FUDiabetes

What is your total daily dose and how is it split?

Mine of late has been approximately 30 with that being predominantly basal achieved by a low carb diet and sugar surfing. However this is way up the last month which I’m still trying to figure out why.

For reference I’m 5’6”, 135lbs Female, 41yrs

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Mine is approximately 30 too. Currently it’s split 35% basal, 65% bolus. Sometimes my total daily dose is a bit higher or lower and my basal:bolus ratio may vary too.
How much has your TDD changed? Can you think of any events, foods or other changes that may have triggered your increased TDD?

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Mine is 16.9U for this week, 41% basal 59% bolus per Tidepool / Apple Health. It can change up/down a couple of units each day though depending on activity. I’m on DIY Loop autobolus, so Loop gives bolus corrections per algorithm. I know insulin insensitivity will increase my TDD. Has something triggered a change in your insulin sensitivity? Less activity this month? Increased stress?

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I have had a lot of stress–started grad school, a new job, found out my support system (parents) are moving far away, broke up with my long term BF and there has been an extreme heat wave where I live (ie so extreme I had to stay in one room for an entire day with the AC on and that did not even cool the room, it just made it tolerable enough to get through a day’s workload) and the other thing that took place was my 2nd dose of the COVID vaccine. I am NOT saying my high sugar’s are caused by the vaccine, but the high sugars started taking place a few hours after I got the vaccine and now it’s 1 month + a week later.

I’ve just gotten out of the hospital after being on IV insulin for the last few days due to my sugars being in the 30s (and being in DKA), I’m now am at home monitoring and adjusting like a hawk, and I’ve managed to keep my numbers under 11 for the most part (no small effort).

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OMG, I am sorry, yes, indeed you have had a lot of stress. I would think this is contributing to the higher TDD due to increased insulin insensitivity. Good luck getting this under control. The best thing I can recommend is try to de-stress with exercise of some sort to get your mind off the stress. I know this is easier said than done, esp as it sounds like you are very busy with grad school, new job, etc. :hugs:

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That’s tough! Sorry to hear that. Stress, high temperature, immune reaction to the vaccine, all of these can contribute to BG levels going crazy.

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You can try weight in kg then divide by 0.5 to get an estimated TDD. Then, divide by 2 to get the basal. Using the rule of 500 (500/TDD) for the carb ratio. Using the 1500 rule, for your insulin sensitivity (1500/TDD).
What other things elevate glucose? Stress, certain medications for example, steroids, illness, pregnancy hormones as pregnancy progresses, less activity, change in routine, and for me if I gain as little as 4 lbs, I have to do the calculations over again.
*The endocrinologist can help you with all of this. Take care.

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Things have been normalizing/becoming more stable for me. I had a phone appointment with my Endo last night, and he helped me with a plan for the next 2 weeks by reviewing my Omnipod data (via Diasend) in relation to my Dexcom data (via Dexcom Clarity). I’m now on a basal of 25.8 units a day and I:C ratio, 1:10 and a somewhat conservative correction factor of 3.5. I’m supposed to do a 50% temp basal 1 hour prior to (and throughout) exercise. In 2 weeks he’s reviewing all of the data and fine tuning things from there.

Today’s the first day on this regime. I had coffee, and for lunch I have pretty low carb food. Prolly going to get a bunless burger en route home, but maybe some butter chicken which I’ll put over cauliflower rice…yum. Not sure how to count the carbs in butter chicken though…

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For butter chicken (high fat) I would treat it with an extended bolus, due the fat slowing digestion. Yum though.

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I’ve never used that extended bolus feature, but maybe it’s the perfect time to experiment!

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The extended bolus is da bomb diggity!!

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That is a fantastic result, congrats. We also use that baby for Pizza. Winner winner chicken dinner. (sorry couldn’t resist)

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Ha ha ha good one. Yeah, I’m so glad you suggested it! Thanks!

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