I am wondering how people change their BG management when they decide to go without a CGM for a while after using one?
@Chris’s son goes without his CGM from time to time for 4-5 days. I do too, but most times only for about a day. For me, I can’t manage my BG without CGM the same way as I manage it with one. So I have to change my techniques a lot with and without.
With a CGM, I am very aggressive with meal bolus and corrections. I would rather use more insulin than less. I don’t like being high. I also use high temp basals on peaks, and long suspends on lows. Because I wear a CGM, I can see when the trends change and change what I do then. For instance, if I go on a peak, I turn on a high temp basal and dose a lot. But, when I see the peak go down, right away I shut down my temp basal and sometimes I suspend.
Without a CGM, I dose less. I never anticipate a rise (I often do in a peak with a CGM), and I aim for a higher BG when I come back from a high, in more careful steps. I don’t use aggressive temp basals or suspends. The worse part is peaks without a CGM, because I can’t feel myself go high until I am about 200 (or more), so I waste time before dosing, and spend more time high.
But the result is that I must be at a higher average BG without a CGM, although I can’t really prove it without a CGM. If I did not have peaks it would be a lot easier to go without a CGM. Before I got into puberty, it was not that hard, really, but now it is a lot harder.
I would be really interested in reading how other people change their techniques when they go without a CGM after using one.