Sunday, November 16, 2008

split dose basal- Diabetes game again...

Howdy from Atlanta,

I like saying "from Atlanta!!!" As of tomorrow night, it will be 2 full weeks, yes 14 days that I have not stepped on an airplane. I believe this is the single longest stretch since mid February, and it rocks. It is good to be home, see friends, and have a semblance of a schedule. Life is good, and biking is great!!

So last time, I think I made the cut to 9 units Lantus. That was a bit too much still for the early part of the night, but a touch too little for the night. When my metabolism is going, it goes, and a bigger dose almost feels like rapid acting insulin plus. So about 4 am, I saw 155 with an arrow trending up, did a .5 unit of Apidra, and woke up at 80. I decided it was time (thanks Dr. Howard Zisser) to go to split dose. I did 3 units the next morning, and had a good day. Friday was I able to train for 2 hrs, and felt decent. Then Friday night, laid low, and did 6 units for a total of 9 units of basal. Had to eat extra at night due to the pop. Saturday went for 4 units in the am, had a big bowl of oatmeal, with no bolus, and then hit the road for 4.5 hours. Got lost, which added the extra hour. Blood sugar went up to 220 in the early part of the ride, but 2 hours in I began dropping, and eating. Stabalized at 110, and kept eating and eating. Got home with a bg of 77, did 5 units Apidra, and had 160 gms of carbs (pasta and chocolate milk) and 40 gms protein. After 1 hour, I began to drop again, so ate some fruit. Dinner consisted of a salad, fruit, and steak.
Last night I went to 5 units, still having the 9 units of basal, but thanks to the split dose, I have had no hypo's. This morning, it was 5 units of Lantus, and tonight I will do 3-4. It has been a slow transition, but I think I have finally found the sweet spot. Curious to see if with the split dose, my basal will decrease much more??? The lowest I have ever gotten was 6 units of Lantus split 3 in am, 3u pm.

Today is another 4 hour day on the bike, and tomorrow a day off! Time to get dressed, and see if I guessed right today!
I hope all is well.
Have a great day.

Philpott
www.teamtype1.org

No comments: