basal question....

[Momof4gr8kids]

Does average amount of carbs eaten play a roll in how much basal is needed?

I've noticed that when we eat higher carb then normal for an extended amount of time Julia seems to need more insulin for her basal. Not just after meal times, but 24/7. Anyone have any idea if this is really why, or if it is just coinciding?

[twodoor2]

What kind of basal are you using. NPH is very unstable with it's peaks and rates of absorption, but Lantus, if it's injected into fatty tissue, should be more level.

[Isabelle's Mom]

Is she also consuming more fat and protein along with the carbs? They also break down into glucose, not as much and more slowly, but that could be what you're seeing.

[Momof4gr8kids]

We pump.....

Not really more fat, not more protein. I know these break down into glucose, but we did a basal test 2 weeks ago, and saw the need to increase. Her average carbs were 250-300 per day for about 2 weeks. However normally we are more like 150-200 carbs per day. Now we are back to the 150-200 carbs per day and seeing a decrease in basal need by the testing done.

[momofsingingdiabetic]

I don't notice it so much unless Danielle is eating something very high in fat or something that we know she absorbs slower. I've seen others here mention that they've had spikes up to 5 hours after the meal depending on what the food was.

If she is eating something higher in fat (pizza is a prime example), can you do a combination bolus with her meal?

[momtojess]

i havent really noticed with Jessi, but it would make sense.

We were told that basal/bolus should be about 40/60, 50/50, 60/40 etc.. and if she is getting more insulin for bolus, then in order to stay with the same ratio, the basal would increase to.

We havent had this happen, but I can see why it would maybe.

[Abby-Dabby-Doo]

I might be *w*a*y* off base here, but this is my 2 cents.

I don't know which state you live in but we're in Iowa and it's starting to get cold.
When it gets colder people tend to eat more and exercise less.


Right or wrong, just a thought.

[frizzyrazzy]

IMO, the amount of food eaten shouldn't really have anything to do with basal. Because if it did then do the reverse - technically on a pump you should be able to go all day without eating and not have trouble, a properly set basal keeps you from going too low. Basal should only be there for the background running of the body. It shouldn't be covering carbs.

What I think is more likely is that sometimes larger quantities of food require greater amounts and especially if those are harder to digest carbs you're mistaking greater bolus needs for greater basal.

just my 2 cents.