how do you assess the accuracy of basal, I:C and correction factor on MDI? It's never been explained by anyone at the endo center, and we have asked. Between the Valentine's thread, comments on our struggle with over night lows that led to smart changes (thank you to both wilf and Emma on that), it really has me wondering how the endo sets everything originally, and why ours at least, doesn't seem to consider changing them without a ton of push back between visits. Am I missing something? I've gotten help from some on-call CDEs with changing rates temporarily when dd is sick, but when we return for the next visit, her endo expects us to have resumed exactly where we changed from. Intuitively that doesn't make sense to me. For those on MDI, how do you go about making adjustments to any of these? Just try, check, wait and see like we've done? Between suggestions here and some changes made when she was sick, her basal dose came way down and we increased (grrr which is the right word here?) her I:C and correction. Lantus she's at 12u, 7 in the am and 4 at night. Very few over night lows lately thank goodness. I:C we're 1:15 breakfast, and 1:18 lunch and dinner. Corrections we give 1:40 over 125. This is so different from I:Cs around 1:30-35. 16 to 20u of lantus, and not correcting until she was at 200 or above. (Still the expectation, but we're not going back to that.) What bothers me is that suggestions from the center don't seem to be based on any logic. I got some great advice here re the overnight lows, then she became ill and we saw our first string of 400s. I spoke with an RN, and she adjusted I:C to 1:9, correction 1u for every 40 over 100, said it was very aggressive, be cautious, and good luck. (Clearly, we've adjusted since.) It felt like the first time someone at the center really listened to what was going on. As for the snack issue - I read a suggestion today that sounds great and doable. Still, I wonder how many people are instructed similarly in not letting our D kids eat carbs and cover with insulin more often than every three hours apart. (Even dd's dad heard that particular instruction - multiple times.) It's probably dd's biggest reason for wanting to pump. She hates not being allowed to eat more often than every three hours, and that didn't come just from the endo - the dietician repeats it whenever I have questions for her. Sorry, it's a lot, but I feel like I slept through the first half of class, and all these questions remain unanswered in my head. I don't think we're doing terribly, but I sure don't feel as self assured as many here seem to in their posts. The differences in endo approach and instruction are confusing, and I sometimes wonder if it's a matter of changing endos, or if it's us that missed some crucial step in the learning process.