sugar when I got to bed tends to be high, last night 300 so it’s hard to get basal where it needs to be. Endo started me out at 30, prescription for 40 and said I can go as high as 50 before contacting him. Have gone to 35, but will let it run for a couple of weeks before making any adjustments.
I liked DrBB’s answer about targeting in the middle. Don’t pick one extreme or the other and take your time so you keep lowering or raising until you ultimately get there. I love your willing to experiment on yourself. We live with this disease and the best diabetic educators don’t know what we go through unless they are diabetic also. So experiment but take it slow and don’t take dangerous risks.
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FWIW, sliding scale therapy was an unmitigated for me personally. I’m on basal and bolus regimen. When I need a correction dose I aim for the high end of my target range in order to avoid a hypo.