bring a high down at night
Gail,
I had some birthday ice cream last night and was 294 before bed. I took a
0.5u bolus, raised my basal from 0.4 to 0.5 from midnight to 6:00 a.m. and
woke up 134. That’s how it works for me.
Jan
25 Responses to “bring a high down at night”
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June 29th, 2004 at 10:30 am
Sounds like you have a good handle on it.
Did you do anything special for your birthday?
gd
June 29th, 2004 at 11:10 pm
Yeah, I got the van’s a/c recharged. Since it was in the 80s yesterday, it
sure helps. I can’t breathe in the heat. I also hurt when I’m cold. Anyone
else have temperature extremes bother them?
Jan
June 30th, 2004 at 2:45 am
I have to have air to breath, cannot tolerate outside pollens. But is seems
this year that I am cold when under A/C, so I keep it on and wear layers.
gd
June 30th, 2004 at 10:53 am
Exactly Kevin, you have hit the nail on the head. I freeze with a hypo and
nothing will warm me.
Gail
June 30th, 2004 at 11:33 pm
RE: [Insulinpumpusers] bring a high down at nightFrom: Kolkhorst, Kevin
>I can’t breathe in the heat as well, but it’s very >humid in my area during
summer.
> My feet get cold & numb quickly during winter months. When I’m
hypoglycemic,
> I have a tough time staying warm, especially waking up low. Does any one
have
> body temperature problems when hypoglycemic?
> Kevin
Where are you Kevin? It’s really humid in northcentral in Indiana in the
summer time. They call it the 3 H’s: hazy, hot, and humid. It was almost
thick enough to cut yesterday. In the afternoon I was stopped at a railroad
track for 8 minutes (looong time). Fortunately, there were some utility
trucks at the side of the road, forcing/allowing me to be in the center and
SHADE!! Since there was no oncoming traffic, it was nice and I turned my
motor off. I stopped about 3 car lengths behind to take advantage of it, but
what could anyone do about it? The line behind me was about 1/4 mile long as
far as I could see, but the road then curves. About 10 - 12 crane-type
thingies were going back to the *round house* or somewhere and we had to
wait on them but not all at once. The gates just wouldn’t go up.
But, my body temp. runs from 96.? to high 97. I guess I’m just *cool.*
Jan
July 1st, 2004 at 9:11 pm
Jan, how come 294? Did you not bolus enuf with the ice cream?
fp
July 2nd, 2004 at 8:04 am
No, I just found out about carb counting last June and do not have a CDE nor
dietitian. Endo says to stick with the exchanges since it’s easier.
> Jan, how come 294? Did you not bolus enuf with the ice cream?
> fp
July 2nd, 2004 at 4:13 pm
From my viewpoint, that endo is issuing bad advice.
I started carb counting 10 years ago when I first started the pump (taught
by my CDE, who also was a pump user) , and I couldn’t survive without it.
Also, when you are high, it is important to know your personal factor for
reducing the value a prescribed amount. In my case, the number is 25;
I divide that into the total amount I need to drop (e.g., if I am at 250,
and I want to go to 100, I would use 150/25 = 6. So, a six unit bolus
will drop me to about 100 or so in less than an hour, using Humilog.
When over 300, however, this rule does not work too well, and I will
multiply the number by 1.5 or so, and even more if very high. Once, I was
at 500, and it took three times the calculated amount to reach normal.
How did I get to 500? Easy. Bad infusion site, when I was using soft
sets.
David
July 2nd, 2004 at 7:46 pm
Kevin,
I have allergies and asthma. They are worse spring through fall.
Gail
July 3rd, 2004 at 12:02 pm
David,
I divide the amount over 150. So if it is 300 I only divide 20 into 150.
That what how I was taught by my CDE. I also think carb counting is easier
and more accurate.
Gail
July 4th, 2004 at 12:44 am
You have to do both. I do the divide business with the 25 factor when I
am too high, and need to come down. The carb counting applies to a bolus
needed for a meal.
July 6th, 2004 at 2:59 pm
ya lost me!!!!!
fp
July 6th, 2004 at 11:06 pm
How did you determine the "20"??
fp
July 7th, 2004 at 1:34 pm
Yes I do the carb counting to know how much to bolus at meal or snacks.
Gail
July 7th, 2004 at 9:42 pm
It was done by a formula of what I weigh and how much insulin in take in 24
hrs to determine how units to take me down. The CDE did it all a long time
ago and I forgot the formula, but remembered the number and it works.
Gail
July 8th, 2004 at 7:37 am
Hmmmm…. does anyone else know the formula??….. please…
fp
July 8th, 2004 at 4:08 pm
I pulled out the sheet given to me by the Diabetes Treatment center at Mercy
Hospital in Miami, here’s what it says:
TOTAL daily Insulin 10 units, Expected DROP per unit 150 points
20 units
75 points
30 units
50 points
40 units
38 points
50 units
30 points
60 units
25 points
100 units
15 points
Hope that helps!
July 9th, 2004 at 4:36 am
I was taught to use the 1500 factor for regular insulin in the pump,
or the 1800 factor with humalog insulin in the pump to figure out my
figure out my supplemental ratio. Simply put if you are taking 30
units of
insulin a day, u take the number 1800 and divide it into 30 which
equals 60.
So my ratio would be for 1 unit of insulin it should bring down my
blood sugar by about 60
points. Not always on the money but it works okay for me.
I have to take a look at Pumping insulin because I believe the
ratio’s are discussed in his book and it is based on the same factor.
Youy have to remember a person who wieghs 200 pounds and takes 60
units a day, and a person who wieght is 150 pounds and takes only 30
units a day will have completely different ratios so there is know
hard fast rule in bringing down blood sugars and should be discussed
in dept with your diabetic team.
Also at night I was told by a prominent educator that before going to
bed you should cut that ratio in half to avoid a severe reaction
during the night.
Frank
July 9th, 2004 at 12:44 pm
David now that I look at your message again they are applying the
1,500 factor in figuring out those ratios, I hope I explained it okay
in my first e-mail earlier. My Outlook express is not working
correctly and I’m unable to send replies.
These calculations are based on the 1.500 factor. Which says again
you take the amount of insulin you take per day and divide it into
the number 1,500 and that is how you come up with your ratio. So a
person taking only 10 units of insulins ratio would be 1 unit would
lower there blood sugar 150 points.
Using Humalog they apply an 1,800 factor becasue of the faster drop.
I hope that explains it better.
Frank
July 9th, 2004 at 6:55 pm
I think the number I use is 25, but I arrived at it by using a formula in
Pumping Insulin that I don’t remember anymore. Anyway, it works very well
for me. Often I can hit 100-110 right on the mark in an hour using this
factor, based on a high reading. One important point; you must be high
without having had any carbs for some period of time. If you have had
carbs recently, this will not work. You must allow for the other factor
(in my case, I use 1 unit insulin/8 gm. carb.
David
July 10th, 2004 at 3:02 am
Frank, you are absolutely right. I had forgotten the 1500 factor, and
that is how I arrived at my number of 25, which works fine with Humilog as
well, so I am not sure how significant the 1500/1800 difference is. I had
not heard about the 1800 number, and without knowing this, the original
calculation works just fine.
July 10th, 2004 at 6:35 am
That is the ratio Frank, that she used. Except I never changed it when I
switched to Humalog. Still works good for me, so I not complaining.
Gail
July 10th, 2004 at 4:31 pm
Wow, what a group we have here, ya just ask a question and out poureth the
information. That’s big time for yer help guys.
fp
July 11th, 2004 at 4:56 am
1800/(total insulin in day) = mg/dl drop per unit H
(correction-ratio)
(1800/(total insulin in day)) / 3 = g -CHO covered by
one unit of H (carb-ratio) (bolus)
Example: I take 50 units/day.
1800/50 = 36 mg/dl per unit H
36 / 3 = 12 gCHO per unit H
If I’m 72 points over my target I’ll take 2 units to
correct. If I’m eating a meal of 60g carbohydrates,
I’ll take 5 units to cover.
Regular can use a similar formula but substituing 1500
for 1800.
-Sara G.
July 12th, 2004 at 4:50 am
I am not on the pump yet, but use Humalog and NPH. Mt BG’s have never been
within good levels. I have been counting carbs for the past 3-4 weeks. It
has really made a difference. I hate all the time I am spending right now to
accomplish the BG’s I am getting, now averaging around 110, but it is worth
it.