So, as I sit here waiting to find out if insurance approved me for a pump, I was wondering - what is a really low basal rate on an insulin pump? At this time, I’m on 6-8 shots per day of humalog to control my BSL. My primary endo agreed that I was a perfect candidate to start learning how to use the pump, even though I’m not yet on a basal insulin (although I probably would benefit from one). Anyway, she referred me to the pump endo who was a little more skeptical about me starting on the pump right away, mainly because I’m on such a low dose of humalog (about 15 units per day or less). But we talked and she agreed to go ahead and complete the certificate of medical necessity, even though I might get denied initially. She said that, for now, we can program the pump to just do a “low” basal rate throughout the day, and this might help me avoid the spikes I currently experience (I still can go upwards of 160-200 even with insulin and careful carb counting).
Anyway, what’s the lowest basal rate a pump can do? Is there anyone out there just doing a basal rate and no bolusing at meals? We talked about a basal insulin, but decided against it for a variety of reasons. I am also going to try and get pregnant and both endos I saw agreed that it would be better to learn how to uset he pump now, before my insulin requirements increased during pregnancy.
Any insight is appreciated.