It was recommended by another user here that I post to get some assistance with our insulin pump doses. We have not heard from our local hospital since before Christmas, and they continually ignore our calls and emails requesting help - so im on my own with changing doses etc and training other people. History - DD was dx at 2y 8m in October 2008. Turned 4 in Feb 2010. Pumping since August 2009. She is in daycare/preschool 5 days per week from 6.30am until 6pm (most of the time) They deal with her meals there and have a specific carb counting menu on hand. We are on the Medtronic Paradigm pump with the following settings: BASAL 12am (midnight) 0.15 9am 0.25 12pm (midday) 0.45 4pm 0.4 9pm 0.2 TOTAL in 24hours is 6.65u BOLUS WIZARD 30g = 1u Sensitivity = 12 BG Target = 6.5-7 Active Insulin Time = 3 hours We had pump failure last weekend, so we were back to injections for 4 days, but here are the last 3 days of readings. I have no idea what changes need to be made Sunday 21st March 1am - BSL 13.6 10am - BSL 11.1, 0.3u given 12md - BSL 8.7, 28g, 0.9u given 4pm - BSL 10.9, 0.3u given 7pm - BSL 5, 25g, 0.6u given 9pm - BSL 11.3, 16g, 0.6u given AVG BSL - 10.1 Carbs - 69 Meal Bolus - 2.2 Correction Bolus - 0.5 Basal - 6.65 Total Insulin - 9.4u Saturday 20th March 12am - BSL 7.8 8am - BSL 2.9 9am - BSL 16.2, 25g, 1.5u given 12md - BSL 21.5, 1u given 3pm - BSL 7.2, 57g, 1.9u given 7pm - BSL 8.8, 20g, 0.7u given 11pm - BSL 20.9, 1.1u given AVG BSL - 12.2 Carbs - 102 Meal Bolus - 3.3 Correction Bolus - 2.9 Basal - 6.65 Total Insulin - 12.9u Friday 19th March 6am - BSL 11.5 7am - BSL 10.1, 21g, 0.9u given 9am - BSL 21.4, 14g, 1.5u given 12md - BSL 6.2, 22g, 0.6u given 3pm - BSL 25, 35g, 2.5u given 5pm - BSL HI (so 33.3 entered in pump), 2.1u given 7pm - 35g, 1.1u given (unsure of BSL she was with her father) 10pm - BSL 15.2. 5g, 0.6u given AVG BSL - 17.5 Carbs - 132 Meal Bolus - 4.1 Correction Bolus - 5.2 Basal - 6.5 Total Inslulin - 15.8 Can anyone please help. I want to get the CGMS but simply cannot afford it, and of course our hospital wont help. We have not seen an Endo for 12 months, as ours is on maternity leave and we weren't offered any other solution (even going to the nearest childrens hospital) I have found that she has to go to bed a bit high to ensure she doesnt wake up low, but when we had her basal at 0.1 until 6am she was waking up high, so no idea on what to do ETA - She weighs between 14 and 15kg, and is 4 years.