Ratios and rackets

15 11 2010

A couple quick things this week.

I’ve really been trying to tighten up my control, so I’ve been playing around with my lunch and dinner insulin-carb ratios.  I prefer to sit at 1:6.5, but that isn’t an option on the Animas.  I know that others, particularly those with insulin resistance, might appreciate having a few more options once you get below 1:10.

Another issue is that the pump is LOUD.  I use the combo bolus a lot and every 3 minutes I will be reminded of it.  ><  My work is relatively quiet and when I bolus for my Lean Cuisines, everyone in the office can hear it.  It’s great that the Animas is physically discreet, but I would love for it to be aurally discreet as well.



29 09 2008

My lunch post-prandial is typically the highest time of the day.  I have done everything I can think of to lower this number.

  • start eating about 20 minutes after I bolus
  • I do a 2-hour super bolus to get some extra insulin in my system early
  • count carbs very carefully, by both checking nutrition labels and weighing my foods
  • washed my hands before testing to ensure an accurate reading (making sure there’s no leftover lunch on my hands!)

I seem to have done everything right.  And yet, I am still too high.  Guess it’s time to up that I/C ratio.

Hate and rage

30 08 2007

I have been extremely frustrated with my blood sugar lately. Since Monday, my blood sugar has been a lot higher than usual. I changed my insulin/carb ratios to 1:7 at breakfast and 1:10 for the rest of the day, but it hasn’t really improved anything. Today, I’m trying out a new basal profile, with everything increased by 0.05 to see if that helps. I can easily switch over to my normal profile if things go south, but that doesn’t seem to be the case yet. In fact, it doesn’t seem to be any different at all. It’s so depressing to pump more and more insulin into my system, just to have no effect.

Aiming for grace’s post about “what’s in a number” completely syncs with my perspective. You see the number and then instantly feel bad or good about yourself. Sometimes you just have to take your feelings out of the equation and just act on the number. It’s okay if things aren’t going so well; that just means some more tweaking. Hopefully I won’t let this rough spot spoil my trip this weekend. Cross your fingers!

Straightening out

14 08 2007

Well, I’ve finally finished all my basal tests. I think I’ve got all my basal rates straightened out. My overnight one is not as perfect as I would like. It seems my choices are to drop 25 points or rise 25 points. Sometimes I wish I had an Animas that has .025 increments instead of .05. Oh well, I’ll deal.

I’ve also tweaked my insulin/carb ratios a bit, so they do not freak me out like they used to.

  • Breakfast: 1:8
  • Lunch: 1:11
  • Dinner: 1:11

I think my correction factor needs to be updated too, but I’m trying to do this bit-by-bit. Basals first, then insulin/carb ratios, then correction factor. Of course, even if I think things are straightened out, life will always throw you a curve ball (thank you, period, for messing up my blood sugar today). Ugh.

Anyway, GiR and I are going to a BBQ tonight, which should be a fun SWAG bolus experience. Wish me luck!

Testing… 1, 2… testing

1 08 2007

I have been unhappy with my blood sugar recently, so I decided to look through Pumping Insulin again to see what I could learn. I read that your insulin/carb ratio should only differ by 2-3 points throughout the day. For example, a breakfast ratio of 1:10, and a lunch/dinner ratio of 1:12. Well, my ratios are currently as follows:

  • breakfast: 1:5
  • lunch: 1:9
  • dinner: 1:12

Um, yeah… That’s quite a big difference. So, I figure it’s time to redo some basal tests. Overnight one goes smoothly.

  • 10:30: 87
  • 2:30: 86
  • 6:30: 124

I decide to up my basal slightly starting at 2:30, to lower that before-breakfast number a bit. A quick unofficial re-test this morning confirmed that my change was good. (124 at 2:30 and 132 at 6:30) Not too bad. Then I moved on to my morning basal rate.

  • 6:30: 132
  • 8:00: 138
  • 10:00: 121
  • 11:30: 75

What?!?! Since I had such a high breakfast insulin/carb ratio, I was assuming that I was accidentally taking my basal as a bolus (too high carb ratio, too low basal). So, I expected to run high throughout the morning. Instead, I dropped. I’ve tweaked the basal slightly lower starting at 7:30, in hopes of keeping me from crashing before lunch.

However, that doesn’t explain what’s up with my breakfast insulin/carb ratio. I do eat pretty much an all-carb breakfast (waffle, or cereal and milk), but I’ve recently added some protein/fat (bacon, sausage, cheesestick). Do I need to try an extended bolus or something? I mean, I could just use the ratio because if it works, it works. It does kind of frighten me though…

Tomorrow will be afternoon basal test and then dinner basal test on Friday. I really want to get all this straightened out.