So far, after a few weeks, I’ve had to bring my basals up for a couple reasons. Omnipod is not going to do .05 increments below 1 unit as far as I can tell but otherwise it’s great so far! I think the abdomen sites are better for me anyway, arms and legs require more pre-bolus time, and I may have had too much scarring. No tubing, hiding- two things I like.
A couple more observations:
Post meal spikes for me have always been down to 2 things, maybe 3 or even more actually, but 2 that I can hopefully manage.
(I say hopefully because sometimes I’m using 4 different BG monitors to compare and CGM and they’re too often apart by 40 or more points! And this is acceptable within FDA guidelines? OMFG right? Another WTF moment…lol)
So the 2 or 3 things I’ve come to understand a bit are insulin to carb ratio and insulin sensitivity (which for me varies during the day) and also pre- bolus time (which for me is a must to avoid spikes and corrections) and also maybe the most important thing for my digestion:
Carbs are not simply Carbs. 15 OJ carbs are going boost my BG a lot faster than 15 carbs of Rye crackers or Cashews. (Yes I often eat 1/2 cup of cashews or more, sometimes with cranberries…)
Understanding simple carbs and complex carbs, and the lot in between, have been absolutely essential for me, although to be honest I still haven’t mastered it.
I can eat Pasta and Rice and have easy going in a balanced meal with lots of veggies and healthy protein, but really the only times I get spikes are related to foods I don’t know the glycemic index of,
…or if I haven’t done calculating properly , or if maybe my sight was old, or if it was a certain time of day, or I’d been stressed out, or… I could go on and on but I’ll spare everyone a few details Im sure we’ve all been through hundreds or thousands of times…!!!
So ultimately, for me, I don’t see boosting basal to eat more carbs as the right way to establish a proper basal rate, which I think needs to be done fasting.
And if I want to graze, so to speak, which I often do, I think combo/extended/square wave or whatever else it’s called might be a better option than boosting basal as its practically the same thing- feeding insulin.
To which I must add that the concept of “feeding insulin” brings a lot of scary memories involving siezures and trips to the emergency room and other horrors from 20-30 years ago!
Ultimately after so many years my true feeling is that minimising insulin usage is the best way to go about diabetes- and the curse of this disease is a mixed blessing in disguise:
It forces us to eat right and exercise, and there’s
nothing really wrong with that, although it is difficult when concidering many other things, especially one of the worst problems affecting too many of us (it really shouldn’t be affecting any of us at all!) ;
what I consider the evil of the health care industry that would profit at the expense of the health and well being of people who aren’t able to afford the proper health care.