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Question: From Montigny-les-Metz, France: I'm a 32 years old male with Type 1 diabetes for 12 years. I switched to a pump 2 weeks ago, mainly because of a dawn phenomenon I have not been able to fix. I used Actrapid and Insulatard on a 4 daily injections scheme, the Insulatard 2 hours after the evening Actrapid injection. The problem was that a difference of 1 unit switched from hypoglycemia to hyperglycemia, resulting in a sugar level of 2.5 g/l or more each morning. Bored with the 4 injections scheme, I decided with my physician that a pump should help. In fact, it works rather well, except for one thing. I have very high sugar levels after meals (over 2.5 g/l 1.5 hour after the meal; sometimes 4.5 g/l, no ketones) but before the next meal, I have normal sugar level, sometimes too low (0.65 - 1.40). I'm just starting to think, if I choose not to eat between the meals, may it help if I eat at 10 A.M. and 4 P.M. and increase my boluses? Answer: We can not answer such a specific question, but would rather have you talk to your diabetes team some more about fine-tuning your pump regimen. However, some general thoughts would be that if you are going high after the meals you eat, then perhaps your pre-meal bolus is not adequate, or if you are using Regular insulin in your pump then perhaps you are not bolusing early enough. Perhaps you could try lispro insulin [Humalog®] in the latter case if you need a faster response. LM Original posting 12 Aug 97

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Guide to CWD Help with Error Messages Index Privacy Policy Search Site Map --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Get CWD Products Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Sun Jan 15 13:01:32 2006
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