I have heard the argument that you should only have one single 24 hour basal rate on your pump. People like Stephen Ponder, the sugar surfing author, have said that. Sorry Stephen, won’t even waste time with that idea.
I also hear comments from people saying their endo has told them they have too many basal rates on their pump. That they only need a few rates for 24 hours.
Okay sure, maybe too many rates makes it harder to track down things, or identify things or make the correct adjustments.
However I wanted to give a quick rational for why I have 8-12 rates on my pump depending on the circumstances.
I need more insulin around 4am. Nothing from Ponder will change that fact.
But why do I have several different rates leading up to 4am? Do I actually have different basal requirements at 2am compared to 12am? Probably not.
So why do this?
Quite simply, if I waited until 4am to bump up my rates, it would be too late! Basal rates are such a small amount to counter a rise in BG. So the ramp-up that begins at 2am for something I don’t really need until 4am is a preemptive measure.
The alternatives would be to jack it way up at 4am, which would probably still be too late. Or just have a spike at 4am.
So I choose a larger number of rates.
What are your thoughts on this?