Since starting a new endo late last year, I've come across a concern: she seems very apt to make changes to my basal rates after a single day's worth of tests. Her key communication method is fax - she expects this weekly, at the minimal. I've also grown up using the rule of thumb that you take a look at three days worth of results at least before making changes, to make sure you're seeing an accurate trend in the results. In mentioning this to my endo, her response was that with a pump, the changes are "instantaneous" - there's no need to wait. I'm not sure I agree with that; For example, one night may entail a inadequate carb counting or dosing for food, or a different routine of exercise. You can't see what's really happening with that basal by looking at just one day's results. This train of thought seems to be an almost old-school mentality merging with a contemporary push for pump therapy - someone who doesn't understand exactly. Maybe I'm off. She's a highly-recommended and commended endo, and has much creditentials, but I'm wary of this advice. So, I'm taking the suggested changes cautiously and watching my results carefully before making specific changes. Better safe than sorry.
Well, did anyone think this is what 2020 would look like? Global pandemic and worldwide public health emergency, everything shutting down and a potential economic collapse on the horizon. Holy fuck. ' A "Pandemic (in Quarantine) Playlist on my Spotify is now a thing, and my own remote worklife now in its 8th year has taken on an eeerie new spin. As are my watchlists full of dystopian and post-apocalyptic TVs and movies for streaming in these strange times. All of my work travel and conferences for the spring have been nixed, and we're all watching closely to see what the impact may be for summer events. What about my "underlying health condition" that is type 1 diabetes? So far, so good. No signs of anything astray. As I've shared over on DiabetesMine, I have been using the Tandem t:slim X2 device since mid-October 2019. That followed three-and-a-half years of Multiple Daily Dosing with pens and Afrezza inhaled insulin insulin. I starte...
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We are weighing averages. If we see a "trend" to go high after a meal we make changes, one high after lunch does not necessarily *require* an adjustment. You might consider trying to work with the diabetes educator directly (may be more reasonable/realistic) or just do what you feel is right, whihc it sound like you are. Fax when you feel like it and make the changes if they make sense to YOU. You know your body better than anyone and you know when something doesn't sound right. Trust your instinct and use the Dr. for guidance.
My .02 cents.