It’s been over a week since I have my pump and so far I couldn’t be happier. I’ve been able to stabilize my glucose levels pretty quickly and I’m enjoying all the flexibility that having a pump give me…. ah! and I’ve resisted the temptations and managed to keep my weight stable too.
Ever since I was on MDI I’ve found that my BGL go lower (and often hypo) just before lunch, and I always thought that was the onset of my evening Lantus causing the issue. After I started the pump I was surprise by seeing that the lunchtime hypos were still there, so my diabetes educator and I decided to do some small adjustments to both my basals and carb ratios to counter their effect.
This changes made the hypos less frequent, but I wasn’t too convinced this was the best it could get, so today I decided to skip breakfast and do a proper basal test. I tested every hour during the process and kept records of my results together with my current basal pattern.
I found that the real cause of my lower MGL around lunch is that my basals don’t seem to be properly adjusted to my insulin needs around that time. It’s incredible to see how our bodies react to different things. I’m not any different at lunchtime than I am at 10:00am, but it’s obvious that my body is different then.
I will now proceed to create an adjusted basal pattern with my diabetes educator. Hopefully that way I will be able to deal with my lunchtime lows definitely.
Once again I find a reason to confirm that in my case, going to the pump was the best decision I could have made.